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Home My WebLink About162647 08/20/2008 CITY OF CARMEL, INDIANA VENDOR: 025400 Page 1 of 1 ONE CIVIC SQUARE BESTEST, INC CARMEL, INDIANA 46032 812 S MAIN ST CHECK AMOUNT: $400.00 PO BOX 405 CHECK NUMBER: 162647 CASEYVILLE IL 62232 CHECK DATE: 8/20/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4239099 18925 2080424 400.00 PBT MOUTH PIECES I r BesTesT, Inc. INVOICE 812 So. Main St., P.O. Box 405 Caseyville, IL 62232 DATE INVOICE NO. 618 397 -3177 800 248 -3244 FAX 618 397 -3177 8/5/2008 2080424 BILL TO SHIP TO Account #1122500 City of Carmel Police Department City of Carmel Police Department Attn: Robert Robinson Attn: Teresa Anderson 3 Civic Square 3 Civic Square Carmel, IN 46032 Carmel, IN 46032 P.O. NO. TERMS DUE DATE SHIP DATE SHIP VIA FOB 18925 Net 30 9/4/2008 8/5/2008 UPS Destination ITEM DESCRIPTION QTY RATE AMOUNT PBT -W WHISTLER Mouthpieces 2,000 0.20 400.00 Thank you for choosing BesTesT FEIN 37- 1211084 Total E- mail sales @bestest.biz Web www.bestest.biz $400.00 INDIANA RETAIL TAX EXEMPT PAGE Cit ®f Carmel CERTIFICATE NO.003120155 002 0 1 Of 1 PURCHASE ORDER NUMBER Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 18925 3 0 09 CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 1 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION'' Augu, t 4, 2008 PBT mouthpieces VENDOR BesTest, Inc SHIP City of Carmel Police Department P.O. Box 4qWqCg TO 3 Civic Square Caseyville, IL 62232 Carmel, IN 46032 ATTN: Sandy Addms ATTN: Robert Robinson CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION 2000 PBT Whistler mouthpieces .20 400.00 4V a g3 �o City of Carmel Po' rr Send Invoice To: ATTN: Teresa Andear 3 Civic Square Carmel, IN 46032 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 1110 390 -99 other miscellaneous PAYMENT A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE APART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFYTHA TiTHERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATAO UFFICIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL OR EKED BY SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Ase tant Chief of Police AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. 9 't) CLERK TREASURER DOCUMENT CONTROL NO A.P. C OPY- SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WAR-BANT NO. ALLOWED 20 IN THE SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except__ 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995) r ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee BesTest, Inc. Purchase Order No. 18925F 812 S. Main Street P.O. Box 405 Terms Caseyv8ille, IL 62232 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 8/5/088 2080424 payment for PBT mouthpieces 400.00 Total I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6. ,20 Clerk- Treasurer VOUCHER NO. WARRANT NO. ALLOWED 20 B eTesT, Inc.. IN SUM OF P.O. Box 405 Caseyville, IL 62232 400.00 ON ACCOUNT OF APPROPRIATION FOR police general ufnd Board Members PO# or INVOICE NO. ACCT# /TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 18925F 2080424 390 99 400.00 bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except August 13 2008 &"Ja J� 9�,gA Signature Chief of P011ce Cost distribution ledger classification if Title claim paid motor vehicle highway fund