HomeMy WebLinkAbout202926 10/25/2011 CITY OF CARMEL, INDIANA VENDOR: 025400 Page 1 of 1
ONE CIVIC SQUARE BESTEST, INC
CARMEL, INDIANA 46032 812 S MAIN ST CHECK AMOUNT: $420.00
PO BOX 405
CHECK NUMBER: 202926
CASEYVILLE IL 62232
CHECK DATE: 10/25/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 27945 2110396 420.00 WHISTLER MOUTHPIECES
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 10/17/2011 2110396
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
27945 Net 30 11/16/2011 10/17/2011 UPS Destination
ITEM DESCRIPTION QTY RATE AMOUNT
PBT -W WHISTLER Mouthpieces 2,000 0.21 420.00
Thank you for choosing BesTesT FEIN 37- 1211084 Total
E- mail sales @bestest.biz Web www.bestest.biz $420.00
INDIANA RETAIL TAX EXEMPT PAGE
City of Ca rmel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 27945
35- 60000972
ONE 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
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. t VENDOR NO. DESCRIPTION
1011 f20`i
BraMst, Inc. Cafm@l Pollen Dopavtmont
VENDOR
SHIP 3 Civic Squm
P.O. Bost 405 TO CumoI, IN. 48M
C2aoytlllo, IL 6= (317) 579 =2m
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 42-M.
2000 Each PBT Whistler mouthpieces $0.29 $420.00
Sub Totd: $420.00
o j +o
Send Invoice To:
Carnal Pollen Dopadmont
Attn: Tomsa Anderson
3 Civic squam
Carmel, IN 4=- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Cwmel Police Dept. PAYMENT $420.00
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
I HEREBY CERTIFY THAT HERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
SHIPPING INSTRUCTIONS THIS APPROPRIATI NSUFFPCIENTTO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY p �i
SHIPPING LABELS. Chof P ®Ilc I� ®Ili®
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO-27945 A.P.V. COPY SIGN AND RETURN TO CLERK OFFICE
VOUCHER NO.— WARRANT NO.
ALLOWED 20
IN THE SUM OF
C'j
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)
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/17/11 2110396 whistler mouthpieces $420.00
1 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
BesTest, Inc.
IN SUM OF
P.O. Box 405
Caseyville, IL 62232
$420.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
27945 I 2110396 I 42- 390.99 I $420.00 1 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
Friday, October 21, 2011
1
g Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund