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Home My WebLink About211223 07/31/2012 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: 211223 CASEYVILLE IL 62232 CHECK DATE: 7/31/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4239099 26210 2120228 420 . 00 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 7/13/2012 2120228 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 26210 Net 30 8/12/2012 7/13/2012 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 .I (�° Carmel INDIANA RETAIL TAX EXEMPT PAGE City ®,Jlr CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT mqo 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. DURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION FJ92=2 g@STtast, Inc. Cmfmol Police Depwtmont VENDOR SHIP 3 Civic Squam P.C. Bait 405 TO Carmel, IN 460 2 CasWuIllo, IL 62232 (397)571 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 42 .92 2000 Each POT-Whistler mouthpieces $0.21 $420.00 Sub Total: $420.00 a �o Send Invoice To: — Carmel Palace ftpar mGnt Attn:Torosa Andomon 3 Civic Squm Cafmol, IN 4 PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT Irmel Police Dept. PAYMENT Maw • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY TH T THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIAT,10 7 SUFFICIENT TO PAY FOR THE ABOVE ORDER. C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY PURCHASE ORDER NUMBER MUST APPEAR ON ALL (C- 7HIS SHIPPING LABELS. ®� ®li�� ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER OCUMENT CONTROL NO. 2 6 2 1® A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 --� IN THE SUM OF$ ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#(f.ITLE 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 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)) 07/13/12 2120228 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 26210 I 2120228 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 Thursday, July 26, 2012 L Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund