27945 BesTest, Inc City o f I C arme l CERTIFICA E 5 020 PAGE
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
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
10/14/2011
BesTest, Inc. Carmel Police Department
SHIP 9 Civic Square
VENDOR
P.O. Box 405 TO Cannel, IN 48032
Casoyvlllo,IL 82232 (317) 571 -2559
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION
Account 42- 390.99'
2000 Each PBT Whistler mouthpieces 80.21 $420.00
Sub Total: $420.00
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1
M
I A. a 4:
Send Invoice To: O
Carmel Police Department
Attn: Teresa Anderson
3 Civic Square
Carmel, IN 48032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT 1 PROJECT ACCOUNT 1 AMOUNT
Carmel Police Dept. PAYMENT 8420.00
NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P0.
NUMBER I5 MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER WORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY TH E I5 AN UNOBLIGATED BALANCE IN
THISAPPROPRIATI• F IENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. A
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. Ah of Pollee
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. G
2 7 9 4 5 CLERK TREASURER
DOCUMENT CONTROL NO. OFFICE COPY