243998 04/08/2015 C,q
o`• 'f. CITY OF CARMEL, INDIANA VENDOR: 366569
ONE CIVIC SQUARE KIPP TOYS CHECK AMOUNT: $*******259.15*
CARMEL, INDIANA 46032 4924 RELIABLE PARKWAY CHECK NUMBER: 243998
CHICAGO IL 60686-0049 CHECK DATE: 04/08/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4345002 32819 10162232-00 259.15 TOYS
Kip
vp Toys I N V O I C E
491 est Muskegon Drive
y ti Greenfield, IN 46140-8575
(800)428-1153(800)Fax:(800)832-5477 INVOICE DATE INVOICE N0.
www.kipptoys.com
03/19/15 10162232-00
No nEs•�T�S P.O.NO. PAGE#
32819 1
cult#: 2"580
Ship To: Carmel Police Department
3 Civic Sq Remit To: Novelty, Inc.
Carmel, IN 46032-2584 4924 Reliable Parkway
Bili To: Carmel Police Department Chicago, IL 60686-0049
3 Civic Sq
Carmel, IN 46032-2584
INSTRUCTIONS - SHIP POINT VIA SHIPPED TERMS
Novelty FedX Ground 03/19/15 Net 30
SELL PRICE - -
LN ITEM AND DESCRIPTION - ORDERED SHIPPED UM PRICE UM - DISCOUNT-% AMOUNT
1 nc 7146 4 4 BG 18.95 BG 0.00 75.80
MINI FOOTBALL BG='72PCS
2 nc 8521 7 7 BX 15.95 BX 0.00 111.65
4 PACK CRAYONS BX=72PCS
3 na 3336 6 6 BX 11.95 BX 0.00 71.70
SILLY SQUEEZE DUCKS BX = 24 PCS
3 Lines Total Qty Shipped Total 17 Total 259.1
Invoice Total 259.1
Tracking #'s - 563567571009008 563567571009015 563567571009022
Cash Discount 0.00 If Paid By 03/19/15
Signature:
Last Page
INDIANA RETAIL TAX EXEMPT PAGE
�
ity
®f Carmel CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 7_151(j19
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.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
�897�45
Kipp Toyo Carnol P®lico Dop@Amont
VENDOR kyofty, Inc. SHIP CIVIC SquZM
4M Iollzble PuhvW TO Cumol, IN 4=-
Chlczgo, IL (W)679
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
r w �ta� � pIA nrwn
4 Each Mini Football MC7146 $18.95 $75.80
��7-, Each Four pack color c ra pns WC 8521 $15.95 $111.85
�O Each Silly squeeze ducks HA 3336 $11.95
CC.•�, . ?
Send Invoice To:
Carrel Police Dopar Pr nt
Attn: P@t Young
3 CIVIC squam
Carmol, IN PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
PAYMENT _
C@mof P®Ilse®epQ. .02 �? -- -
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS TH P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERT)FY;THATTHERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. f
• ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL / i
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Ila4'6q pollco
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL No. 32819 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO. -
ALLOWED 20
IN THE SUM OF$
Gly
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))
03/19/15 10162232-00 give aways $259.15
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
Kipp Toys
Novelty, Inc. IN SUM OF $
4924 Reliable Parkway
Chicago, IL 60686-0049
$259.15
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
/ Board Members
32819 I 10162232-00 I 43-450.02 $259.15
I 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, April 02, 2015
(Z/ Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund