249825 09/23(15 CITY OF CARMEL, INDIANA VENDOR: 365201
a;
ONE CIVIC SQUARE NOVELTY INC CHECK AMOUNT: $**.....284.04*
CARMEL, INDIANA 46032 4924 RELIABLE PARKWAY CHECK NUMBER: 249825
CHICAGO IL 60686-0049 CHECK DATE: 09/23(15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239011 10177564-00 284.04 SPECIAL DEPT SUPPLIES
KipWp 1 • — DUPL I CATE -
491 est Muskegon Drive I N v 0 1 C E
Greenfield, IN 46140-8575
/ (800)428-1153(800) Fax: (800)832-5477 INVOICE DATE INVOICE NO.
I www.kipptoys.com 09/17/15 10177564-00
_ 0
yS�E1.TIE rS.,
ww Awtoys-m
P.O.NO. PAGE#
1
26009696
Ship To: Carmel Street Department
3400 W 131 st St Remit To: Novelty, Inc.
Carmel, IN 46074 4924 Reliable Parkway
Biu To: Carmel Street Department Chicago, IL 60686-0049
3400 W 131 st St
Carmel, IN 46074
INSTRUCTIONS SHIP POINT VIA SHIPPED TERMS
PICKUP 9/17/15 Novelty Pickup 09/17/15 Net 30
SELL PRICE
LN ITEM AND DESCRIPTION ORDERED SHIPPED UM PRICE UM DISCOUNT% AMOUNT
1 nc 7227 3 3 DZ 6.95 DZ 0.00 20.85
WINNER YO-YO
2 nb 4965 3 3 BX 14.9500 BX 0.00 44.85
MINI MAGIC CUBE BX=24PCS
UPC 7 94080 04965 8
HTSUS 9503.00.0073 FREE
3 nb 5734 3 3 DZ 9.9500 a DZ 0.00 29.85
ASSORTED HI-BOUNCE BALLS
4 028095 3 3 DZ 14.9499 DZ 0.00 44.85
ROAD CREW PULL BACK CARS
6 027690 2 2 DISP 18.95 DISP 0.00 37.90
COLOR CHANGING CAR 4
7 027658L 3 3 BG 7.99 6 BG 0.00 23.97
GID HALLOWEEN BRACELET
Substitute Prod: 027658
8 029808 3 3 DZ 9.9500 DZ 0.00 29.85
HAPPY PLUSH CRAYONS
9 027747 3 3 BG 12.99 BG 0.00 38.97
PUPPET PLUSH ANIMAL W/SOUND
12 028516 1 1 DZ 12.9500 4 DZ 0.00 12.95
SPEED NINJA RACERS
9 Lines Total Qty Shipped Total 24 Total 284.04
Invoice Total 284.04
4
Tracking#'s-010177564-00-00-1
Cash Discount 0.00 If Paid By 09/17/15
Signature:
Last Page
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))
09/17/15 10177564-00 $284.04
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
Novelty, Inc.
Novelty, Inc.
IN SUM OF $
4924 Reliable Parkway
Chicago, IL 60686-0049
$284.04
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members
2201 I 10177564-00 I 42-390.11 I $284.04 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
e F
Friday,s�eAf 5
Street Commissioner r
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund