190346 09/29/2010 S z e CITY OF CARMEL, INDIANA VENDOR: 00353393 Page 1 of 1
0 ONE CIVIC SQUARE KIPP BROTHERS
CARMEL, INDIANA 46032 PO BOX 781080 CHECK AMOUNT: $473.60
T+ INDIANAPOLIS IN 46278 CHECK NUMBER: 190346
CHECK DATE: 9/29/2010
DEPARTMENT A CCOUNT P NUM BER INVO NUMBER AMOUNT DESCRIPTION
2201 4238900 935576 473.60 OTHER MAINT SUPPLIES
KIPP BROTHERS TOYS AND NOVELTIES INVOICE
9760 MAYFLOWER PARK DRIVE
CARMEL, IN 46032
(317) 704 -8120 FAX (317) 704 -8138
TOLL FREE 800- 428 -1153 FAX 800 832 -5477 roy wo Number 935576
www.kipptoys.com s rIES-0 Date 09/08/2010
www Nipptaystcm
Page:. I
Sold To: Ship To: CITY OF CARMEL
CITY OF CARMEL 1 CIVIC SQ
1 CIVIC SQ CARMEL, IN 46032 -2584
CARMEL, IN 46032 -2584
Reference Shipped Salesperson: Terms Account Doc Wit Ship Via.
21447 09/08/111 99 OPEN ACCOUNT 235962 844306 01 WAITING
'Item Description Ordered Shipped Backordrd VM w Price UM Extension
NA 4179 FUNKY PLAYING CARDS 4 4 0 DZ 6.60 DZ 26.40
NB 6747 LADYBUG LIP GLOSS 4 4 0 BX 18.00 BX 72.00
BX =2DZ
NB 4516 BEAN BAG BUDDY KEY CHAINS 4,00 4,00 .00 DZ 12.00 DZ 48.00
NB 7225 LOLLIPOP LIP GLOSS 2 2 0 DZ 10.80 DZ 21.60
NB 8305 MAGGOTY SKULL SLIME 3 3 0 DZ 12.00 DZ 36.00
NA 4293 MULTI COLORED FRIENDSHIP 3 3 0 DZ 6.00 DZ 18.00
NA 3516 PUKA SHELL BRACELETS 3 3 0 DZ 9.60 DZ 28.80
NB 9.343 TURBO WHEELS 4 4 0 DZ 18.50 DZ 74.00
NA 3435 CONSTRUCTION ROBOTS 4 4 0 DZ 28.20 DZ 112.80
NA 3747 MINI SKATEBOARDS 4 4 0 DZ 9.00 DZ 36.00
PICKED UP BY RONALD WILLIAM
PICKED UP ON 09 -08 -10
YOUR CUSTOMER CODE IS: 235962 Merchandise Misc Discount Tax Freight Total Due
PLEASE USE THIS CODE WHEN
PLACING AN ORDER OR INQUIRING
ABOUT YOUR ACCOUNT. 473.60 .00 .00 .00 .00 473.60
THANK YOU FOR YOUR ORDER. If "we owe you" your Credit Balance can be applied to your next order or refunded on request
No merchandise accepted for credit without our authorization. Report all errors within 10 days.
Last Page
VOUCHER NO. WARRANT N
ALLOWED 20
Kipp Brothers
IN SUM OF
P. O. Box 781080
Indianapolis, IN 46278
$473.60
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Member
21447 935576 42- 389.00 $473.60 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
ursday/ septe 23, 201C
UW t, d/
Street Commission
9
t,
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))
09/08/10 935576 $473.60
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