193150 12/22/2010 CITY OF CARMEL, INDIANA VENDOR: 354288 Page 1 of 1
ONE CIVIC SQUARE KIPP BROTHERS CHECK AMOUNT: $1,402.40
CARMEL, INDIANA 46032 9760 MAYFLOWER PARK DRIVE
CARMEL IN 46032 CHECK NUMBER: 193150
CHECK DATE: 12/22/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
854 5023990 940756 1,402.40 OTHER EXPENSES
KIPP BROTHERS TOYS AND NOVELTIES PAST INVOICE
9760 MAYFLOWER PARK DRIVE
CARMEL, IN 46032
(317) 704 -8120 FAX {317} 704 -8138
TOLL FREE 800 -428 -1153 FAX 800 832 -5477 Number 940756
www.kipptoys.com S �nFs��s c Date 11/12 /2010
.kipproys.com
Page 1.
Sold To: Ship To: CITY OF CARMEL
CITY OF CARMEL 1 civic SQ
I CIVIC SQ CARMEL, IN 46032 -2584
CARMEL, IN 46032 -2584
Reference Shipped Salesperson Terms Tax'Code Doc Wh Freight Ship Via
21513 11 /12 /10 99 KIPP HOUSE OPEN ACCOUNT INXXX 849165 01 PREPAID CITY DELIVERY
Item Description Ordered Shipped Backordrd UM Price UM Extension
NA 4404 INFLATABLE CANDY CANES 34 34 0 DZ 4.20 DZ 142.80
NB 8477 SCOTTIE DOGS 34 34 0 DZ 18.00 DZ 612.00
NO 6281 MINI SLIDE FLUTE 6 6 0 BG 10.75 BG 64.50
BG =6DZ
NO 2514 LASER AMAZERS 8.00 8.00 .00 PK 16.15 PK 129.20
PK =50EA
NA 4379 SNOWMAN PLAYING CARDS 34 34 0 DZ_, 4.35 DZ 147.90
TK844 VARIETY PUZZLES AND GAMES 22 22 0 DZ 9.00 DZ 198.00
TK460 MY FAVORITE FAIRY TALES C 5 5 0 DZ 9.00 DZ 45.00
TK706 BUG TIME COLORING BOOKS 7 7 0 DZ 9.00 DZ 63.00
NO 4220 DOUBLE WING FLYER 34.00 34.00 .00 DZ .00 DZ .00
Donation of item NB 4220 per
dsg
DELIVER AFTERNOON ON 11 -17
I� '4�
o
YOUR CUSTOMER CODE IS: 235962 Meicl andrse Mfse Disco-fit Taic Freight Total boe
PLEASE USE THIS CODE WHEN
PLACING AN ORDER OR INQUIRING 1402.40 .00 .00 .00 .00 1402.40
ABOUT YOUR ACCOUNT.
THANK YOU FOR YOUR ORDER.
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 NO.
ALLOWED 20
KIPP Brothers Toys IN SUM OF
Novelties
9760 Mayflower Park Drive
Carmel, IN 46032
$1,402.40
ON ACCOUNT OF APPROPRIATION FOR
Mayor's Office
1160 Mayor's Office #854
Gift Fund.
PO# I Dept, INVOICE NO. ACCT #ITITLE AMOUNT Board Members
940756 $1 4 0 2. 4 0 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
Mayor
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by Stale 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))
LI-12-10 940756 Holiday on the Square 1,402.40
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