159435 05/14/2008 CITY OF CARMEL, INDIANA VENDOR: 00353393 Page 1 of 1
ONE CIVIC SQUARE KIPP BROTHERS CHECK AMOUNT: $345.00
CARMEL, INDIANA 46032 PO BOX 781080
INDIANAPOLIS IN 46278 CHECK NUMBER: 159435
CHECK DATE: 5114/2008
DEPARTMENT ACCOU PO NUMBER INVOICE NUMBER A MOUNT DESCRIPTION
1110 4345002 17391 868093 345.00 PROMOTIONAL ITEMS
i
t' SINCE 1880
KI.PP BROTHERS
SHOWROOM WAREHOUSE
9760 MAYFLOWER PARK DRIVE Invoice a Y=
CARMEL, IN 46032
Crestorner, Code:
www.kipptoys.com 4 -5_,
244580
(317) 704 -8120 FAX (317) 704 -8138 a
Para Es anol 317 704 -8140
p' l rvarce No �5
TOLL FREE 800- 428 -1153 FAX 800 -832 -5477 {868093 r�ys•ti/O s law
Sold To Please write your customer code on your payment.
CARMEL POLICE DEPARTMENT Ship To CARMEL POLICE DEPARTMENT
TERESA ANDERSON ANN GALLAGHER
3 CIVIC SQ 3 CIVIC SQ
CARMEL, IN 46032 -2584 CARMEL, IN 46032 -2584
r (02T� er Da Shtp Vta Pay ►ent Terms F Purchase Order No �r �t rtlnvoi�e D 5!08 EWILL;CALL r A; N! T3QDAYS PO$ a'R X99 0411;7!08 k
Item No. Quantity Quantity Unit Description Unit Price Extension
Ordered Shipped
NB 7522 300 300 EA 5” SPIRAL FLAG FOOTBALLS 1.15 345.00
BACK ORDER CALL ANN
WHEN IN 571 -2559
PICKED UP 4 -29 -08
PICKED UP BY ANN GALLAGHER
YOUR CUSTOMER CODE IS: 244580. PLEASE USE THIS CODE WHEN PLACING AN ORDER OR
INQUIRING ABOUT YOUR ACCOUNT. THANK YOU FOR YOUR ORDER.
Order No. To insure proper credit, be sure to include this SUBTOTAL 345.00
779056 number with your payment Customer I.D. No. TAX CHARGED .00
PLEASE SEND REMITTANCE TO 244580
9760 MAYFLOWER PARK DRIVE FREIGHT o0
CARMEL, IN 46032
142337 Invoice Total 345.00
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. YOU OWE US 345.00
Page of I
0 INDIANA RETAIL TAX EXEMPT PAGE
CERTIFICATE N0. 003120155 002 D 1 Of 1
C "t Carpie PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 17391
3X 009 civIC SQUARE EH15 UMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 ER, DELIVERY MEMO, PACKING SLIPS,
NG LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
PURCHASE ORDER DATE DATE REQUIRED REOUISITION NO. VENDOR NO. DESCRIPTION
March 10 2008 promotional items
VENDOR Kipp SHIP City of Carmel PHice Department
TO 3 Civic Square
Carmel, IN 46032
ATTN: Ann Gallagher
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
50 cases Flashlight Rey Chains NB6653 X075 187.50✓
144 dozen American flag Pencils NB6129 1.35 194040
.24 habag Laser Start Notebooks NB8422 3.60 86 4 0/
Goo each American Flag Footballs NB7522 1.15 345.00,,
2i 4�'
s "Apn
Send Invoice To.�
PLEASE. INVOICE IN DUPLICATE 813.30
DEPARTMENT ACCOUNT PROJECT J J PROJECT ACCOUNT AMOUNT
1110 450 -02 promotinahl and Aci,A x p;gY .1 Cr
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
i NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID, THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY `f 7 -TRH{ i
SHIPPING LABELS. f
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of PO &ice
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF
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 ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995
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
Kipp Brothers Purchase Order No. 17391F
9760 Mayflower Park Drive Terms
Carmel, IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4/17/08 868093 payment for promotional items 345.00
Total
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
:___,B__�,____ IN SUM OF
1 \l kl L1 V LL1C15
9760 Mayflower Park Drive
Carmel, IN 46032
345.00
ON ACCOUNT OF APPROPRIATION FOR
police genrea lfund
Board Members
Po# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
17391F 868093 450 02 345.00 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
May 9 20 08
-AM-,LtW' b 74 t
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund