158007 04/01/2008 CITY OF CARMEL, INDIANA VENDOR: 00353393 Page 1 of 1
Q� ONE CIVIC SQUARE KIPP BROTHERS
ra CARMEL, INDIANA 46032 PO Box 781080 CHECK AMOUNT: $570.30
INDIANAPOLIS IN 45278 CHECK. NUMBER: 158007
CHECK DATE: 41112008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4345002 17391 664003 570.30 PROMOTIONAL I'T'EMS
I
SINCE 1880-
KIPP BROTHERS
SHOWROOM WAREHOUSE
Invoic
9760 MAYFLOWER PARK DRIVE
CARMEL, IN 46032
Custolner,Code�-
www.kipptoys.com �f *z S
(317) 704 -8120 FAX (317) 704 8138
Para Es ahol 317 704 -8140 TM
POLL FREE 800 -428 153 FAX 800 832 -5477 Ise: :864003 S ys, s ae°
Sold To Please write your customer code on your payment.
CARMEL POLICE DEPARTMENT Ship To CARMEL POLICE DEPARTMENT
TERESA ANDERSON ANN GALLAGHER
3 CIVIC SO 3 CIVIC SO
CARMEL, IN 46032 -2584 CARMEL, IN 46032 -2584
Ord�rnar —S hip Pagm�ni Terms Puxcha�e �Jrer>\Tt3 SLS� 1 -tuo e E'a�
Q3124/,D8 'WILL GALL ry ',rNET_30 DAYS y a 17391 n .n „a.: ,99,J ,a" Elm"-
Item No. Quantity Quantity Unit Description Unit Price Extension
Ordered Shipped
NB 8422 24 24 BG LASER STAR NOTEBOOKS BG =3DZ 3.60 86.40
NB 6653 50 50 DZ FLASHLIGHT KEY CHAIN 3.75 187.50
NB 6129 144 144 DZ AMERICAN FLAG PENCIL 1.35 194.40
NB 6130 24 24 DZ U.S.A. TATTOOS DZ =I2CDS 4.25 102.00
Web order 99045122
PICKED UP 3 -25 -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 570.30
778856 number with your payment Customer I.D. No.
TAX CHARGED .00
PLEASE SEND REMITTANCE TO:
9760 MAYFLOWER PARK DRIVE 244580 FREIGHT 00
CARMEL, IN 46032
153304 Invoice Total 570.30
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 570.30
Page I of I
INDIANA RETAIL TAX EXEMPT PAGE 1 Of 1
C i ty C armel CERTIFICATE NO. 0031 20155 002 0 PURCHASE ORDER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 17391
RbM CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, AN
CARMEL, INDIANA 46032 2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS
SHIPPING LABELS AND ANY CORRESPONDENCE
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997
JRCNASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
arch 10 2008 promotional items
VENDOR Kipp SHIP City of Carmel Police Department
TO 3 Civic Square
Carmel, TN 46032
ATTN: Ann Gallagher
)NFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
50 cases Flashlight Key Chains NB6653 3.75 187.50
144 dozen American flag Pencils NB6129 1.35 194.40
24 bags Laser Stars Notebooks NB8422 3.60 86.40
300 each American Flag Footballs NB7522 1.15 345.00
ell Fr C
1
E
Send Inv T
Se d i oce o
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 450 -02 promotional and cia p fl?IMT
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE 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 CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
C.O.O. SHIPMENTS CANNOT BE ACCEPTED.
ORDERED BY
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of POlice
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER
')nri IIMII r:nNTRni Pdn 1 Q 1 VENDnR r1 [10 v
Prescribp, 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
Kipp Brothers Purchase Order No. 1.7391P
9760 Mayflower Park Drive Terms
Carmel, IN 46032 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3/24/08 864003 Payment for promotional items 570.30
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
Kipp Brothers IN SUM OF
9760 Mayflower Park Drive
Carmel, IN 46032
570.30
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
Po #or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
17391P 864003 45002 570.30 bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
March 27 20 08
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund