177734 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 00353393 Page 1 of 1
ONE CIVIC SQUARE KIPP BROTHERS CHECK AMOUNT: $266.25
CARMEL, INDIANA 46032 PO BOX 7BI080
INDIANAPOLIS IN 46278
CHECK NUMBER: 177734
CHECK DATE: 9/29/2009
DEPA ACCOUNT PO NUMB INVOICE N UMBER AMOUNT DESCRIPTION
2201 4359000 909925 266.25 SPECIAL PROJECTS
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SINCE 1880
KIPP BROTHERS TOYS AND NOVELTIES
9760 I nvoice
CARMEL, IN 46032 Customer Code"
(317) 'COA 235962
4-812 {317) 704 -$120 FAX (317) 704 -8138
Tp
TOLL FREE 800 -428 -1153 FAX 800 832 -5477 re voice No.
909925 ToyS• O VELTTE 6IFZ
Sold To Please write vour customer code on your payment.
CITY OF CARMEL Ship To CITY OF CARMEL
SHERRY S MIELKE MICHELLE KRCMERY
1 CIVIC SQ BONNIE CALLAHAN
CARMEL, IN 46032 -2584 CARMEL, IN 46032 -2584
der= ate Sh_; Xz t p2)ri?2 I1� _TPL?llc PL]IP BeP QrC�2r NL �CP. ;Lrly C� afa
109109109.'. 'WAITING NET 30 DAYS 18803 50 09709/09
Item No. Quantity Quantity Unit Description Unit Price Extension
O Shipped
NB 7638 8 8 DZ CONSTRUCTION TRUCKS 13.75 110.00
NB 8268 3 3 DZ SPIKEY JUNGLE ANIMALS 4.55 13.65
NB 6705 3 3 DZ ICE CREAM LIP GLOSS 10.20 30.60
NB 7225 3 3 DZ LOLLIPOP LIP GLOSS 11.75 35.25
NB 5895 3 3 DZ FLAVORED ROLL -ON LIP GLITTER 9.05 27.15
NB 9712 6 6 DZ MONKEY IN A BARREL KEYCHAINS 3.80 22.80
NB 4969 4 4 DZ LADYBUG KEY CHAIN AND MIRROR 6.70 26.80
PICKED UP 9 -9 -09
PICKED UP BY RONALD WILLIAMS
YOUR CUSTOMER CODE IS: 235962. 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 266.25
821007 number with your payment Customer I.D. No. TAX CHARGED .00
PLEASE SEND REMITTANCE TO:
9760 MAYFLOWER PARKDRIVE 235x62 FREIGHT 00
CARMEL, IN 46032
163522 Invoice Total 266.25
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 266.25
Page I of I
9
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))
09/09/09 909925 $266.25
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
VOUCHER NO. WARRANT NO,
ALLOWED 20
Kipp Brothers
IN SUM OF
P. O. Box 781080
Indianapolis, IN 46278
$266.25
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #(TITLE AMOUNT
Board Members
18803 909925 43- 590.00 $266.25 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
Se e beer 2,4,, 2009
Street Commissioner
StrSeY
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund