179282 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 354288 Page 1 of 1
ONE CIVIC SQUARE KIPP BROTHERS CHECK AMOUNT: $574.80
io CARMEL, INDIANA 46032 9760 MAYFLOWER PARK DRIVE
CARMEL IN 46032
«a o CHECK NUMBER: 179282
CHECK DATE: 1111112009
DEPARTMENT ACCOUNT PO NUMBER INVOI N UMBER AMOUNT DESCRIPTION
651 5023990 511846 910507 574.80 SAFETY DAY TOYS
KIPP BROTHERS
9760 MAYFLOWER PARK DR
Carmel, IN 46032
www.kipptoys.com
PAST DOCUMENT REPRINT
SJ BSE REPRINT
OPEN ACCOUNT 772632 910507
CITY OF CARMEL UTILITIES CITY OF CARMEL UTILITIES
760 3RD AVE SW STE 110 TARA RUBUSH
CARMEL, IN 46032 -2070 CARMEL, IN 46032 -2070
09/16/09 WAITING SHOWROOM 511846 09/16/09 1
NB 8705 12 12 DZ HATCHING GROW ALLIGATOR 12.90 154.80
NB 9199 24 24 DZ MINI SPOTTED TREE FROGS 11,05 265.20
NB 4287 12.00 12.00 DZ DOUBLE SHOOTER SQUIRT GUN 12.90 154.80
PICKED UP BY TARA RUBUSH
PICKED UP ON 09 -16 -09
YOUR CUSTOMER CODE IS: 772632. PLEASE USE THIS CODE WHEN PLACING
AN ORDER OR INQUIRING ABOUT YOUR ACCOUNT. THANK YOU FOR YOUR ORDER.
SUBTOTAL 574.80
TAX CHARGED .00
FREIGHT .00
621552 772632 574.80
*YOU OWE US 574.60
L0 M 'd SLL# oc :tI 6002 /66/LL :woaj
Prescribed by State Board of Accounts City Form No. 201 (Rev 199 i
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
354288
KIPP BROTHERS Purchase Order No.
9760 MAYFLOWER PARK DRIVE Terms
CARMEL, IN 46032 Due Date 11!5/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/5/2009 910507 $574.80
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and 1 have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
VOUCHER 096717 WARRANT ALLOWED
�F
354288 IN SUM OF
KIPP BROTHERS
9760 MAYFLOWER PARK DRIVE
CARMEL, IN 46032
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
i
Board members
PO INV ACCT AMOUNT Audit Trail Code
910507 01- 7752 -05 $574.80
Voucher Total $574.80
Cost distribution ledger classification if
claim paid under vehicle highway fund