207513 03/26/2012 CITY OF CARMEL, INDIANA VENDOR: 354288 Page 1 of 1
ONE CIVIC SQUARE KIPP BROTHERS CHECK AMOUNT: $222.87
CARMEL, INDIANA 46032 4924 RELIABLE PARKWAY
CHICAGO IL 60689 -0049 CHECK NUMBER: 207513
(ION GO
CHECK DATE: 3/2612012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4345002 26089 963962 222.87 MISC SUPPLIES
KIPP BROTHERS INVOICE
351 W. MUSKEGON DRIVE p
GREENFIELD, IN 46140
TOLL FREE 800-428-1153 FAX 800 832 -5477 t Remit To:
r Kipp Brothers
www.kipptoys.com °S ��ElIES 5.c.� Number 963962
4924 Reliable Parkway Date 03/14/2012
k ppioy5 com
Chicago, IL 60686 -0049 Page 1
Sold To: Ship To: CARMEL POLICE DEPARTMENT
CARMEL POLICE DEPARTMENT 3 CIVIC SQ
3 CIVIC SQ ATTN: ANTI GALLAGHER
CARMEL, IN 46032 -2584 CARMEL, IN 46032 -2584
Reference Shipped Salesperson Terms Account Doc Wh Ship Ma
26089 03/14/12 KS OPEN ACCOUNT 244580 880902 01 UPS GROUND
Item Description Ordered Shipped Backordrd
UM Price UM Extension
NB 6663 FLAG BRACELET 8 8 0 BG 14.40 BG 115.20
BG =6DZ
NA 4589 US FLAG FLIP STICKS 6 6 0 BG 10.80 BG 64.80
BG 72EA
NB 4058 NON SHARPENING U.S.FLAG P 5 5 0 BX 13.20 BX 66.00
BX =50EA ##DWO
NC 3823 AMERICAN FLAG PIN 3.00 3.00 .00 GR 5.40 GR 16.20
GR =144EA
TRACK 1Z2AT5400373672142
YOUR CUSTOMER CODE IS: 244580 "Merchandise M iSC; Discount Tax Freight, Zotal,Due
PLEASE USE THIS CODE WHEN
PLACING AN ORDER OR INQUIRING
ABOUT YOUR ACCOUNT. 262.20 .00 39.33 .00 .00 222.87
THANK YOU FOR YOUR ORDER.
*BALANCE DUE
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
City of Carmel INDIANA RETAIL TAX EXEMPT PAGE
CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
DURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
i0W20ii
Kipp Brothers Carmel Police DepartmGnt
VENDOR SHIP 3 Cleric squm
4924 Roll @blo Parkmy TO Camel, IN 460 2
Chicago, IL 6 6 9 (317) 5992%
CONFIRMATION =UNIT PAYMENT TERMS FREIGHT
A QUANTIT Y a g� ��p,pIT DESCRIPTION UNIT PRICE EXTENSION
Account 4340.02
4 Each discount ($39.33) ($39.33)
6 Each US flag lipsticks MA4580 $10.80 $64.80
5 Each non sharpening US flag panclls we 513 $13.20 $86.00
8 Each flag bracelets $14 $115
3 Each A flag pins
823; 5.40 9 6.20
Sub 'D otal: $222.87
a
Send Invoice To:
CumGl Police Department
Attn: YGroam Anderson
3 CIVIC squma
ftmol, IN 46 2° PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel police Dept. PAYMENT $M.67
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
THIS APPROPRIATION'SU FFICI ENT TO PAY FOR THE ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY r pa Q �U j
SHIPPING LABELS. Chio o1 Palle@
E
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITL
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. A.P.V. COPY SIGN AND RETURN TO CLERIC'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20___
|N THE SUM OFs
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or
DEPT INVOICE NO, ACCT#/ AMOUNT hereby certify that the attached inwoioebd.or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge io made were ordered and
received except
2O____
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
03/14/12 963962 promotional items $222.87
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
4924 Reliable Parkway
Chicago, IL 60686 -0049
$222.87
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
26089 I 963962 I 43- 450.02 I $222.87 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
Wednesday, March 21, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund