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Home My WebLink About211355 07/31/2012 CITY OF CARMEL, INDIANA VENDOR: 354288 Page 1 of 1 0� ONE CIVIC SQUARE KIPP BROTHERS 4924 RELIABLE PARKWAY CHECK AMOUNT: $136.00 ®4 CARMEL, INDIANA 46032 CHICAGO IL 60689-0049 CHECK NUMBER: 211355 OM CHECK DATE: 7/31/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4345002 26211 971662 136 . 00 PROMO ITEMS KIPP BROTHERS �,/""� - INVOICE 351 W. MUSKEGON DRIVE °p GREENFIELD, IN 46140 � Remit To: TOLL FREE 800-428-1153 FAX 800-832-5477 % r Kipp Brothers - www.kipptoys.com °ys"0� 5��5`"� Number 1971662 wxw.kipptoys,<om 4924 Reliable Parkway Chicago,II, 60686-0049 Date 1 07/13/2012 Page ,1 Sold To: To: L PO_LICF- PARTMENT CARMEL POLICE DEPARTMENT A�W4 ANN GALLAGHER la 3 CIVIC SQ 3 CIVIC SQ Rt tit L,IN 46032-2584 4 CARMEL, IN 46032-258 . / Reference # Shipped.' Salesperson Terms Account Doc #' Wh Ship Via 26211 07/13/12 AJO OPEN ACCOUNT 244580 889123 01 UPS GROUND Item Description Ordered Shipped Backordrd UM Price UM, Extension 28286 USA SLAP BRACELET 20 0 20 DZ 4.20 DZ .00 27757 2 OZ BUBBLES BOTTLE 20 20 0 DZ 2.40 DZ 48.00 NA 4589 US FLAG FLIP STICKS 8 8 0 BG 9.00 BG 72.00 BG=72EA TRACK# 1 Z2AT5400375683127 TRACK# 1Z2AT5400375029736 TRACK# 1Z2AT5400375392745 YOUR CUSTOMER CODE IS: 244580 Merchandise Misc .Discount Tax' 'Freight .�' Total Due' PLEASE USE THIS CODE WHEN PLACING AN ORDER OR INQUIRING 120.00 .00 .00 .00 16.00 136.00 ABOUT YOUR ACCOUNT. 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 /�° Carmel INDIANA RETAIL TAX EXEMPT PAGE ®,Jlr CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 99 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P 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 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION MM2 Kipp Brothorz CumGI Pollco DGpaitmon4 VENDOR SHIP 3 CIVIC equ2m 4124 Rollablo ParkwW TO Co9ml, IN 46M Chien @go, IL 4)= (397)679 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT Account ��,gUNIITs�OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43 1.02 9 Each discount ($22.40) ($22.40) 20 Each USA Slop Bracelets 28286 $4.20 $84.00 20 Each 2 oz Variety Bubbles 2 57 $2.80 : $56.00. 8 Each US Dag clip sticks R4e480 $90.80 $86.40 " At Sub Total: $204.00 y' Send Invoice To: j Cmmel PollcG DGpa t mnt Attn:To ms,a Andamon 3 Civic Squam Cwmol, IN 4M- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT armei Police Dept. PAYMENT M.00 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS •,I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN •SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. �a � THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE' } Chloe o?Pollco AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER IOCUMENT CONTROL NO. 2-6211 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF$ 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 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)) 07/13/12 971662 promotional items $136.00 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 $136.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 26211 I 971662 I 43-450.02 I $136.00 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 Thursday, July 26, 2012 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund