214022 10/23/2012 CITY OF CARMEL, INDIANA VENDOR: 365201 Page 1 of 1
'. ONE CIVIC SQUARE NOVELTY INC
% CARMEL, INDIANA 46032 4924 RELIABLE PARKWAY CHECK AMOUNT: $136.00
CHICAGO IL 60686-0049 CHECK NUMBER: 214022
CHECK DATE: 10/23/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4239039 1000321700 136 . 00 GENERAL PROGRAM SUPPL
9 p� Toys
4
491 est skego rive I N V O I C E
Greenfield, 1 6 -8575
(800)428-115 0)Fax:(800)832-5477 -INVOICE oATE INVOICE N0.
www.ki t •.com
PP 1�e 09/28/12 10003217-00
yS• 'VELTIE5.6IFT5.LPN
CuSt#: 40431
P.O NO. PAGE tF
Ship To: WOODBRICK ELEMENTARY SCHOOL E0002847 1
4311 E. 116TH ST.
Carmel, IN 46033 BY'
RemltTo: Novelty, Inc'° °-
sm To: Carmel Clay Parks Recreat =4924=Reliable:P_arkway=�
1235 Central Park Dr E Chicago,,IL 60686-0049
Carmel, IN 46032-2070
INSTRUCTIONS 'f SHIP POINT. VUC: SHIPPED TERMS
........ ..._. ..: ............ .. ..... _.......:. _........ ....I.....
ATT: MIKEESHA PITTMAN Novelty UPS Ground 09/28/12 Net 30
I, SELL PRICE
IN ITEM AND DESCRIPTION ORDERED SHIPPED UM' PRICE UM DISCOUNT% AMOUNT
1 027084B 2 2 EA 10.00 EA 0.00 20.00
FOLD & PLAY PILLOW BUTTERFLY
2 NB 9663 4 4 EA 2.00 EA 0.00 8.00
PASTEL HEART PUPS MINI
3 NB 8297 1 1 DZ 6.60 DZ 0.00 6.60
DOG & CAT NOTEBOOKS
4 027084R 2 2 EA 10.00 EA 0.00 20.00
FOLD & PLAY PILLOW (RACECAR) RACECAR
5 NA 3434 4 4 EA 2.50 EA 0.00 10.00
ROBO CYCLES
6 NA 4011 2 2 DZ 3.60 DZ 0.00 7.20
METALLIC MARS MUD PUTTY
7 027981 1 1 DZ 9.20 DZ 0.00 9.20
JEWEL NOTEBOOK & PEN KC - KIPP
8 028001 1 1 DZ 6.00 DZ 0.00 6.00
BABY DINO PUFFER - KIPP
9 NA 3085 1 1 EA 3.95 EA 0.00 3.95
MINI FLAME BASKETBALL
to 028475 1 1 DZ 11.25 DZ 0.00 11.25
SILVER WATER GLITTER BOUNCE BALL 48MM
UPC 7 94080 28475 6
HTSUS 9503.00.0073 FREE
11 027720 1 1 BG 17.80 BG 0.00 17.80
WOOD HAND PANITED BRACELET
11 Lines Total Qty Shipped Total 20 Total 120.0
Freight<$125 16.0 i
Invoice Total 136.00
Purchase
Tracking #'s - 1Z4325240339640007 Description S J o
P.O.# Por
G.L.#
Budget O CT 1 2 2012
Line Descr '�, l'
Purchase Date Y i Lq--Y-
Approval eJ v.
Cash Discount 0.00 If Paid By 09/28/12
Signature:
Last Page
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
Kipp Toys Terms
365201 Novelty, Inc
4924 Reliable Parkway
Chicago, IL 60686-0049
I Invoice Description
ate Number (or note attached invoice(s)or bill(s)) PO# Amount
8/1100032 1700 Supplies $ 136.00
Total $ 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
365201 &N elty, Iris
4924 Reliable Parkway
Chicago, IL 60686-0049 In Sum of$
$ 136.00
ON ACCOUNT OF APPROPRIATION FOR
108 - ESE
PO#or INVOICE NO. ACCT MFIFITLE AMOUNT Board Members
Dept#
1081-11 1000321700 4239039 $ 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
18-Oct 2012
Signature
$ 136.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund