215378 12/11/2012 CITY OF CARMEL, INDIANA VENDOR: 365201 Page 1 of 1
ONE CIVIC SQUARE NOVELTY INC CHECK AMOUNT: $1,561.98
�o CARMEL, INDIANA 46032 4924 RELIABLE PARKWAY
o� CHICAGO IL 60686-0049 CHECK NUMBER: 215378
CHECK DATE: 12/11/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 4359003 26418 10004096-00 1, 561 . 98 TREAT BAGS
Kip
veo
491 o Muskegon Drive U N V 0 U C E
Greenfield, IN 46140-8575
(UOO)420'1155(0OO)Fax:(8OO)832'5477
INVOICE DATE INVOIcE NO.
vm^mv.Wpptoyo.00m
10/19/12 04096-00
cuxt#: uxuoox
Ship To: City ofCarmel F Holiday Square 1
B8U8 Hazel Dell Parkway
Indianapolis, |N40280
Remit To: Novelty, Inc.
Bill To: City ofCarmel 4U24 Reliable Parkway
9009 Hazel Dell Parkway Chicago, IL 60686-0049
Indianapolis, |N4S28O
IINSTRUCTIONS
VIA SHIPPED TERMS
Novelty UPS Ground 10/19/12 1Net30
ITEMANDDESCRIPTION ORDERED SHIPPED um PRICE um DISCOUNT% AMOUNT
028389 34 34 DZ 5.00 DZ 0.00 170.00
BENDABLE POLAR BEARS
2 028403 34 34 DZ 6.80 DZ 0.00 231.20
PENGUIN PLAYING CARDS
UPC 7 94080 28403 9
HTSUS 9504.40.0000 FREE
MINI CHRISTMAS PUTTY
UPC 7 94080 28505 0
HTSUS 9503.00.0073 FREE
4 nb 9788 34 34 DZ 4.80 DZ 0.00 163.20
CHRISTMAS FINGER PUPPETS
5 027088 34 34 DZ 18.00 DZ 0.00 612.00
DAISY KC W/SAYING
6 nb 9400 67 67 BG 7.80 BG 0.00 522.60
7 tk1 26 34 31 DZ 9.80 DZ 0.00 303.80
CHRISTMAS COLORING & ACTIVITY
8 nb 2176 3-34 334 DZ 3.60 DZ 0.00 122.40
12 PACK CRAYONS
8 Lines Total Qty Shipped Total 277 Total 2231.40 1
Order Discount 669.4
Invoice Total 1561.98
Tracking #'s - 1Z4325240354140000 1Z4325240354160006 1Z4325240354170004 lZ432524035.
1Z4325240354190000 1Z4325240354200007 1Z4325240354210005
1Z43252403542 1Z lB4%035424000
1Z43252403542 1Z 194%035427000
1Z43252403542 1Z
-8 432 009
ZI�5,7()63 Casli Discount 0.00 If Paid By 10/19/12
Signature:
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Last Page
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VOUCHER NO. WARRANT NO.
ALLOWED 20
.-CI-RP-Brothers
IN SUM OF $
35-1-W—Mus on-DiL\a v� 0442-1(au t,
Gj-e.enfield, l-N-461AQ- lC( � P kvtt
$1,561.98 I L-
ON ACCOUNT OF APPROPRIATION FOR
Community Relations
PO#/Dept. INVOICE NO. ACCT#(TITLE AMOUNT Board Members
26418 10004096-00 43-590.03 $1,561.98 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
Sunday, December 09, 2012
A
Community Relati ns
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))
10/19/12 10004096-00 $1,561.98
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