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215726 12/18/2012 CITY OF CARMEL, INDIANA VENDOR: 365201 Page 1 of 1 - ` ONE CIVIC SQUARE NOVELTY INC CHECK AMOUNT: $91.40 CARMEL, INDIANA 46032 4924 RELIABLE PARKWAY CHICAGO IL 60686-0049 CHECK NUMBER: 215726 CHECK DATE: 12/18/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4239039 1000527200 91 .40 GENERAL PROGRAM SUPPL Kip vpToys st Muskegon Drive NOV 2 9 20:12j Greenfield, IN 46140-8575 428-1153 Fax:(800)832-5477 INVOICE DATE INVOICE NO. 11/20/12 10005272 oum#: *04u Ship To: WOOD BRICK ELEMENTARY E0002970 1 4311 E. 110THST. Carmel, \N46033 ---- Remit To: Novelty, Inc. Bill To: Carmel Clay Parks Reoramt 4034 Reliable Parkway 1235 Central Park OrE Chicago, |LO008G-OO40 Carmel, |N4O032-2070 1INSTRUCTIONS SHIP POINT VIA SHIPPED TERMS Novelty UPS Ground 11/20/12 Net 30 SELL P�ICE LN ITEM AND DESCRIPTION ORDERED SHIPPED UM PRICE _j UM AMOUNT DISCOUNT% KNOBBY FOOTBALL SMILE FACE NOTEBOOKS JUMBO STICKY HANDS 6PC METALLIC DIECAST CAR COLLECTION GIRLS PLAY SET 7 027084G 1 1 EA 10.00 EA 0.00 10.00 FOLD & PLAY PILLOW (GLOVE) BASEBALL GLOVE MAGNETIC SKETCHER BACKPACK CLIPS 8 Lines Total Qty Shipped Total 9 Total 75.49 Invoice Total 91.40 Tracking #'s - 1Z4325240372130004 Purchase Description Line Des r Approv Cash Discount 0.00 If Paid By 11/20/12 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. Terms 365201 Novelty, Inc. 4924 Reliable Parkway Chicago, IL 60686-0049 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 11/20/12 1000527200 Supplies $ 91.40 Total $ 91.40 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 Novelty, Inc. 4924 Reliable Parkway Chicago, IL 60686-0049 In Sum of$ $ 91.40 ON ACCOUNT OF APPROPRIATION FOR 108 - ESE PO#'or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1081-11 1000527200 4239039 $ 91.40 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 13-Dec 2012 Signature $ 91.40 _ Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund c�