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224559 09/25/2013 \,f CITY OF CARMEL, INDIANA VENDOR: 366569 Page 1 of 1 ONE CIVIC SQUARE KIPP TOYS CARMEL, INDIANA 46032 ash CHECK AMOUNT: $204.60 GREE CHECK NUMBER: 224559 t6ab CHECK DATE: 9/25/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 1004715400 204 . 60 OTHER EXPENSES Kip Toys I N V O I C E 6° 491 VOest Muskegon Drive Greenfield, IN 46140-8575 (800)428-1153(800)Fax:(800)832-5477 INVOICE DATE INVOICE NO. www.kipptoys.com 09/06/13 10047154-00 royS�VELTTE5465 LPNoy 1 :P.O.NO.�� '� i PAGE# I 1 I Cust#: 772632 Ship To: City of Carmel Utilities 760 3Rd Ave SW Ste 110 Remit To: Novelty, Inc. Attn: Sue Maki 4924 Reliable Parkway egm I IN 46P�??070 Chicago, IL 60686-0049 Bill To: I y oef Carme Ili Ies 760 3Rd Ave SW Ste 110 Carmel, IN 46032-2070 INSTRUCTIONS... SHIR;POINT VIA' SHIPPED TERMS Novelty Fed X Ground 09/06/13 INet 30 i LN I ITEM AND DESCRIPTION......,.,,., ORDERED SHIPPED UML PRICE ;:I PUME DISCOUNT/ AMOUNT 028026 33 33 BX 6.1999 BX 0.00 204.60 FISH PENCIL SHARPENERS (BX = 24 PCS) 1 Lines Total Qty Shipped Total 33 Total 204.60 z Invoice Total 204.60 Tracking #'s - 563567570248330 563567570248347 563567570248354 1 Cash Discount 0.00 If Paid By 09/06/13 Signature: Las-- Paae VOUCHER # 136367 WARRANT # ALLOWED 366569 IN SUM OF $ KIPP TOYS / NOVELTY, INC NOVELTY, INC 4924 RELIABLE RARKWAY CHICAGO, IL 60686-0049 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 77s—'-) 1004715400 014-266-08 $204.60 Voucher Total $204.60 Cost distribution ledger classification if claim paid under 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 366569 KIPP TOYS/ NOVELTY, INC Purchase Order No. NOVELTY, INC Terms 4924 RELIABLE RARKWAY Due Date 9/17/2013 CHICAGO, IL 60686-0049 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 9/17/2013 1004715400 $204.60 hereby certify that the attached invoice(s), or bill(s) is (are) true and ;orrect and I have audited same in accordance with IC 5-11-10-1.6 Date Officer