225916 11/05/2013 \,f CITY OF CARMEL, INDIANA VENDOR: 365201 Page 1 of 1
`4 ONE CIVIC SQUARE NOVELTY INC CHECK AMOUNT: $2,633.64
' ?o CARMEL,INDIANA 46032 4924 RELIABLE PARKWAY
CHICAGO IL 60686-0049 CHECK NUMBER: 225916
CHECK DATE: 11/5/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 4359003 26752 10055535-00 2, 633 . 64 HOLIDAY ON THE SQUARE
Ki pWp Toys
9 491 Est Muskegon Drive I -N V 0 1 C E
> Greenfield, IN 46140-8575
(800)428-1153(800)Fax:(800)832-5477 INVO1cE DATE INVOICE NO.
vnnrvv.kipptoys.com 10/15/13 10055535-00
%VELTSES•GtFTS P O NO �> ` PAGE#
HOLIDAY SQUARE I 1 j
cust#: 235962
Ship To: City of Carmel
9609 Hazel Dell Parkway Remit To: Novelty, Inc.
Indianapolis, IN 46280 4924 Reliable Parkway
Bill To: City of Carmel Chicago, IL 60686-0049
9609 Hazel Dell Parkway
Indianapolis, IN 46280
INSTRUCTIONS SHIP POINT VIA SHIPPED TERMS
Novelty Comm LTL 10/15/13 Net 30
�iN I ITEM AND DESCRIPTIONS ORDERED SHIPPED UM PRICE PUME DISCOUNT/, AMOUNT
1 028616 34 34 DZ 9.20 DZ 0.00 312.80
CANDY CANE INFLATES
2 028354 34 34 DZ 6.40 DZ 0.00 217.60
CHRISTMAS RUBBER DUCKS
3 NB 8462 167 103 BG 5.85 BG 0.00 602.55
PAW PRINT BEARS BG=3EA
4 027870L 23 23 BG 38.00 BG 0.00 874.00
HOLIDAY PUZZLE W/COLOR BACK 2011 FD
Substitute Prod: 027870
5 028749 67 67 disp 26.20 disp 0.00 1755.40
CHRISTMAS PLUSH HATS
Will be using 2013 item number once available
5 Lines Total Qty Shipped Total 261 Total 3762.35
Order Discount 1128.71
Invoice Total 2633.641
Tracking #'s - 2495879750 Fed Ex 010055535-00-1-1
I
1co 3 p�7 °k- C6 A"
3, to L-1
Cash Discount 0.00 If Paid By 10/15/13 I
-Signature — --
Last Page
VOUCHER NO. WARRANT NO.
ALLOWED 20
KIPP Toys
'
Novelty, Inc. ' IN SUM OF $
4924 Reliable Parkway
Chicago, IL 60686-0049
$2,633.64
ON ACCOUNT OF APPROPRIATION FOR
Community Relations
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1203 10055535-00 43-590.03 $1,033.64 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
26752 10055535-00 43-590.03 $1,600.00
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, N vember 01,2013
Director, Comrignity Relations/Economic Development
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))
10/15/13 10055535-00 $1,033.64
10/15/13 10055535-00 $1,600.00
I 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
120
Clerk-Treasurer