HomeMy WebLinkAbout232452 05/13/14 CITY OF CARMEL, INDIANA VENDOR: 360427
ONE CIVIC SQUARE THE BOX COMPANY CHECK AMOUNT: $********89.15*
.;; ® 3�•
s.
CARMEL, INDIANA 46032 616 STATION DR CHECK NUMBER: 232452
�MiF6N CARMEL IN 46032 CHECK DATE: 05/13/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4342100 CFD5714 89.15 POSTAGE
616 Station DrivePhone: 317-846-7467
Carmel, IN 46032 The Box Company Fax: 317-846-7468
Name: Carmel Fire Department Phone Number 571-2600 Date: 5/7/2014
Address: 2 Civic Square 'Fax Number P.O. Number
City: Carmel State: IN Zip: 46032 Invoice M CFD5714
Qt . Description Unit Price Total
Shipping Charges(attached) $ 83.15
Packaging Charge(attached) $ 6.00
$ _
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$
$
$ -
$ -
$ _ D
$ -
$ - (n
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$ - n
$ _ w .
$ _ U)
$ -
Sub Total $ 89.15
o°io Discount
Thank You for Your Order.! After Discount
0% Sales Tax
Total $ 89.15
BOXFRM-01(10/06)
CO DEPT DATE NO
PACKAGE SHIPPING REQUEST
'
I /I�4-
THEBOX COMPANY S NAME
616 Station Drive E STREET ADDRESSL
Carmel,In 46032 N ,/1/1' l
D CITY,STATE,ZIP
E
(317)846-7467 FAX(317)846-7468 R HOME PHONE,WORK PHONE
Internet http://www.boxco.com
PKG SEND TO DESCRIPTION OF DECLARED VALUE
IF OVER$100 AND
NO PACKAGE CONTENTS YOU WANT ADD'L INS
NAME $ PKG $ CARRIER
CHARGES
J STREET ADDRESS / $
l ADDITIONAL
ZONE INSURANCE
CITY,STATE,ZIP ( $
HANDLING
�P)CJ CHARGE
NAME $ PKG WT $ CARRIER
CHARGES
^ STREET ADDRESS $ ADDITIONAL
L ZONE INSURANCE
CITY,STATE,ZIP $ HANDLING
CHARGE
NAME $ PKG WT $ CARRIER
CHARGES
3 STREET ADDRESS $
ADDITIONAL
ZONE INSURANCE
CITY,STATE,ZIP $ HANDLING
CHARGE
NAME $ PKG WT $ ■ CARRIER
CHARGES
4 STREET ADDRESS $ ADDITIONAL
ZONE INSURANCE
CITY,STATE,ZIP $ HANDLING
CHARGE
ATTENTION CUSTOMERSH
PLEASE COMPLETE ALL WHITE AREAS ON THIS FORM. TOTAL
PLEASE DECLARE THE VALUE OF THE PACKAGE(S)YOU ARE SHIPPING IF YOU INTEND TO PURCHASE INSURANCE TO COVER CHARGE
A PACKAGE WHICH HAS A VALUE OVER THE CARRIER'S LIMITED$100 LIABILITY.MAXIMUM COVERAGE CANNOT EXCEED
$25,000 IN VALUE.
BOXFRM-01(10/06)
CO DEPT DATE q NO
PACKAGE SHIPPING REQUEST
NAME
THEBOX COMPANY S
616 Station Drive E STREET ADDRESS
Carmel,In 46032 N
D CITY,STATE,ZIP
E
(317)846-7467 FAX(317)846-7468 R HOME PHONE,WORK PHONE
Internet http://www.boxco.com
PKG T DESCRIPTION OF DECLARED VALUE
SEND O IF OVER$100 AND
NO PACKAGE CONTENTS YOU WANTADD'L INS
NAME / � PKG WT $� CARRIER
CHARGES
1 STREET A�DS� ���^ $
1ZONADDITIONAL
E � INSURANCE
CITY,S,TATE ZIPr $ HANDLING
v r' CHARGE
NAME $ PKG WT $ • CARRIER
CHARGES
2 STREET ADDRESS $ ADDITIONAL
ZONE INSURANCE
CITY,STATE,ZIP $ HANDLING
CHARGE
NAME PKG WT $ CARRIER
■
CHARGES
3 STREET ADDRESS $ ADDITIONAL
ZONE INSURANCE
CITY,STATE,ZIP $ HANDLING
CHARGE
NAME PKG WT $ CARRIER
CHARGES
4 STREET ADDRESS $ ADDITIONAL
ZONE INSURANCE
CITY,STATE,ZIP $ ■ HANDLING
CHARGE
ATTENTION CUSTOMERSII ■
PLEASE COMPLETE ALL WHITE AREAS ON THIS FORM. TOTAL
PLEASE DECLARE THE VALUE OF THE PACKAGE(S)YOU ARE SHIPPING IF YOU INTEND TO PURCHASE INSURANCE TO COVER CHARGE
A PACKAGE WHICH HAS A VALUE OVER THE CARRIER'S LIMITED$100 LIABILITY.MAXIMUM COVERAGE CANNOT EXCEED
$25,000 IN VALUE.
BOXFRM-01(10/06)
CO DEPT DATE
PACKAGE SHIPPING REQUEST O C
THE B OX COMPANY S NAME
616 Station Drive E STREET ADDRESS
Carmel,In 46032 N
D CITY,STATE,ZIP
E
(317)846-7467 FAX(317)846-7468 R HOME PHONE,WORK PHONE
Internet http://www.boxco.com
PKG SEND TO DESCRIPTION OF DE LAOVER S1D0o AND E
NO PACKAGE CONTENTS YOU WANT ADD'LINS
NAME P G $ CARRIER
CHARGES
1 STREET ADDRESS $' ADDITIONAL
INSURANCE
CITY,STATE,ZIP er7Tt $ HANDLING
w CHARGE
NAME $ PKG WT $ CARRIER
CHARGES
2 STREET ADDRESS $ ADDITIONAL
ZONEINSURANCE
CITY,STATE,ZIP $ • HANDLING
CHARGE
NAME PKG WT $ CARRIER
CHARGES
3 STREET ADDRESS $ ADDITIONAL
ZONE INSURANCE
CITY,STATE,ZIP $ ■ HANDLING
CHARGE
NAME $ PKG WT $ CARRIER
CHARGES
4 STREET ADDRESS $ ADDITIONAL
ZONE INSURANCE
CITY,STATE,ZIP $ HANDLING
CHARGE
ATTENTION CUSTOMERS!! •
PLEASE COMPLETE ALL WHITE AREAS ON THIS FORM. TOTAL
PLEASE DECLARE THE VALUE OF THE PACKAGE(S)YOU ARE SHIPPING IF YOU INTEND TO PURCHASE INSURANCE TO COVER CHARGE
A PACKAGE WHICH HAS A VALUE OVER THE CARRIER'S LIMITED$100 LIABILITY.MAXIMUM COVERAGE CANNOT EXCEED
$25,000 IN VALUE.
BOXFRM-01(10/06)
+ CO DEPTDATE NO
PACKAGE SHIPPING REQUEST A ® 2 I
THEBOX COMPANY S NAME raF
616 Station Drive E STREETADDRESS
Carmel,In 46032 N
D CITY,STATE,ZIP
E
(317)846-7467 FAX(317)846-7468 R HOME PHONE,WORK PHONE
Internet http://www.boxco.com
PKG SEND TO DESCRIPTION OF DE LAOVER S1Doo AND E
NO PACKAGE CONTENTS YOU WANT ADDTINS
NAME I $ PKG WT $ CARRIER
r� 1� CHARGES
STRE5ADDRESS f- $ ADDITIONAL
1 '�;o -(SoaV l It S' ZONE INSURANCE
CITY,STATE,ZIP $
C
e HANDLING� �VdIe PP CHARGE
NAME $ PKG WT $ CARRIER
CHARGES
STREET ADDRESS __ i $ ADDITIONAL
2 Y,C cep Cc e ( ldl I Q®� ZONE INSURANCE
CITY,STATE,ZIP V $ HANDLING
CHARGE
NAME $ PKG WT $ CARRIER
CHARGES
3 STREETADDRESS $ ADDITIONAL
ZONE INSURANCE
CITY,STATE,ZIP $ HANDLING
CHARGE
NAME $ PKG WT $ CARRIER
CHARGES
4 STREET ADDRESS $ ADDITIONAL
ZONE INSURANCE
CITY,STATE,ZIP $ ■ HANDLING
CHARGE
ATTENTION CUSTOMERS!! ■
PLEASE COMPLETE ALL WHITE AREAS ON THIS FORM. TOTAL
PLEASE DECLARE THE VALUE OF THE PACKAGE(S)YOU ARE SHIPPING IF YOU INTEND TO PURCHASE INSURANCE TO COVER CHARGE
A PACKAGE WHICH HAS A VALUE OVER THE CARRIER'S LIMITED$100 LIABILITY.MAXIMUM COVERAGE CANNOT EXCEED
$25,000 IN VALUE.
VOUCHER NO. WARRANT NO.
ALLOWED 20
The Box Company
IN SUM OF$
616 Station Drive
Carmel, IN 46032
$89.15
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 CFD5714 43-421.00 $89.15 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
MAY 1 2 2014
z 4
Fire Chief
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
i
CITY OF ,CARMEL
IAn 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.
I
Payee
Purchase Order No.
I
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
CFD5714 $89.15
I
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
20
Clerk-Treasurer