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Home My WebLink About234794 07/16/14 0;�- CITY OF CARMEL, INDIANA VENDOR: 360427 ONE CIVIC SQUARE THE BOX COMPANY CHECK AMOUNT: S""""""""81.97" CARMEL, INDIANA 46032 616 STATION DR CHECK NUMBER: 234794 9M��oN. .` CARMEL IN 46032 CHECK DATE: 07/16/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4342100 CFD62514 81.97 POSTAGE BOXFRM-01(10/06) CO DEPT DATE NO PACKAGE SHIPPING REQUEST NAME THEBOX COMPANY S 616 Station Drive E STREET ADDRESS N Carmel,In 46032 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 LAOVERD VALUE NO PACKAGE CONTENTS YOU WANT ADD'LINS NAME A 4e CJ PKG WT $ i ` CARRIER fio,4, � �� 1U/ CHARGES 1 STREETADDRESS $ ADDITIONAL Z NE INSURANCE CITY,STATE,ZIP $ HANDLING CHARGE NAME PKG WT $ CARRIER CHARGES 2 STREETADDRESS $ ADDITIONAL ZONE INSURANCE CITY,STATE,ZIP $ HANDLING CHARGE NAME $ PKG WT $ CARRIER CHARGES ^ STREETADDRESS $ ADDITIONAL 3 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(10106) ` CO DEPT �DrNOPACKAGE SHIPPING REQUEST �]20 NAME THEBOX COMPANY S 616 Station Drive E STREET ADDRESS I -f !'� Carmel,In 46032 N (d� 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 OVER$1DOVALUE AND E NO PACKAGE CONTENTS YOU WANT ADD'L INS NAME PKG WT $ I CARRIER e CHARGES 1 STREET A RESS - $ ADDITIONAL ZONE INSURANCE CITY,STATE,ZIP $ HANDLING CHARGE NAME $ PKG WT $ CARRIER CHARGES STREET ADDRESS $ ADDITIONAL2 ZONE INSURANCE CITY,STATE,ZIP $ HANDLING CHARGE NAME $ PKG WT $ CARRIER CHARGES 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 $25,000 IN VALUE. BOXFRM-01(10/06) • PACKAGE SHIPPING REQUEST CO DEPT DATE NO NAME THEBOX COMPANY 1'k,67 616 Station Drive E STREET ADDRESS Carmel,In 46032 N D CITY,STATE,ZIP E (317)846-7467 FAX(317)846-7468 R HOME PHONE,WORK PHONE Internet http://www.boxco.com PKG SEND TO DESCRIPTION OF DECLARED$D o arLio E NO PACKAGE CONTENTS YOU WANTADD'L INS NAME!<AD�/L 6' //IAdOfAe-ra m)(p �f'/L�VIT $ PKG WT $ CARRIER 57 CHARG S 1 STRE T ADDRESS / ,gaA ADDITIONAL ONE INSURANCE CITY,-STATE, ZIP n /� {�f /�"' / !_-f $ HANDLING 0-1 /KALO�SS/� ^/-{ ��-J r J O1�� CHARGE NAME PKG WT $ CARRIER CHARGES 2 STREETADDRESS $ 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 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) PACKAGE SHIPPING REQUEST CO DEPT DATE F 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 rPHONE,WORK PHONE Internet http://www.boxco.com PKG SEND TO DESCRIPTION OF DE LAOVER DoVALUE NO PACKAGE CONTENTS YOU WANT ADD'L INS NAME q� $ PKG WT $ CARRIER W i CHARGES kt J S REET ADDES_S, $ ADDITIONAL ZONE INSURANCE CITTE,ZIP $ HANDLING CHARGE NAME PKG WT $ CARRIER l/ CHARGES ^ ClREETADD ESS `� $ ADDITIONAL L ZONE INSURANCE CTY,STATE,ZI $ 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. VOUCHER NO. WARRANT NO. ALLOWED 20 The Box Company IN SUM OF $ 616 Station Drive Carmel, IN 46032 $81.97 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 CFD62514 43-421.00 $81.97 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 s Fire Chief Title Cost distribution ledger classification if I claim paid motor vehicle highway fund iPrescribed 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 j Date Due I Invoice Invoice Description Amount Date Number (or note attached invoice(s)or bill(s)) CFD62514 $81.97 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