248251 08/12/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 360427
CHECK AMOUNT: $**`*"'*68.94*
ONE CIVIC SQUARE THE BOX COMPANYCARMEL, INDIANA 46032 616 STATION DR CHECK NUMBER: 248251
CARMEL IN 46032 CHECK DATE: 08/12/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4342100 CFD72115 68.94 POSTAGE
616 Station Drive The Box Company Phone: 317-846-7467
Carmel, IN 46032 Fax: 317-846-7468
Name: Carmel Fire Department Phone Number 571-2600 Date: 7.21.15
Address: 2 Civic Square Fax Number P.O. Number
City: Carmel State: IN Zip: 46032 Invoice M CFD72115
QtY. Description Unit Price Total
Shipping Charges(attached) $ 68.94
Packaging Charge(attached) $ -
O
$ C
$ _
$ - (n
$
$ -
$ _
$ _
(Q
$ -
$ - U)
$ _
(D
$ - 0
$ -
$ -
$ -
$ -
Sub Total $ 68.94
o% Discount
Thank You for Your Order! After Discount
7% Sales Tax $ -
Total i $ 68.94
BOXFRM-01(10/06)
CO DEPT DAT O
PACKAGE SHIPPING REQUEST I I I is
NAME
THE B OX 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://wviw.boxco.com
PKG DESCRIPTION OF DECLARED VALUE
NO SEND TO PACKAGE CONTENTSIF OVER100 AND
YOU WANTADD'LINS
G
NAME $ PK $ CARRIER
�r�(-2—�` CHARGES
1 STREET ADDRESS $ ADDITIONAL
ZONE � INSURANCE
CITY STATE,ZIP $ HANDLING
CHARGE
NAME C $ PKG $ CARRIER
,IDS LQ . CHARGES
STREET ADDRESS - — $ ADDITIONAL
2 ZONE- ;------INSURANCE-
CITY,
---= INSURANCE--
CITY,STATE,ZIP $ HANDLING
CHARGE
NAME $ PKG WT $ CARRIER
CHARGES
STREET ADDRESS !�(/ $ ADDITIONAL
3
-\ ZONE INSURANCE
CITY,STATE,ZIP $ HANDLING
CHARGE
NAME $ PKG WT $ CARRIER
CHARGES
STREET ADDRESS $ ADDITIONAL
4 . 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(10106)
CO I DEPT D p NO
PACKAGE SHIPPING REQUEST 'l
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 RHOME PHONE,WORK PHONE
Internet http://www.boxco.com
PKG SEND TO DESCRIPTION OF DIF OVER$1100 AND E ! �d
NO PACKAGE CONTENTS YOU WANTADD'LINS
NAME $ $ CARRIER
7 ` CHARGES
1 STREET ADDRESS ` A $ ADDITIONAL
ZONE INSURANCE
CITY,STATE,ZIP $ HANDLING
CHARGE
NAME $ PKG WT $ CARRIER
CHARGES
--2STREET ADDRESS $ ADDITIONAL
-- --- --I----- — -- - - - -- - --- - -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
$25,000 IN VALUE.
VOUCHER NO. WARRANT NO.
ALLOWED 20
The Box Company
IN SUM OF$
616 Station Drive
Carmel, IN 46032
$68.94
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 CFD72115 43-421.00 $68.94 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
0 701
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
i
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.
i
Terms
I
Date Due
i
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
CFD72115 $68.94
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