HomeMy WebLinkAbout302858 09/12/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 027425
ONE CIVIC SQUARE THE BOX CO CHECK AMOUNT: $**'*'•"258.98'
CARMEL, INDIANA 46032 616 STATION DRIVE CHECK NUMBER: 302858
CARMEL IN 46032 CHECK DATE: 09/12/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4342100 CFD83116 258.98 POSTAGE
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
THE BOX CO ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
616 STATION DRIVE IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
CARMEL, IN 46032 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$258.98 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
CFD83116 43-421.00 $258.98 1 hereby certify that the attached invoice(s),or 9/2/16 CFD83116 $258.98
1120 101 1120 101
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
Friday, September 02, 2016
David Haboush
Fire Chief
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—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
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: 08/31/201616
Address: 2 Civic Square Fax Number P.O. Number
City: Carmel State: IN Zip: 46032 Invoice#: CFD83116
QtY. Description Unit Price Total
Shipping Charges(attached) $ 213.98
Packaging Charge(attached) $ 45.00
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Sub Total $ 258.98
o% Discount
Thank You for Your Order.! After Discount
7% Sales Tax
Total $ 258.98
BOXFRM-01(10/06)
CO DEPT DATE NO
PACKAGE SHIPPING REQUEST 0 cdl
,j f � 7
THE BOX COMPANY S NAME
616 Station Drive E STREETADDRESS
Carmel,In 46032 N
D CITY,STATE,ZIP
E
(317)846-7467 FAX(317)846-7468 R r7HONE,WORK PHONE
Internet http://www.boxco.com
PKGSEND TO DESCRIPTION OF DECoI AR$�oVAANLp E
NO PACKAGE CONTENTS YOU WANT ADDT INS
NAMEIn PKG WT $ CARRIER
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1 STREET ADDS $ ADDITIONAL
ZONE INSURANCE
CITY STATF IHANDLING
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2 STREET ADDRESS $ ADDITIONAL
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ZONE
CITY,STATE,ZIP $ HANDLING
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NAME $ PKG WT $ CARRIER
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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 DEPT DATE NO
PACKAGE SHIPPING REQUEST lJ6 ,
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 SEND TO DESCRIPTION OF DIF ECLARE�oVAANLp E
NO PACKAGE CONTENTS you WANT ADwL INS r
NAME $ PKG WT $ CARRIER
C �►� 4/l'7l -1 CHARGES
1 STREET ADDRESS 4 $ ADDITIONAL
ZONE INSURANCE
CITY,STATE,ZIP $ HANDLING
CHARGE
NAME $ PKG WT $ CARRIER
CHARGES
2 STREET ADDRESS $ ADDITIONAL
CE
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CITY,STATE,ZIP $ HANDLING
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NAME $ PKG WT $ CARRIER
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3 STREET ADDRESS $ ADDITIONAL
ZONEINSURANCE
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. i N
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CO DEPT �/' ` � NO
PACKAGE SHIPPING REQUEST 1`L \ if' o
NAME
THE BOX COMPANY S
616 Station Drive E STREET ADDRESS
Carmel,In 46032 N
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D CITY,STATE,ZIP
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Internet http://www.boxco.com
PKG SEND TO DESCRIPTION OF DECLARED� 0AANLDE ADZ;NO PACKAGE CONTENTS YOU WANT ADD'LINS
NAME $ PK $� 1 CARRIER
` CHARGES
STREET ADDRESS $ ADDITIONAL
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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
P25.000 IN VALUE.
BOXFRM-01(10/06)
CO DEPT (DATENO
PACKAGE SHIPPING REQUEST
NAME
THEBOX COMPANY
616 Station Drive E STREET ADDRESS V�-p, z +
rpm
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 DECLAREDVER oVAANLDUE ®��
NO PACKAGE CONTENTS YOU WANTADD'LINS
NAME $ PKG WT $/ CARRIER
Oro $
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CHARGE
NAME $ PKQWT $ CARRIER
CHARGES
STREET ADDRESS $ ADDITIONAL
4
ZOIE INSURANCE
CITY,STATE,ZIP $ HANDLING
CHARGE
ATTENTION CUSTOMERSI!
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 CHARG
A PACKAGE WHICH HAS A VALUE OVER THE CARRIER'S LIMITED$100 LIABILITY.MAXIMUM COVERAGE CANNOT EXCEED
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Page 1 of 1
Please include this copy of the RMA printout with your instrument on the INSIDE of the shipping package.
*PLEASE RETURN THIS PAGE WITH YOUR INSTRUMENT
TSI Ohtine RMA Request Form RMA #800427172
Customer Number:5112824
Bill To Information Ship To Information
Bill To Attn: Jason Reecer Ship To Attn: Jason Reecer e
Organization: Carmel fire Department Or anization: Carmel fire Department
Address 1: 2 civic square Address 1: 2 civic square
Address 2: Address 2: Address 3:
Address 3: City: Carmel
PO Box: State or Province: IN
City: Carmel Zip/Postal Code: 46032
State or Province: Select State/Province Country: United States
Zip/Postal Code: 46032 Phone: 317-519-8669
Country: United States Fax:
Phone: 317-519-8669 E-mail: 'r c"rt rmd1_Vn :60
Fax:
E-mail: jreecer@carmel.in.gov Shipping Information
Via: GROUND
Method of Payment Other:
Payment Type: Purchase Order j Type: PREPAY &ADD
PO#: 24843 Shipper Account:
Product Information - item #1 ^
(RMA number for this product is 800427172)
_ Y, ,D`e ription: Service;Type: Quoted Price:
PORTACOUNT PRO 8030 CL 8030 695.00 USD
Serial Number: Material Number: Equipment Number:
8030091708 803000 457964
eA
Reason for Return:
Calibrate
* PLEASE RETURN THIS PAGE WITH YOUR INSTRUMENT
TSi Incorporated
After Sales Support Group
RMA# 800427172
500 Cardigan Road
Shoreview, MN
55126
U.S.A.
https:Hsecure.tsi.com/rmalrma mnin ggnv
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CARMEL FIRE DEPT 626 Wescott Rd
2 CIVIC SQUARE 14 PAUL
MN
66123
CARMEL IN, 46032
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