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303309 09/26/16 C9q CITY OF CARMEL, INDIANA VENDOR: 360427 (; ® ONE CIVIC SQUARE THE BOX COMPANY CHECK AMOUNT: $*******166.31 CARMEL, INDIANA 46032 616 CARMEL STATION 4 R CHECK NUMBER: 303309 CHECK DATE: 09/26/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 911 4342100 CPD82316 166.31 POSTAGE VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) THE BOX COMPANY ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 616 STATION DR IN SUM OF$ 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. $166.31 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# HCDTF Terms Project#2016-911 and Task 2016-2 Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT CPD82316 43-421.00 $166.31 I hereby certify that the attached invoice(s),or 8/23/16 CPD82316 $166.31 911 911 911 911 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 09,2016 Aaron Dietz Major 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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer 616 Station Drive The Box y an Comp Phone: 317-846-7467 Carmel, IN 46032 Fax: 317-846-7468 Name: Carmel Police Dept. Phone Number: 317-571-2500 Date: 08.23.16 Address: 3 Civic Square City: Carmel State: IN. Zip: 46032 Invoice M CPD82316 Qt . Description Unit Price Total Shipping Charges(attached) Hamilton Cty DTF 139.31 $ 139.31 Packaging Charges (attached) Hamilton Cty DTF 27.00 $ 27.00 Shipping Charges(attached) r,Q 27.89 $ 27.89 Packaging Charges (attached) $ - O $ - $ - Cn $ - ZY $ $ _ $ - $ - $ - Cn $ - (D $ - 0 $ - N $ - $ - Sub Total $ 194.20 o°�o Discount Thank You for Your Order! r jam, n — After Discount 31 7%Sales Tax Total $ 194.20 317-846-7467 616 Station Drive The Box Company Phone: 317-846-7468 Carmel, IN 46032 Name: Carmel Police Dept. Phone Number: 317-571-2500 Date: 08.23.16 Address: 3 Civic Square City: Carmel State: IN. Zip: 46032 Invoice#: CPD82316 Qt . Description Unit Price Total Shipping Charges(attached) Hamilton Cty DTF 139.31 $ 139.31 Packaging Charges (attached) Hamilton Cty DTF 27.00 $ 27.00 Shipping Charges(attached) CLQ 27.89 $ 27.89- - Packaging Charges(attached) $ - { O $ - $ - $ - Cn $ $ $ - $ - $ - $ - Cn $ - (D $ - C7 $ - u7 _ --- $ - to Sub Total $ 194.20 0. �� Discount Thank You for Your Order.! After Discount 7%Sales Tax ��;+ 4 Total $ 194.20 BOXFRM-01 (10/06) CO DEPT DATE NO PACKAGE SHIPPING REQUEST I I I I D NAME M/'�ro A) CQ ITr 0,4"e F'O'c-i", �671177 THEBOX COMPANY tv S 616 Station Drive E STREET ADDRESS In 46032 I N e(vic D CITY,STATE,ZIP E (317)846-7467 FAX(317)846-7468 R HOME PHONE,WORK PHONE Internet http://www.boxco.com 0,5-Q a- m 01D D r) W CWYM-P- t' PKGSENDTO IF DESCRIPTION OF DECMIRE$10V0 AD ALUE R ND NO PACKAGE CONTENTS YOU WANT ADD'L INS NAMEUvc-K7- 7-e,4ut QlCtL//" / Ajt,, &-Z,�F-C 7-X'-orV C, $ PKG WT $ RRIER 9A zlcl UHARGES STREET ADDRESS &)o 0 $_ ADDITIONAL /,5(e ID 0 IV ZONE INSURANCE CITY,STATE,ZIP dll HANDLING 5 Q,07-7-SbA L 61 0 1 1 CHARGE NAME $ CARRIER Pr CHARGES STREET ADDRESS $ ADDITIONAL 2 ZONE ■ INSURANCE CITY,STATE,ZIP $ HANDLING ICHARGE NAME i PKC'WT $ • CARRIER CHARGES STREET ADDRESS ADDITIONAL 3 ZONE INSURANCE CITY,STATE,ZIP HANDLING CHARGE NAME PKG WT $ • CARRIER CHARGES STREET ADDRESS $ ADDITIONAL 4j 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.