321648 02/13/18 CITY OF CARMEL, INDIANA VENDOR: 360427
ONE CIVIC SQUARE THE BOX COMPANY CHECK AMOUNT: $ .... `317.95*
CARMEL, INDIANA 46032 616 STATION DR CHECK NUMBER: 321648
93j�?uN moo` CARMEL IN 46032 CHECK DATE: 02/13/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4342100 CFD12318 317.95 POSTAGE
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
Vendor# 360427 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
THE BOX COMPANY IN SUM OF$ CITY OF CARMEL
616 STATION DR 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.
CARMEL, IN 46032
Payee
$317.95
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
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
CFD12318 43-421.00 $317.95 1 hereby certify that the attached invoice(s),or 212/18 CFD12318 $317.95
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, February 02,2018
V40D - 7�-7vf
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: 1/23/2018
Address: 2 Civic Square Fax Number P.O. Number
City: Carmel State: IN Zip: 46032 Invoice M CFD12318
Qt Y. Description Unit Price Total
Shipping Charges(attached) $ 227.95
Packaging Charge(attached) $ 90.00
O
$ - C
$
$ - f)
$ - 3
$
$ _
$ -
$ - (n
$ _ -a
(D
$ - 0
$
$ _ (n
$ - (n
Sub Total $ 317.95
o% Discount
Thank You for Your Order! After Discount
7% Sales Tax
Total $ 317.95
BOXFRM-01(10/06)
NO
PACKAGE SHIPPING REQUEST CO DEPT DATE
1� /;7
NAME
THEBOX COMPANY S ,V Y)&o -
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
NO SEND TO DESC IPTION f DECLARED VALUE
OVER100 AND
NO PACKA E CONTENT YOU WANTADD'LINS
NAME 0-e C PKG WT $ G CARRIER
STREET ADDRESS ti ■ 4 CHARGES
1 l Ct ,-- „ A r v v $ ADDITIONAL
CITY STAT� `!/ ZONE INSURANCE
' $ HANDLING
jZIP
U "qIle yk ■ CHARGE
NAME PKG WT $
CARRIER
■ CHARGES
STREET ADDRESS ` $ ADDITIONAL
ZONE--—.1—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. ■
c
BOXFRM-01(10/06)
CO DEPT DATE NO
PACKAGE SHIPPING REQUEST a
NAME
THE BOX 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 DECLARED VALUEIF OVER$100 AND D
NO PACKAGE CONTENTS YOU WANT ADD'L INS
AME Wo�� PKG WT $ CARRIER
&�—�
CHARGES
1 STREET ADDRESS^ _
f�C� CI -15 �50$ ADDITIONAL G 6"I �( ✓L ZON INSURANCE
CITY,STATE,ZIP (
L� �� /�/,1-f I �� $ HANDLING
b� I CHARGE
NAME V PKG WT $
,�1 2�12-- $ �Ivl� CARRIER
STREET ADDRESS � �(J47 U� �q CHARGES
_ l $ ADDITIONAL
J
CITY STATE,ZIP n�_-.q --f -ZON - - , '--"INSURANCE—(I' �`v1 $ HANDLING
w���Ze1 1�l✓"�l '('�` I/(� CHARGE
NAME �G ,(� ` $ �,-�.� PKG WT $ (, CCARRIER
HARGES
3 STREET ADDRESS `� n7�� j��^I $ Y! ADDITIONAL
ZO INSURANCE
CITY,STATE,ZIP $ HANDLING
CHARGE
NAME PKG WT $
CARRIER
s / �(� CHARGES
4 STREET ADDRESS V r�e_ �U j/ $ ADDITIONAL
CITY,STATE,ZIP 1\"Il ZONE INSURANCE
VVV $ 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. ■