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324467 04/25/18
CITY OF CARMEL, INDIANA VENDOR: 36042,7';` 'j ONE CIVIC SQUARE THE BOX COMPANY CHECK AMOUNT: $*******170.88• CARMEL, INDIANA 46032 616 STATION DR CHECK NUMBER: 324467 CARMEL IN 46032 CHECK DATE: 04/25/18 DEPARTMENT ACCOUNT PO NUMBERINVOICE NUMBER AMOUNT DESCRIPTION 1120 4342100 CFD041618 170.88 POSTAGE VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995) Vendor# 360427 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER THE BOX COMPANY 1N SUM OF$ 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 $170.88 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 CFD041618 43-421.00 $170.88 1 hereby certify that the attached invoice(s),or 4/19/18 CFD041618 $170.88 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,April 20,2018 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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Y 616 Station Drive Phone: 317-846-7467 Carmel, IN 46032 The Box Company Fax: 317-846-7468 Name: Carmel Fire Department Phone Number 571-2600 Date: 4/16/2018 Address: 2 Civic Square Fax Number P.O. Number City: Carmel State: IN Zip: 46032 Invoice M CFD041618 Qt . Description Unit Price Total Shipping Charges(attached) $ 152.88 Packaging Charge(attached) $ 18.00 O $ - C $ $ - $ - $ _ $ _ $ - CA $ _ (D $ - n $ - w - -- — $ — _ - $ _ fn $ - Sub Total $ 170.88 0�u Discount Thank You for Your Order! After Discount 7% Sales Tax Total $ 170.88 BOXFRM-01(10/06) ATA NO PACKAGE SHIPPING REQUEST CO DEPT D(f�J NAME THEBOX COMPANY S 616 Station Drive E STREET ADDRESS Carmel,In 46032 N ( , Il 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 DESCRIPTION OF DECLARED VALUEIF OVER100 J�l� PACKAGE CONTENTS YOU WANTADD'LNINS NAME PKG WT $ J��S $ j��j CARRIER �.! � v / ,( CHARGES_ 1 STREET ADDS r y��� 7 $ ADDITIONAL ZONE INSURANCE CITY STATE, IPz Jj HANDLING CCC���rL� CHARGE NAME PKG WT $ CARRIER CHARGES 2 STREETADDRESS $ ADDITIONAL ZONE INSURANCE CITY STATE,ZIP /] /�J HANDLING � `0 I/ � G ' I CHARGE NAME PKG WT $ ■ CARRIER CHARGES 3 STREET ADDRESS $ ADDITIONAL ZONE INSURANCE CITY STATE,ZIP $ HANDLING CHARGE NAME PKG WT $ CARRIER 4 STREET ADDRESS CHARGES $ ADDITIONAL CITY STATE,ZIP ZONE INSURANCE $ 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. ■ - i BOXFRM-01(10/06) � PACKAGE SHIPPING REQUEST CO DEPT DATE 1NO THEBOX COMPANY NAME 616 Station Drive E STREETADDRESS 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 I �c PKG SEND TO DESCRIPTION OF DECLARED VALUE NOPACKAGE CONTENTS AD IF OVER AND YOU WANT ADD'L INS NAME 9 C i PK9�W/T $ ./ CHARGES 1 STREET ADDRESS / $ ■ E r ADDITIONAL ZONE ■ INSURANCE CITY,STATE,ZIP $ HANDLING ■ CHARGE NAME J PKG WT $ CARRIER CHARGES 2 STREET ADDRESS $_ 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 w STREET ADDRESS $ L�, 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) CO DATE � IF NO PACKAGE SHIPPING REQUEST � 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 DECLARED VALUE NO PACKAGE CONTENTSIF OVER$100 AND YOU WANT ADD'L INS NAME PKG WT $ ]Z © CARRIER 1 ■ �U CHARGES 1 STREET ADDRESS $ ADDITIONAL ONE ■ INSURANCE CITY,STATE,ZIP $ HANDLING V�'� ■ CHARGE NAME $ PKG WT $ CARRIER CHARGES STREET ADDRESS $ _ ADDITIONAL ZONE ■ INSURANCE CITY,STATE,ZIP r $ �1 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 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, ■ • BOXFRM-01(10/06) CO DEPT DATE / i r7 NO PACKAGE SHIPPING REQUEST 6/ 1/�, 0 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 f Internet http://www.boxco.com PKG NO SEND TO DESCRIPTION OF DECLARED VALUEIF OVER$100 AND /) NO PACKAGE CONTENTS YOU WANTADD'L INS L Z L NAME PKG WT $ /' CARRIER L (X. CHARGES STREETADDRESS / 1 �/�� $ ADDITIONAL CITY,STATE,ZIP ZONE INSURANCE$ HANDLING CHARGE NAME PKG WT $ CARRIER CHARGES 2 STREET ADDRESS _ _ $ ADDITIONAL ZONE INSURANCE CITY,STATE,ZIP $ HANDLING CHARGE NAME PKG WT $ CARRIER CHARGES 3 STREETADDRESS $ 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) CODEPT D�E � NO PACKAGE SHIPPING REQUEST in 5 THE BOX COMPANY S NAful �`� �✓ 616 Station Drive E STREET ADDRESS Carmel,In 46032 N 91 C! C t D CITY TATE,ZIP E ! (317)846-7467 FAX(317)846-7468 R HONE PHONE,WORK PHONE Internet http://www.boxco.com u Jo- PKG ,;o PKG SEND TO DESCRIPTION OF DECLARED VALUE NO PACKAGE CONTENTS IF OVER AD AND YOU WANT ADAND INS NAME to $/ PKG WT CARRIER L�S $ ((; / CHARG S STREET ADDRESS $ ADDITIONAL 1 ?Ulp ZONE INSURANCE CITY,STATE,ZIP $ HANDLING 4J o ! rZ 6 V CHARGE NAME $ PKG WT $ CARRIER 2 CHARGES 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 STREETADDRESS $ 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 C/ �? NO 6,2, 1 S'{ THEBOX COMPANY NAME l: 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 OIF OVER$100 NSEND TO DESCRIPTION OF DECLARED VALUE NO PACKAGE CONTENTS YOU WANTADD;LNINS NAME PKG WT $ Gc(d 4 °{�� CARRIER � / � CHARGES 1 STREET DDRESS / t' $ ADDITIONAL Z i eTll ( ZONE INSURANCE CITY,S TE,ZIP ^7��J $ HANDLING / rJ / , CHARGE NAME � �� $ o PKG WT $ V CARRIER 2 STREETADDRESS _ �� CO �� f CHARGES $ ADDITIONAL ZONE INSURANCE CITY STATE,ZIP I✓ J $ HANDLING NAME V-c Pak,lk r5f I' 7c/ PKG WT CHARGE $ CARRIER 0-c— UM"e CHARGES 3 STREET ADDRESS $ ADDITIONAL CITY,STATE,ZIP ZONE INSURANCE $ HANDLING CHARGE NAME PKG WT $ $ CARRIER 4 STREET ADDRESS CHARGES $ 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. ■