327735 07/20/18 "p�''� CITY OF CARMEL, INDIANA VENDOR: 360427
`` ;1.: CHECK AMOUNT: $*******122.70*
.I ONE CIVIC SQUARE THE BOX COMPANY
,;� CARMEL, INDIANA 46032 616 STATION DR CHECK NUMBER: 327735
9;._.__.�p.� CARMEL IN 46032 CHECK DATE: 07/20/18
ETON
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4342100 CFD62818 122.70 POSTAGE
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts city Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 360427
THE BOX COMPANY IN SUM OF$ 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
$122.70
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
CFD62818 43-421.00 $122.70 1 hereby certify that the attached invoice(s),or 7/13118 CFD62818 $122.70
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
Tuesday,July 17,2018
David Haboush
.Fire Chief
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 Phone: 317-846-7467
Carmel, IN 46032 The BOX Company Fax: 317-846-7468
Name: Carmel Fire Department Phone Number 571-2600 Date: 6/28/2018
Address: 2 Civic Square Fax Number P.O.Number
City: Carmel State: IN Zip: 46032 Invoice M CFD62818
Qty Description Unit Price Total
'Shipping Charges(attached) -- --_-- --- _---- —~--�_- $-- -- ' 122.70
Packaging Charge(attached) $ -
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$ -
$
$ -
$ - -a
$ -
$ -
$ -
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$ - n
$ -
$ - cn
$ -
Sub Total $ 122.70
0% Discount
Thank You for Your Order! After Discount
7% Sales Tax
Total I $ 122.70
BOXFRM-01(10/06)
CO DEPT DATENO
PACKAGE SHIPPING REQUEST
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THE BOX COMPANY S NAME V kd `I ^&(P
616 Station Drive
E STREET ADDRESS
Carmel,In 46032 N
D CITY,STATE,ZIP
E
(317)846-7467 FAX(3 17)846-7468 R HOME PHONE,WORK PHONE (_ /
Internet http://www.boxco.comG
PKG SEND TO DESCRIPTION OF DECLARED VALUE
NO IF CONTENTS AD IF OVER AND
YOU WANT ADD'L INS
NAME ( K WT $&f.
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L� 1 V .
C�I■ 3 CHARGES
1 CARRIER
STREET ADDRESS/ /
ADDITIONAL
0 Cv'� l VCS( (/ r ' Z E $ INSURANCE
CITY,STATE,ZIP I 1 $ HANDLING
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CHARGE--
--.NAME—
HARGE--
__NAME -- - - --—— - / PKG WT $ CARRIER
.3 CHARGES
2 STREETADDRESS �� 2 I $ ADDITIONAL
`� ZON . INSURANCE
CITY STATE,ZIP $ HANDLING
. CHARGE
NAME PKG WT $ CARRIER
��n\, C�r�1
/V . 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. ■