181515 01/20/2010 CITY OF CARMEL, INDIANA VENDOR: 027425 Page 1 of 1
ONE CIVIC SQUARE THE BOX CO 6 16 STATION DRIVE CARMEL, INDIANA 46032 CHECK AMOUNT: $167.96
Nt: CARMEL IN 46032 CHECK NUMBER: 181515
CHECK DATE: 1/20/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4342100 CFD12309 167.96 SHIPPING
6;16 Station Drive The Box Com an Phone: 317 -846 -7467
Carmel, IN 46032 P y Fax: 317 846 -7468
Name: Carmel Fire Department Phone Number 571 -2600 Date: 12/30/2009
Address: 2 Civic Square Fax Number P.O. Number
City: Carmel State: IN Zip: 46032 Invoice CFD12309
Qty. Description Unit Price Total
Shipping Charges(attached) 134.96
Packaging Charge( attached) 33.00
O
_s
(1)
(O
U)
-0
(D
0
cr)
01
Sub Total 167.96
0% Discount
Thank You for Your Order! After Discount
0% Sales Tax
Total 167.96
BOXFRM -01 (10106)
CO DEPT DATE NO
Il ��J NO
PACKAGE SHIPPING REQUEST I 1 I I r Iv I'
THE BOX COMPANY S NAM s P. F-G "Pc
616 Station Drive E STR ET
Carmel, In 46032 N r ti/ e C 5Q c/a- r e.
D CITY, S�T ZIP I
(317) 846 -7467 FAX (317) 846 -7468 HOME PHONE, WORK PH ONE
Internet http: /www.boxco.com l 7 j 7 .2C�0.
PKG SEND TO DESCRIPTION OF DECLARED VALUE
NO PACKAGE CONTENTS YOU WANT ADD'L INS
NAME PKG WT 3 j [1 //0.0r) CARRIER
G reea 0 re, m 4 T,� S CHARGES
STREET ADDRESS ''PC) 0 ADDITIONAL
6
3O �e_ 7- 9/0 ZONE INSURANCE
CITY, STATE, ZIP
HANDLING
jc1✓G��
w+ 2 r' �?GG -S IJ �6 CHARGE
NAME
G 4VT CARRIER
2 STREET ADDRESS CHARGES
ADDITIONAL
4.1 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
STREET ADDRESS
6 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
1 1 I JiO
NAME
THE BOX COMPANY S t J PL
616 Station Drive E ST ETAi• SS
Carmel, In 46032 N e. f SI ciekre'_
D CITY, STATE, ZIP GG
E C.- C.-• f'‘.) C f; a 3
(317) 846 -7467 FAX (317) 846 -7468 R HOME PH
WOR PHONE
Internet http: /lwww.boxco.com bQ
PKG SEND TO DESCRIPTION OF r' DECLARED VALUE
NO PACKAGE CONTENTS YOU WANT ADD'L AND
NAME J J f P CARRIER
STREE ADDRLS /V L (;I-•a p CHARGES
!Soo
1 ADDITIONAL
CITY, s 0 I.SiCS ZONE INSURANCE
9114 s 1 O� il l HANDLING
C CHARGE
NAM 60 L! PKG WT CARRIER
I. 1 I CHARGES
2S• �F.
}�IP Agillfflie ZONE INSURANCE
Cl
INSURANCE
I� f 9 7
A 4' HANDLING
IP� (W 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!t
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 0 -TE NO
PACKAGE SHIPPING REQUEST 1 II
NAME
THE BOX COMPANY 2m rL
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
IF U WA N ADD'L D
NO PACKAGE CONTENTS
YOU WANT ADD'L INS
NAME
p S/p 6AD
NAME E� PKG WT
i- CHA RGES CAR RIER
1 STREET ADDRESS .Sc7 !J ADDITIONAL
/01736 f.-1 WA& )2 c ZONE INSURANCE
CITY, STATE, ZIP M 6,2119 3j
Loc1iS f 1cY. CHARGE
NAME 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
4 STREET ADDRESS
ADDITIONAL
ZONE a INSURANCE
CITY, STATE, ZIP
HANDLING
CHARGE
ATTENTION CUSTOMERS!!
PLEASE COMPLETE ALL WI-117'E 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 I I I 1 7 I 7 L" I�1
NAME
THE BOX COMPANY s CthQfttE1_ A7,2F L p,2erM PVT
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 ER $D VAL AND NO n PACKAGE CONTENTS Y ADD'L INS
NAM4S ROVC_ F+ 7 PKG Kr-- f j CARRIER
C077- 7.-17 CHARGES
1 STREET SO ADDITIONAL
OT C../Ur D
1 0 6
W� i HANDLING INSURANCE
CO, STATE, ZIP
9A1 do L J
E qt.! 2
t
CHARGE
NAME r PKG WT CARRIER
CHARGES
STREET ADDRESS ADDITIONAL
L 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 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 N
PACKAGE SHIPPING REQUEST I J 9 1/t 0
NAME
THE BOX COMPANY S c,aemcL fiat FP
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 DEC
NO 77 PACKAGE CONTENTS YOU WANT ADM_ INS
NAME �VSS'v A (J /,F Q. gQ77F.Q`lr PKG WT/� 0 CHARGES CARRIER
STREET ADDRESS L/fA(246 /L rr 7
ADDITIONAL
1 f 70 (,4 RP Al V F �O E SGT ZONE INSURANCE
CITY, STATE, ZIP �7C�/ HANDLING
1-0 5ALI v /LLr Ai 1/7% 6 PL!J� CHARGE
NAME PKG WT c CARRIER
1 CHARGES
STREET ADDRESS ADDITIONAL
NE INSURANCE
CITY STATE, ZIP HANDLING
5 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 5100 LIABILITY. MAXIMUM COVERAGE CANNOT EXCEED
$25,000 IN VALUE.
BOXFRM -01 (10106)
CO DEPT D TE.,, 1 Oot N O
PACKAGE SHIPPING REQUEST I I I THE BOX COMPANY NAME t ,l j �`f 1 1 1 n 0
E STREET ADDRESS f
616 Station Drive
Carmel, In 46032 N
0 CITY, STATE, ZIP
E
(317) 846 -7467 FAX (317) 846 -7468 R HOME PHONE, WORK PHONE
Internet http: /lwww- boxco.com
PKG SEND TO DESCRIPTION OF DECLARED oAL
NO PACKAGE CONTENTS YOU WANT ADD'L INS
PKG WT
NAMIy� 11 2� 3 CHARGES
1 STET DDR SS r r 1\1 S6 i'
�l I/� f )lJ r V t I✓ U ADDITIONAL R NCE
CI
t, F J t 1/� j Z J ZON]� INSURANCE
ATE, ZI 1 r X
NA E r� ljn o OK 937 3 CHARGE
PKG 4VT HANDLING
CARRIER
CHARGES
2 STREET ADDRESS
ADDITIONAL
ZONE INSURANCE
CITY, STATE, ZIP
HANDLING
CHARGE
NAME PKG WT CARRIER
CHARGES
1
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
$25,000 IN VALUE.
VOUCHER NO. WARRANT NO.
ALLOWED 20
The Box Company
IN SUM OF$
616 Station Drive
Carmel, IN 46032
$167.96
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 CFD12309 43- 421.00 $167.96 I hereby certify that the attached invoice(s), or
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
JAN i 9 ZOiii
2-Av
r
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
CFD12309 $167.96
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
Clerk- Treasurer