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Home My WebLink About164160 09/30/2008 CITY OF CARMEL, INDIANA VENDOR: 027425 Page 1 of 1 ONE CIVIC SQUARE THE BOX CO CHECK AMOUNT: $363.51 CARMEL, INDIANA 46032 616 STATION DRIVE CARMEL IN 46032 CHECK NUMBER: 164160 SON CHECK DATE: 9130/2008 DE PARTMENT ACCOUN P O NUM I NVOICE NUMBER AMOUNT DE SCRIPTION 1120 4342100 CFD9128 249.89 POSTAGE 1110 4342100 CPD9108 113.62 POSTAGE 616 Station Drive The Box Company Phone: 317 846 -7467 Carmel, IN 46032 Fax: 317 846 -7468 Name: Carmel Police Dept. Phone Number: 317 571 -2500 Date: 5/12/2008 Address: 3 Civic Square City: Carmel State: IN. Zip: 46032 Invoice M CPD9108 Qt Description Unit Price Total Shipping Charges(attached) 113.62 O 9/12/2008 U) (Q Cf) (D (7 07 (n Sub Total 113.62 o Discount Thank You for Your Order! After Discount 6 %Sales Tax Total 113.62 PACKAGE SHIPPING REQUEST CO DEPT DATE NO 6 NAME THE BOX COMPANY S c j? r•�,__ 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 LARED OVER $1D04 V AL U E NO PACKAGE CONTENTS YOU WANT ADD'L INS NAME ;E bEAAL SIGNAL PF�G WT CARRIER �6tP� IY�I��08CI At I yy$(o� �a l a CHARGES 1 STREET ADDRESS ADDITIONAL o�(p ys FIEDI✓12AL ZONE INSURANCE CITY, STATE, ZIP HANDLING tA..j ,U82Sr'n1 IL 3195 CHARGE NAME WNF,Li&j F AG rcAXY .4%k PKGr 4 f CARRIER u L rJ& A3 q a CHARGES 2 STREET ADDRESS V V ADDITIONAL J 1jjjT n 9R.&p >�pAb ZONE INSURANCE CITY, STATE, ZIP v HANDLING "Es rel GT fp yq O(Aq CHARGE NAME AGLg 2, PaoDc. -c 7 's co- PK� r CARRIER /Ylk t7 CHARGES 3 STREET ADDRESS u ADDITIONAL ?bd/ rASr t11GAezAy ZON INSURANCE CITY, STATE, ZIP HANDLING CAS5(ji Md 05(o2S CHARGE NAME PK WT CARRIER CHARGES STREET ADDRESS 4=c 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. i G IDS BOXFRM -01 ,70/06) CO DEPT DATE NO PACKAGE SHIPPING REQUEST NAME THEB COMPANY S I +2,cc� �oGcc� f.E�iaP�,�idf.>T 616 Station Drive E STREET ADDRESS Carmel, In 46032 N 3 Cl--- '5r�L,Af– D CITY, STATE, ZIP E (317) 846 -7467 FAX (317) 846 -7468 R HO E PH NE, WORK PHONE Internet http: /www.boxco.com 0 117 5 7t—.25 ac- PKG DESCRIPTION OF DECLARED VALUE NO SEND TO PACKAGE CONTENTS YOU WANT ADD'L NAME T/4Jf /L /ASS AZ i'—A f- n n CARRIER 9MA 95'YIl PKG WT I /Q CHARGES STREET ADDRESS ADDITIONAL 7gQ(_ /V ZO E INSURANCE CITY, STATE, ZIP HANDLING SCG r rS17ACE F S 7 55 CHARGE NAME C;, n PKG CARRIER 4 4(,) �MrOn�Es�tE. -JT IIG��a.cP�C� (L CHARGES 2 STREET ADDRESS ADDITIONAL /S, AU( j /I- Z NE INSURANCE CITY, STATE, ZIP HANDLING yy��,,�� /y" L, /T /ir/A. 0(.1S Y) SS 03 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. BOXFHM -01 10106) CO DEPT DATE NO PACKAGE SHIPPING REQUEST NAME THEBOX COMPANY S _A!mic pe-,cz 616 Station Drive E STREET ADDRESS Carmel, In 46032 N 3 el (3!G D CITY, STATE, ZIP E A_) y�(o03Z (317) 846-7467 FAX (317) 846 -7468 H HOME PHONE, WORK PHONE Internet http: /www.boxco.com 3 S71 -AGO fYJ(!C �i.�cKJ PKG DESCRIPTION OF DECLARED VALUE IF OVER $100 NO SEND TO PACKAGE CONTENTS YOU WANT ADD INS NAME AN�>tL 5° A�'(;b1 AF C PKG WT �J CARRIER TOhj S O� p C1( -cC r'LR.l3il£wi" CHARGES STREET ADDRESS ADDITIONAL Sf rAt )4EAja ZON INSURANCE CITY, STATE, ZIP e� HANDLING t'(oa r.'j S14 �f s M ��f CHARGE NAME PK WT //1 CARRIER CHARGES 2 STREET ADDRESS ADDITIONAL {v v �J I ZONE INSURANCE CITY, STATE, ZIP (/l NG i CHARGE NAME PKG WT CARRIER fl; CHARGES STREETADDRESS s ADDITIONAL ZONE INSURANCE CITY, STATE, ZIP HANDLING CHARGE NAME PKG WT CARRIER CHARGES 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. i \",S" `QD2,0t •7-ow BOXFRM -01 --1 0 /06) CO DEPT DATE I ND PACKAGE SHIPPING REQUEST NAME TH B ®X COMPANY S CA4tim P Mi c£ )>SPa271;1VJT 616 Station Drive E STREET ADDRESS Carmel, In 46032 N 3 eivic- 56LL -Ao0-- D CITY, STATE, ZIP E 64 (L2tt .v '160 (317) 846 -7467 FAX (317) 846 -7468 R HOME PHONE, WORK PHONE Internethttp: /www.boxco.com (317) $7 1— .7Sp PKG DESCRIPTION OF DECLARED VALUE IF OVER $100 AND NO SEND TO PACKAGE CONTENTS YOU WANT ADDT INS NAME Sf f E AJA r10jV tL PKG WT CARRIER A 17e Rata N�CPA( PMQ.u? R OMA 0020/ f G C CHARGES 1 STREET ADDRESS p J 1'7800 N 8154- SMELT ADDITIONAL ZO INSURANCE CITY, STATE, ZIP HANDLING S C07"MDALE Az sszss 9603 CHARGE NAME PKG WT CARRIER CHARGES STREET ADDRESS ADDITIONAL 2 ZONE INSURANCE CITY, STATE, ZIP HANDLING CHARGE NAME PKG WT CARRIER CHARGES STREET ADDRESS ADDITIONAL 3 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/KA /03/ 7 OYI BOXFRM -01 CO DEPT DATE NO PACKAGE SHIPPING REQUEST NAME THE BOX COMPANY S CA Am4L 616 Station Drive E STREET ADDRESS Carmel, In 46032 N 3 CIU /C S L.A q- D CITY, STATE, ZIP E C4121ti t,L i,v Ylao3Z (317) 846 -7467 FAX (317) 846 -7468 R HO E P ONE, WORK PHONE Internet http: /www.boxco.com (33/7 S �J o 7Spa �,✓.GbcT Ocww PKG DESCRIPTION OF DECLARED VALUE IF OVER $100 AD NO SEND TO PACKAGE CONTENTS YOU WANT ADD'l NS NAME r $QI(L 1N'/tNA7 10.v PKG yj CARRIER A TN rl A-f-771, SW7- 9*A 03/7 7 z CH STREET ADDRESS ADDITIONAL 1 /7800 Al S '4L ST(L£g 7 z INSURANCE CITY, STATE, ZIP HANDLING SCpTT T't0AL£ AZ 85795S 1 CHARGE NAME PKG WT CARRIER CHARGES STREET ADDRESS ADDITIONAL 2 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. 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 The Box Company Purchase Order No. 616 Station Drive Terms Carmel, IN 46032 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 5119109 CPD9109 for shipping charges 113.62 Total 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 VOUCHER NO. WARRANT NO. ALLOWED 20 T ie Box Company IN SUM OF 616 Station Drive Carmel, IN 46032 113.62 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1110 CPD9108 421 113.62 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 September 23 20 08 J Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund 616 Station Drive Phone: 317- 846 -7467 Cannel, IN 46032 The Box Company Fax: 317 -846 -7468 Name: Carmel Fire Department Phone Number 571 -2600 Date: 9/12/2008 Address: 2 Civic Square Fax Number P.O. Number City: Carmel State: IN Zip: 46032 Invoice CFD9128 at y. IDescription Unit Price Total Shipping Charges(attached) 242.89 Packaging Charge( attached) 7.00 O F— —I U) TS Z3 Cn 0 (D C7 Sll U) Sub Total 249.89 0 Discount Thank You for Your Order! After Discount 0% Sales Tax Total I 249.89 BOXFRM -01 (10/06) CO DEPT DATE NO PACKAGE SHIPPING REQUEST NAME THE BOX COMPANY S 6 2n E(- 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 $100 NO PACKAGE CONTENTS YOU O VER NAM D /y� PKG 6 f Ra z S16 NA- L <UF CARRIER STREET ADDRESS 0 y r CHARGES 1 CS Ar2gC S` n n f ADDITIONAL IJK Z E INSURANCE CITY, STATE, ZIP L �j HANDLING JN1 (1k Qs AQ L O 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 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 g 61 1 NAME THEBOX COMPANY S CAAlncL 1' /)2F pcP 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 CONTENTS YOU WANT ADD NAME PKG WT D CARRIER /��,y 7 CHARGES 1 STREET ADDRESS n ogSa ADDITIONAL p l o 84 1J• b)0- 01 A)gFJ ZONE INSURANCE CITY, SSE, ZIP Cgl /✓1 F.� HANDLING SI LoUlS /Y7 o, �0 3//�/ aGa MA! 3 CHARGE NAME PKG WT CARRIER CHARGES 2 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 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. qZ 7 BOXFRM -01 (10/06) CO DEPT DATE NO PACKAGE SHIPPING REQUEST j S NAME lJ P THE BOX COMPANY S w.�, i Pe 616 Station Drive E STREET ADDRI, Carmel, In 46032 N Z— D CITY, STAT ZIP E I f W (317) 846 -7467 FAX (317) 846 -7468 R HOME PHONE, VWJ0RK PHONE Internethttp: /www.boxco.com �c r �Cwo�f- PKG SEND TO DESCRIPTION OF DECLARED VALUE IF OVER $100 AND NO PACKAGE CONTENTS YOU WANT ADD'LINS p NAME/ C' t of PK WT ■D Q CHARGES STREET ADDRESS u ADDITIONAL 1 11 /l Q- S L L f ZONE INSURANCE CITY, STATE, ZIP L HANDLING Get ��p� I` J ly �o f N CHARGE NAME PKG WT CARRIER CHARGES 2 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 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 NO PACKAGE SHIPPING REQUEST S THE BOX COMPANY S NAME C 12-mc- L G 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 CONTENTS IF OVER AD AND YOU WANT AD AND INS NAM 1 0 A -S ,0 ,,0&70 0 2 PKG WT CARRIER 0 0 C I CHARGES 1 STREET ADDRESS c Q l o 7 ADDITIONAL Q �CJL wQ e A n'(��j ZONE INSURANCE CITY, STATE, ZIP ``II V' Q a HANDLING (,�Jc �r►i►+��TO� O #t IT Z-7 AQ �G CHARGE NAME PKG WT CARRIER CHARGES 2 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 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 (10106) NO PACKAGE SHIPPING REQUEST CO DEPT DATE C; �z� Ca NAME 0 THEBOX COMPANY S 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 NO PACKAGE CONTENTS IF U WANT 1DD T I YOU WANT ADD'L NS NAME,,- n PKG WT CARRIER �DC'fZAL S j�,L1AL c�G 1' V CHARGES S STREET ADDRESS 1 j 6r w 1 /5 f�i0�i�AL �7�S�J��}L k! Il W- -;T �/J ADDITIONAL Z ONE INSURANCE CITY, STATE, ZIP r HANDLING Up urpslT` xk CoaY& CHARGE NAME PKG AT 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 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) S n PACKAGE SHIPPING REQUEST CO DEPT DATE NO THE BOX COMPANY A E Qr 616 Station Drive STR ET ADDRESS Carmel, In 46032 N i i D CITY STATE, ZIP E (317) 846 -7467 FAX (317) 846 -7468 R H E PHONE, WORK PHONE Internet http: /www.boxco.com PKG SEND TO DESCRIPTION OF DECLAREDVALUE IF OVER $100 A NO PACKAGE CONTENTS YOU WANTADD'L NAME PKG WTT' �J CARRIER r7 REET SG �D/ CHARGES ADDR ESS 1� OC� ONE INSURANCE CI TE, ZIP �d Ali. s ale- HANDLING CHARGE NAME KG WT CARRIER CHARGES 2 STREET ADDRESS ADDITIONAL ZONE INSURANCE CITY, STATE, ZIP HANDLING NAME CHARGE 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 NO PACKAGE SHIPPING REQUEST CO a NAME ?S THE BOX COMPANY S a. .-7,e- 616 Station Drive E STREETADDRES Carmel, In 46032 N s�C D CITY, STATE, ZIP E e— (317) 846 -7467 FAX (317) 846 -7468 R HOME PHONE, WORK PHONE Internethttp: /www.boxco.com 7 7/ PKG SEND TO DESCRIPTION OF DECLARED VALUE NO PACKAGE CONTENTS IF OVER AD AND YOU WANT AD AND INS NAME PKG WT d ZM /✓C 5 CARRIER CHARGES 1 STREET ADDRESS t� ADDITIONAL ZONE INSURANCE CITY, STATE, ZIP HANDLING /)c.: r� %�i/"� �C� �H�l 3 J CHARGE_ NAME NAME PKG WT CARRIER CHARGES 2 STREET ADDRESS y ADDITIONAL ZONE INSURANCE CITY, STATE, ZIP HANDLING CHARGE NAME CARRIER CHARGES STREET ADDRESS 3 ADDITIONAL INSURANCE CITY, STATE, ZIP HANDLING CHARGE NAME PKG WT CARRIER CHARGES 4 STREET ADDRESS ADDITIONAL ONE 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 I D T� �•J NO PACKAGE SHIPPING REQUEST THEBOX COMPANY S NAME CA2MFL�2F 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 n PACKAGE CONTENTS YOU WANT ADD'L NAME J,S S �I lA c1 L CHARGES L�C� �s✓ S P G WT 1 STREET ADDRESS ADDITIONAL /70 O 0114 pt L) Z INSURANCE CITY, TATE, ZIP f n U v 9L/ HANDLING J it 7 I" So CHARGE NAME KG WT CARRIER CHARGES 2 I 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 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 (10106) CO DEPT DATE NO PACKAGE SHIPPING REQUEST THEBOX COMPANY S NAME 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 DECLAREDVALUE IF OV AN AD AND NO PACKAGE CONTENTS YOU WANT ADD'L INS NAME PKG WT CARRIER iM fV C S p�1■3 C ARSES 7 STREETAD ES ADDITIONAL t/ f� ✓fit ZO E INSURANCE CITY, ST TE, ZIP d if 7 rl I� L 'f' 4 V, G- /W— �j L? 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) CO DEPT DATE NO PACKAGE SHIPPING REQUEST D p NAME THE BOX COMPANY 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 CONTENTS IF OVER AD AND YOU WANT ADD'L INS NAME PKG WT Q1� ✓r `cam" CARRIER J CHARGES 1 STREETA DRS ADDITIONAL �o r ZONE INSURANCE CITY, STATE, ZIP HANDLING CHARGE NAME PKG WT CARRIER CHARGES 2 STREET ADDRESS ADDITIONAL ZONE F. 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. VOUCHER NC% WARRANT NO. ALLOWED 20 The Box Company IN SUM OF 616 Station Drive Carmel, IN 46032 $249.89 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 CFD9128 43- 421.00 $249.89 1 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 SP 2 9jnna b<- 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)) CFD9128 Shipping Charges $249.89 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