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Home My WebLink About199378 07/20/2011 CITY OF CARMEL, INDIANA VENDOR: 360427 Page 1 of 1 ONE CIVIC SQUARE THE BOX COMPANY CHECK AMOUNT: $263.44 CARMEL, INDIANA 46032 616 STATION DR CARMEL IN 46032 CHECK NUMBER: 199378 CHECK DATE: 7/20/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4342100 CFD61711 108.45 POSTAGE 1110 4342100 CPD61711 117.76 POSTAGE 911 4342100 CPD61711 37.23 POSTAGE 616 Station Drive The Box Company Phone: 317 846 -7467 Carmel, IN 46032 p y Fax: 317 846 -7468 Name: Carmel Fire Department Phone Number 571 -2600 Date: 6/17/2011 Address: 2 Civic Square Fax Number P.O. Number City: Carmel State: IN Zip: 46032 Invoice M CFD61711 Qt Y. Description Unit Price Total Shipping Charges(attached) ,y Packaging Charge( attached) O C --I U7 -0 D Cn 70 (D 0 w Uh Sub Total o% Discount Thank You for Your Order! After Discount 0% Sales Tax Total -V25-6& BOXFRM -01 (10 /06) CO DEPT DATE NO PACKAGE SHIPPING REQUEST A .Z THE BOX COMPANY S NAM r STREETADDRE 616 Station Drive E r Carmel, In 46032 N Vo D Of STATE, ZIP (317) 846 -7467 FAX (317) 846 -7468 R HOME PHONE, WORK PHONE Internet http: /www.boxco.com PKG SEND TO DESCRIPTION OF D E ILAR Soo nr�io E NO PACKAGE CONTENTS YOU WANTADD'L INS NAME PKG WT CARRIER IJ M r1 UL �G d�✓� /me.. D CHARGES STREET ADDRESS f [J ADDITIONAL 1 ✓IC 7A/ ZONE INSURANCE CITY, STATE, ZIP v D�n HANDLING �)C ,9 v1�/'LL� /V, i 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 3 I THE BOX COMPANY S NAME '4elo r e 6y:' T 616 Station Drive STREET ADDRESS N j V CJ�E Carmel, In 46032 D CITY, STATE, ZIP E (`,q I M E /W `1 6 0 Z (317) 846 -7467 FAX (317) 846 -7468 R HOME PHONE, WORK PHONE Internet http: /www.boxco.com PKG SEND TO DESCRIPTION OF D E LA R SDo E NO PACKAGE CONTENTS YOU WANT ADD'L INS NAME PKG WT J j/ CARRIER �yllf /'�5�j•1 E� C7U� F 1fl�irj �j Y u CHARGES 1 STREET ADD C. RES V(�� ADDITIONAL 550 o j hlTi ZONE INSURANCE CIT STATE, ZIP r YJ HANDLING vAi L q/✓i�0 FL. 783 �Z�j CHARGE NAM PKG WT CARRIER %Ic Lc `%CI /NC !n/L �I CHARGES 2 STREET ADDRESS ADDITIONAL S l�•T i ,?V i /Q Z0 INSURANCE CITY, STAT ZIP 17N G G HANDLING ES TO C/ O i 4 V 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) NO PACKAGE SHIPPING REQUEST CO DEPT DATE NAME THE BOX COMPANY S AeM E j_ Fzr EP F T 616 Station Drive E STREET ADDRESS Carmel, In 46 T 032 N W O Ci llI C D Cl STATE, ZIP E RM E x-/603 (317) 846 -7467 FAX (317) 846 -7468 R HOME PHONE, WORK FIHONE Internet http: /www.boxco.com PKG SEND TO DESCRIPTION OF D E ILAR Rs1 D 0o A E NO PACKAGE CONTENTS YOU WANT ADD'L INS NAME IJSS �I f� UL �L FC71ZO h�7 5 IM f -4 t WT CARRIER K N C CHARGES STREET ADDRESS p PA tZ ADDIT `T o f/E/� F A✓IC N ✓E Z E NSUR AN CITY, STATE, ZIP J DEPT. HANDLING S A� Lit LI- I 9L CHARGE NAME 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 NA THE BOX COMPANY S CQrM e- I F r-c- 1 1- 4 _rIl1 616 Station Drive E STREET ADDRESS Carmel, In 46032 N Z D CITY, STATE, ZIP (317) 846 -7467 FAX (317) 846 -7468 R HOME PHONE, WORK PHONE Internet http: /www.boxco.com 3 7 j ZL Z PKG SEND TO DESCRIPTION OF D E LAR SoVA NO PACKAGE CONTENTS YOU WANT ADD'LINS NAMEy 'G pp TL arI rT 11 OuI� PKG WT �f CARRIER 7C�1� rU1Ln'1a:1 Lfc� `/IR ^h CHARGES 1 S EET ADDRESS n ADDITIONAL /597 E a. �G PB Mfi 2j Z N INSURANCE CITY, STATE, ZIP HANDLING 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 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. 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)) CFD61711 $108.45 1 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. W NO. ALLOWED 20 The Box Company IN SUM OF 616 Station Drive Carmel, IN 46032 $108.45 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 I CFD61711 I 43- 421.00 I $108.45 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 JUL 18 2011 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund 616 Station Drive The Box Company Phone: 317 846 -7467 Carmel, IN 46032 p y Fax: 317 846 -7468 Name: Carmel Police Dept. Phone Number: 317 571 -2500 Date: 6/17/2011 Address: 3 Civic Square City: Carmel State: IN. Zip: 46032 Invoice CPD61711 Qt Y. Description Unit Price Total Shipping Charges(attached) 136.79 O O a Cn Z3 aD Cn -0 0 n Sub Total 136. 9 a�q Discount Thank You for Your Order! After Discount 1� 6 %Sales Tax Total 136.79 BOXFRM -01 (10/06) CO DEPT DATE NO PACKAGE SHIPPING REQUEST NAME THE BOX COMPANY S c i-& NPR C*JT 616 Station Drive E STREET ADDRESS Carmel, In 46032 N J U/G D CITY, STATE, ZIP E s L i.j 6c) 32-- (317) 846 -7467 FAX (317) 846 -7468 R HOME PHONE, 'WORK PHONE Internet http: /www.boxco.com 317 57/- —25b- �(/gQ.�Ja✓� PKG SEND TO DESCRIPTION OF D E O v AR sDo A E NO PACKAGE CONTENTS YOU WANTADD'L INS NAME CONtMdn,O�� uEFlc£( PKG O CARRIER A4k)& SL,,{L cg u)Af rA(LL CE.a'rf(Z Q CHARGES 1 STREET ADDRESS �(j� -;Qp oP rc 'rc"- 'cL-GY ADDITIONAL 300 11w 361 3791 ZONE INSURANCE CITY, STATE, ZIP HANDLING C /,,J `/7S2Z 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. qti►, ,00 (osWo y A p p6S O fT lD /S -1 BOXFRM -01 (10/06) 1 J CO DEPT I DATE NO PACKAGE SHIPPING REQUEST NAME THE BOX COMPANY S C4 (444 ti1- PoL IcF 'btiP .A9.7ti►E.JT 616 Station Drive E STREET ADDRESS Carmel, In 46032 N 3 CI JIL SIIuAI� D CITY, STATE, ZIP E Cd2�+>r� /a y(oo3Z (317) 846 -7467 FAX (317) 846 -7468 R HOME PHONE, WORK PHONE Internet http: /www.boxco.com 317 S 7/ 25 G12£ /0 /4< -tR- TpDD L PKG SEND TO DESCRIPTION OF D E LARD V AL U E NO PACKAGE CONTENTS YOU WANT ADD'LINS NA PKG WT CARRIER IMAGE Cod p�2ATlc>✓ CHARGES 1 STREET ADDRESS ADDITIONAL 772s ASN�•�lt. A U£ JGwcT14 ZONE INSURANCE CITY, STATE, ZIP HANDLING D (,jA ptfN SS 3 C CHARGE NAME PKG j ilil c J CARRIER f'pi�1c (L Oc,ct�i PJILI CHARGES 2 STREFi DDRESS 9 7 QL- AIC.£S D ADDITIONAL INSURANCE CITY, E, ZIP f HANDLING Fpt2T /j1 GL SG 419 7 08' 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 NAME THE BOX COMPANY S ,4(ZAV- a-1c 616 Station Drive E STREET ADDRESS Carmel, In 46032 N y C/ J/G D CITY, STATE, ZIP E 662XV, 1,00 40 (317) 846 -7467 FAX (317) 846 -7468 R HOM PHO E, WORK PHONE Internet http: /www.boxco.com 3/ 7) :5 71 2 S790 PKG SEND TO DESCRIPTION OF D E LA R sD VALUE r NO PACKAGE CONTENTS YOU WANT ADD'LINS NAME (�L�IFo�M �lau5�� /.vG PK WT CARRIER A F A Y CHARGES 1 STREET ADDRESS ADDITIONAL I9 Z7 I %D(r f— ZgNE INSURANCE CITY, STATE, ZIP .vA P OLlS HANDLING 147 IA ��1 y(yL0'Z 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 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 $25,000 IN VALUE. P r CO DEPT DAT m P BOXFRM•01 (10106) PACKAGE SHIPPING REQUEST NO I THE BOX COMPANY S NAME 616 Station Drive E STREET ADDRESS Carmel, In 46032 N 3 Oolc- Ssu 4 E- D CITY, STATE, ZIP E G44*l l- IA.) ylv 3 (317) 846 -7467 FAX (317) 846 -7468 R HOME PHONE, WORK PHONE Internet http: /www.boxco.com 317) 57/- 25'Od PKG SEND TO DESCRIPTION OF D IFOVERs1D0 VAL NO PACKAGE CONTENTS YOU WANT ADDTINS NAME -IA:Sfp- Me— vAT /cwaAi- PK T CARRIER ,47 r,41: /lRi/H¢wJi 172�i D CHARGES 1 STREET ADDRESS ADDITIONAL 17$ A/ gS1 Sl"9� 7 ZONE INSURANCE CITY, STATE, ZIP HANDLING Sco-�s Ay CHARGE NAME PK 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 NAME THE BOX COMPANY S e ,nCA-r- e- 616 Station Drive E STREET ADDRESS Carmel, In 46032 N 3 C)UIG &DL .A Rl D CITY, STATE, ZIP E CAC*-ce �o3Z (317) 846 -7467 FAX (317) 846 -7468 R HO r; PH NE, W ORK PHONE Internet http: /www.boxco.com !"7� 11 2-s' 00 -,,I M z F., A L0 PKG SEND TO DESCRIPTION OF D E o LAR sDo E NO PACKAGE CONTENTS YOU WANT ADDT INS NAME /y� p PKG WT CARRIER 1 Af,L- F �F-T ADDITIONAL CHARGES 1 STREET ADDRESS 7 Iff l (9rl Qcck c1(LcL.s NE/ INSURANCE CITY, STATE, ZIP 7m HANDLING V6�lGrr 'c ,j 5 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. 3 BOXFRM -01 (10/06) CO PACKAGE SHIPPING REQUEST DEPT DATE NO NAME THE BOX COMPANY S c, 4Wv1 P>,t,« 616 Station Drive E STREET ADDRESS Carmel, In 46032 N 3 elUlc- S&L AAE-- D CITY, STATE, ZIP E >1L 1.,.► e/6o3 (317) 846 -7467 FAX (317) 846 -7468 R HOME WORK PHONE Internet http: /www.boxco.com 317 5' ZSD O 7gScA, PKG SEND TO DESCRIPTION OF DE oIAR $D oA�Lp E NO PACKAGE CONTENTS YOU WANT ADD'L INS NAME -r4f- u,klr Hp�ys£ PKG WT CARRIER Ai b44 CHARGES 1 STREET ADDRESS ADDITIONAL l ?2 /v 64, Aue- Z NE INSURANCE CITY, STATE, ZIP �N��Atik� -is /,,j ,J Z HANDLING Fa CHARGE NAME AGLE- Z QRoD�.•�TS Co. PKG WT CARRIER A 0 2911 CHARGES 2 STREEET'A /DDRESS ADDITIONAL 17 EAST 414k&JA .?7o ZONE INSURANCE CITY STATE, ZIP HANDLING CA55U L o 6 /no (p S1'pZS 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. 0 1 61 BOXFRM -01 (10/06) l g7 ?2 0 CO DEPT DATE NO PACKAGE SHIPPING REQUEST NAME THE COMPANY S C E-IL- Gtc� �Pa�i�� 616 Station Drive E STREET ADDRESS Carmel, In 46032 N 3 !L D CITY, STATE, ZIP E eAa^ //J lOD3Z (317) 846 -7467 FAX (317) 846 -7468 R HO E P ONE, WORK PHONE Internethttp: /www.boxco.com r317� PKG SEND TO DESCRIPTION OF D E L A R s� o A E NO PACKAGE CONTENTS YOU WANT ADDT INS NAME CARRIER &at1L S /(oaAL COQ eRllTiaa� CHARGES PK T 1 STREET ADDRESS ADDITIONAL INSURANCE CITY, STATE, ZIP HANDLING U,/JjJ'e'asiT W I L /4- 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 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 NO PACKAGE SHIPPING REQUEST D I THE BOX COMPANY S NAME Carmel Police Department 616 Station Drive E STREET ADDRESS Carmel, In 46032 N a: Carmel, IN 46032 D CITY, STATE, ZIP E (317) 846 -7467 FAX (317) 846 -7468 R HOME PHONE, WORK PHONE Internet http: /www.boxco.com C; --(go PKG SEND TO DESCRIPTION OF DEo�sD V NO PACKAGE CONTENTS YOU WANTADD'L INS NAME PK CARRIER Indiana DCS Attn: Tawon Muhammal CHARGES 1 STREET ADDRESS ADDITIONAL 302 W. Washington St E306 MS 47 ZONE INSURANCE CITY, STATE, ZIP HANDLING Indiana olis IN 46204 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 (10106) CO DEPT DATE NO PACKAGE SHIPPING REQUEST 6) A 1 NAME THE BOX COMPANY Co. )s iG TAWC ;etc 616 Station Drive E STREET ADDRESS 1 Carmel, In 46032 N 3 b V I c D D CITY, STATE, ZIP E CApet- e- t A! (317) 846 -7467 FAX (317) 846 -7468 R HOME PHONE, WORK PHONE Internet http: /www.boxco,com 3 1 -1 Z ,7 I -PS PKG SEND TO DESCRIPTION OF DE LA ER D V E NO NAME PACKAGE CONTENTS YOU WANT ADD'L INS PKG WT CARRIER /G�H I`tr rev• A' f ,1 CHARGES STREET ADDRESS �4C1 ADDITIONAL 0 ZONE INSURANCE CITY, STAT ZIP C HANDLING CHARGE NAME PK CARRIER 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 STREET ADDRESS 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. 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)) 06/17/11 CPD61711 payment for shipping charges $154.99 1 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 The Box Company IN SUM OF 616 Station Drive Carmel, IN 46032 $154.99 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department C" -9� i� oZD C2121 :o PO# t. INVOICE NO. I Af CT #/TITLE AMOUNT Board Members 1110 CPD61711 43- 421.00 I hereby certify that the attached invoice(s), or I i j bill(s) is (are) true and correct and that the 9tt l� fb�'� 1( 31,0 materials or services itemized thereon for which charge is made were ordered and 3 -7. received except Thursday, July 14, 2011 Chi o f P Title Cost distribution ledger classification if claim paid motor vehicle highway fund