HomeMy WebLinkAbout175613 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 027425 Page 1 of 1
ONE CIVIC SQUARE THE BOX CO CHECK AMOUNT: $282.94
CARMEL, INDIANA 46032 616 STATION DRIVE
CARMEL IN 46032 CHECK NUMBER: 175613
Ipy p
CHECK DATE: 8/6/2009
DEPA ACC PO NUMBER INV NUMBER AMOUNT DESCRIPTION
1120 4342100 CFD7209 155.30 POSTAGE
1110 4342100 CPD7179 127.64 POSTAGE
616 Station Drive The Box Comp Phone: 317 846 -7467
Carmel, IN 46032 Fax: 317 846 -7468
Name: Carmel Police Dept. Phone Number: 317- 571 -2500 Date: 7/17/2009
Address: 3 Civic Square
City: Carmel State: IN. Zip: 46032 Invoice CPD7179
Qt Y. Descrip Unit Price Total
Shipping Charges(attached) 127.64
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Sub Total 127.64
E Discount
Thank You for Your Order! After Discount
6 %Sales Tax
Total 127.64
of BOXFRM -01 (10106)
CO DEPT DATE NO
PACKAGE SHIPPING REQUEST I I I
NAME
THE BOX COMPANY S CA&tk1 L
616 Station Drive E STREET ADDRESS C
Carmel, In 46032 N 5 �/vIG J4lGa/��
D CITY, STATE, ZIP
E CAf -/we .,v 4o 3 z-
(317) 846 -7467 FAX (317) 846 -7468 R HOM PHQNE, WORK PHONE
JI
Internethttp: /www.boxco,com !7 5-71 0j-5 pp
PKG SEND TO DESCRIPTION OF DECLARED VALUE
NO PACKAGE CONTENTS YOU WANT ADO'L INS
NAME ^^Z �t A 'C.a_ PKG WT CARRIER
/'�Tm- ��w� CHARGES
1 STREETADDRESS
,74� 5 �AK��- ADDITIONAL
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CITY, STATE, ZIP
HANDLING
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CA I7 (p i CHARGE
NAME
PK WT CARRIER
CHARGES
2 STREET ADDRESS ADDITIONAL
ZONE INSURANCE
CITY, STATE, ZIP
HANDLING
CHARGE
NAME PKG WT
CARRIER
CHARGES
STREET ADDRESS
ADDITIONAL
ZONE INSURANCE
CITY, STATE, ZIP HANDLING
CHARGE
NAME PKG WT
CARRIER
CHARGES
4 STREET ADDRESS
ADDITIONAL
ZONE INSURANCE
CITY, STATE, ZIP
HAN QLI NG
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.
11�� l)4A 1113 J 'd BOXFRM-01 (10106
CO DEPT DATE NO
PACKAGE SHIPPING REQUEST
NAME
THEB ®X COMPANY S eA
616 Station Drive E STREET ADDRESS
Carmel, In 46032 N ,3 /v�G Ski u
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
NAME 'TAStrL /Hrf:R.vf1Gw,6L Pr CARRIER
,4rfd &A `D� r ,,4 /7362- CHARGES
1 STREET ADDRESS
ADDITIONAL
175 a ss k 5 az:Ec, Z INSURANCE
CITY, STATE, ZIP
HANDLING
�Xb>✓ IQy51�5 -�IG� CHARGE
NAME PKG WT
CARRIER
CHARGES
2 STREETADDRESS
ADDITIONAL
ZONE n INSURANCE
CITY, STATE, ZIP
HANDLING
CHARGE
NAME PKG WT
CARRIER
CHARGES
A STREET ADDRESS
3 ADDITIONAL
ZONE INSURANCE
CITY, STATE, ZIP
HANDLING
CHARGE
NAME PKG WT
CARRIER
CHARGES
4 STREET ADDRESS
ADDITIONAL
ZONE INSURANCE
CITY STATE, ZIP
HANDLING
CI
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.
Z ycVlJ 3 09 BOXFRM -01 (10106)
t� CO DEPT DATE NO
PACKAGE SHIPPING REQUEST
I I I I I
NAME
THE BO COMPANY S
616 Station Drive E STREET ADDRESS
Carmel, In 46032 N 3 el U/G. S(2 c
0 CITY, STATE, ZIP
E l4( /N 1
(317) 846 -7467 FAX (317) 846 -7468 R HOME P ONE, ORK PHONE
Internet http: //`www.boxco.com 317 97/—d-S L44c -K E C,4E
PKG SEND TO DESCRIPTION OF DEC ER $D o VAL
NO PACKAGE CONTENTS YOU WANT ADD'L INS
NAME woLL) iA-2)E. 1.J0 L W1Del /MC• PKG WT CARRIER
et« .Je;-2 Gvc0 EP *C 110725 03 CHARGES
STREET ADDRESS ADDITIONAL
l 300 eTLA.vb b(2 ZONE INSURANCE
Cl�T STATE, ZIP HANDLING
aC�cfKF60> 7 3SI 4 CHARGE
NAME PKG WT CARRIER
CHARGES
2 STREETADDRESS
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 RASA VALUE OVER THE CARRIER'S LIMITED $100 LIABILITY. MAXIMUM COVERAGE CANNOT EXCEED
$25,000 IN VALUE.
43 Y BOXFRM -01 (10106)
CO DEPT DATE NO
PACKAGE SHIPPING REQUEST
NAME
THE BOX COMPANY S 4MJ:L
616 Station Drive E STREET ADDRESS
Carmel, In 46032 N 3 61oic 56jLLAe-;E
D CITY, STATE, ZIP
E CA (2/NfL „c� �6o3Z
(317) 846 -7467 FAX (317) 846 -7468 R HrE PHONE, WORK PHONE
Internet http: /www.boxco.corn l 'j 7 N 7 F&s i
PKG SEND TO DESCRIPTION OF DECLAREDVALUE
IF OVER $100 AND
NO PACKAGE CONTENTS YOU WANT ADD'L INS
0, A A SLAaw ;ro"J G N� PKG CHARGES CARRIER
1 STREET ADDRESS
ADDITIONAL
'UI '�oF4f L �i�7�c yt Q(.u17- ZONE INSURANCE
CITY, STATE, ZIP ,I HANDLING
AT'rttSO(to f xiS 1kfA 02-7(p T CHARGE
NAME PKG WT CARRIER
CHARGES
2 STREET ADDRESS ADDITIONAL
ZONE INSURANCE
TTY,, STATE, ZIP
HANDLING
CHARGE
NAME PKG WT CARRIER
CHARGES
3 STREET ADDRESS
ADDITIONAL
ZONE o 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.
7 9 7 BOXFRM -01 (10106)
CO DEPT DATE NO
PACKAGE SHIPPING REQUEST
NAME
THE BOX COMPANY S A gM eu- pL.tc£ PA(�TiNrw7
616 Station Drive E STREET ADDRESS
Carmel, In 46032 N 3 C 501 4A.F_
D CITY, STATE, ZIP
E CA x9�9 1— /,j eI6v32—
(317) 846 -7467 FAX (317) 846 -7468 R HOME PHONE, WORK PHONE
Internet http: /www.boxco.com 31 7) 5 7/ a2Spz> ,j 6)rLE—
PKG DESCRIPTION OF DECLARED VALUE
NO SEND TO IF OVER $100 AND
PACKAGE CONTENTS YOU WANT ADDTINS
NAME]J Z PKG WP BARRIER
I� 4- 3 /ho (6 Lf J 151 D.) //NFL. r CHARGES
O STREETADDREESS ADDITIONAL
�1 D !'ANN ZONE INSURANCE
CITY, STATE, ZIP
HANDLING
t�p�juTo� /VT '7QQJ' a CHARGE
NAME PKG WT y CARRIER
L' 3 M06l S10� NG CHARGES
19 STREET ADDRESS
6
N 2 i ADDITIONAL
Q
0 1 V ROAD ZONE INSURANCE
0 CITY STATE, ZIP HANDLING
75� N3 CHARGE
NAMME D �1 1'rN: EPA-Q P G WT CARRIER
t/ifCA CHARGES
S �CTj�J�J /CS ADDITIONAL
STREET O 3 v s
7/ 57 fZ ICl� i -r4i.t ZONE a INSURANCE
E� CITY, STATE, ZIP HANDLING
"I�ECATi,.i(L I CHARGE
NAME P G wT
�i 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))
7/17/09 CPD7179 paymetn for shipping charges 127.64
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
The Box Company IN SUM OF
616 Station Drive
Carmel, IN 46032
127.64
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
e0# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 CPD7179 421 127.64 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
July 29 20 09
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
616 Station Drive The Box Company Phone: 317 846 -7467
Carmel, IN 46032 Fax: 317 846 -7468
Name: Carmel Fire Department Phone Number 571 -2600 Date: 7/17/2009
Address: 2 Civic Square Fax Number P.O. Number
City: Carmel State: IN Zip: 46032 Invoice CFD7209
Qt Descri tion Unit Price Total
Shipping Charges(attached) 134.30
Packaging Char attached) 21.0
O
7/20/2009
3
-0
CQ
Cn
-0
(D
0
Sub Total 155.30
o% Discount
Thank You for Your Order.! After Discount
0% Sales Tax
Total 1 55.3 0
BOXFRM -01 (10 /06)
CO .DEPT DATE NO
PACKAGE SHIPPING REQUEST X15'
NAME V
THE BOX COMPANY P4
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 D F OVER $1 AND
NO �j PACKAGE CONTENTS YOU WANT ADDT INS
N I 4- r I of PKG WT g CHARG S
S TR E DD SSS j ADDITIONAL
ONE INSURANCE
CITY STATE, ZlP i� j P1� H ANDLING
CHARGE
NAME C 16 (f 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
/1J
0
PACKAGE SHIPPING REQUEST tIJ /J
T COMPANY
616 Station Drive E TREET ADDR
Carmel, In 46032 N' el c"
D Cll f !TE, ZIP
(317) 846 -7467 FAX (317) 846 -7468 HO E PHONE, WORK PHONE
Internet http:l /www.boxco.com f Zcj7 3
PKG SEND TO DESCRIPTION OF D F 100 V ALUE
NO PACKAGE CONTENTS YOU WANT ADD' INS E PKG WT CARRIER
A A em6tYrpj.4cc: CHARGES
TREET A DRESS
ADDITIONAL
�reL 4, ZON INSURANCE
CITY, STATE, ZIP
I HANDLING
201 CHARGE
NAME PKG WT
CARRIER
CHARGES
2 STREET ADDRESS
ADDITIONAL
ZONE INSURANCE
CITY, STATE, ZIP
HANDLING
CHARGE
NAME PKG WT
CARRIER
CHARGES
STREET ADDRESS ADDITIONAL
ZONE INSURANCE
CITY, STATE, ZIP
HANDLING
CHARGE
NAME PKG WT
CARRIER
CHARGES
A 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 (10106)
CO DEPT DATE NO
PACKAGE SHIPPING REQUEST
NAME v
T COMPANY
S M D
616 Station Drive E STREET ADDRESS
Carmel, In 46032 N
D CITY, STATE, ZIP
E
(317) 846 -7467 FAX (317) 646 -7468 R HOME PHONE, WORK PHONE
Internet http: /www.boxco.com
PKG SEND TO DESCRIPTION OF DECLARED VALUE
IF OVER $100
NO PACKAGE CONTENTS YOU WANT ADD'L
NAME G AIR �d PKG I CARRIER
{'C C HARGES
STREET ADDRESS
1 ADDITIONAL
�j ZONE INSURANCE
CI STATE, ZIP n-r HANDLING
Z �fcl �y�� CHARGE
PKG WT
I A
NAME aT� CARRIER
A CHARGES
90 OL�a j
2 STREETAppRESS I ADDITIONAL
ZONE o INSURANCE
CITY STATE, ZIP
HANDLING
CHARGE
NAME PKG WT
CARRIER
CHARGES
3 STREET ADDRESS ADDITIONAL
ZONE INSURANCE,
CITY, STATE, ZIP I 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.
BOXFRM -01 (10106)
CO DEPT PATE NO
PACKAGE SHIPPING REQUEST
NAME O
TH EBOX COMPANY S CAem Ftk 1)
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 NO SEND TO DESCRIPTION OF DECLARED O 160 VALUE
PACKAGE CONTENTS YOU WANT ADD'LINS
NAME Q�� I y PKG WT" CARRIER
l IJJC (J /rI /�I �lf� J r ��I L -rL py i' CHARGES
STREET ADDRESS
-So 6 )Zl r ADDITIONAL
N r' ES ZON INSURANCE
CITY, STATE, ZIP
HANDLING
S �Csc��S In JS CHARGE
NAME PKG WT
CARRIER
CHARGES
2 STREET ADDRESS 1
ADDITIONAL
ZONE INSURANCE
CITY, STATE, ZIP
HANDLING
CHARGE
NAME PKG WT
CARRIER
CHARGES
3 STREET ADDRESS
1 ADDITIONAL
ZONE INSURANCE
CITY, STATE, ZIP
HANDLING
CHARGE
NAME PKG WT
CARRIER
CHARGES
4 STREETADDRESS ADDITIONAL
ZONE INSURANCE
CITY, STATE, ZIP
71 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
NAME lY CJ
THE BOX COMPANY Ftl
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 ADD'L D
nn C f� YOU WANT ADD'L INS CARRIER
NAM /J AL SI A L 4/w S 1 1� PKG CHARGES
STREET ADDRESS R
l✓k �r f� Z NE INSURANCE
1 ANCE
CrrY, STATE, ZIP
?ruJ HANDLING
Y" J
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
A 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 DEPT DATE NO
PACKAGE SHIPPING REQUEST C
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 DESCRIPTION OF DECLAREDVALUE
NO SEND TO PACKAGE CONTENTS YOU WANT ADD
NAME 1J I y PKG WT CARRIER
Ce 0&1 c' S%I F U/ f�
1 STREET ADDRESS ADDITIONAL
119% t" IA �O P .0 Z ONE INSURANCE
CITY, STATE, ZIP
I HANDLING
/1)0 CHARGE
NAME n f� PKG WT CARRIER
I I 7C� CHARGES
2 STREET ADDRESS
ADDITIONAL
ZONE a 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
NAME
THEBOX COMPANY S C A 1A
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 DESCRIPTION OF DECLARED VALUE
NO SEND TO PACKAGE CONTENTS YOU WANT ADD
NAM PKG WT CARRIER
t S /WN 1'—
AC C6I p �K [d� CHARGES
STREET ADDRESS J� ADDITIONAL
qS )q,0 �JC_ /WNi4L �/CJ(�f' ONE INSURANCE
CITY, STATE, ZIP
HANDLING
V S" /7 9— F CHARGE
NAME j PKG WT CARRIER
CHARGES
STREETADDRESS ADDITIONAL
ZONE o INSURANCE
CITY, STATE, ZIP
HANDLING
CHARGE
NAME PKG WT CARRIER
n CHARGES
�y STREET ADDRESS ADDITIONAL
3
ZONE o 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 (10106)
CO DEPT DATE NO
PACKAGE SHIPPING REQUEST
NAME
THE BOX COMPANY S CAPmc- l ef- p�G'
616 Station Drive E STREET ADDRESS
Carmel, In 46032 N
D CITY, STATE, ZIP
E
(317) 846 7467 FAX (317) 846 7468 R 7HONE, WORK PHONE
Internet http: /iwww.boxco.com
PKG SEND TO DESCRIPTION OF DE LARE1DOOA VA L U E
NO PACKAGE CONTENTS YOU WANT ADD•L INS
NAME PKG WT CARRIER
/l�d CONI prP" I 7 O CHARGES
1 STREET ADDRESS n p jjJJ ADDITIONAL
lL f LJ QE�ALL�7 1 1 ZQUE INSURANCE
CITY, TATE, ZIP v HANDLING
I1�Oy� /f�2 CHARGE
NAME PKG WT
CARRIER
CHARGES
2 STREETADDRESS
ADDITIONAL
ZONE INSURANCE
CITY, STATE, ZIP
HANDLING
o CHARGE
NAME PKG WT
CARRIER
CHARGES
3 STREETADDRESS
ADDITIONAL
ZONE INSURANCE
CITY, STATE, ZIP
HANDLING
e 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))
CFD7209 $155.30
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
The Box Company
IN SUM OF
616 Station Drive
Carmel, IN 46032
$155.30
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 CFD7209 43- 421.00 $155.30 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
AUG 2 fin®
1,4,
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund