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Home My WebLink About175613 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 O C Cn cQ C!� CD v7 r (n 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 Z NE INSURANCE CITY, STATE, ZIP HANDLING �NT/1(�fl 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