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HomeMy WebLinkAbout172230 05/13/2009 .a CITY OF CARMEL, INDIANA VENDOR: 027425 Page 1 of 1 ONE CIVIC SQUARE THE BOX CO 0 I 616 STATION DRIVE CHECK AMOUNT: $340.42 CARMEL, INDIANA 46032 CARMEL IN 46032 CHECK NUMBER: 172230 CHECK DATE: 5/13/2009 DEPARTMENT ACCOU PO NUMBER INVOICE NUMBER AM OUNT DESCRIPTION 1120 4342100 CF4249 177.74 POSTAGE 1110 4342100 CPD4279 162.68 POSTAGE 616 Station Drive The Box Company an y Phone: 317 846 -7467 Carmel, IN 46032 Fax: 317- 846 -7468 Name: Carmel Fire Department Phone Number 571 -2600 Date: 4/24/2009 Address: 2 Civic Square Fax Number P.O. Number City: Carmel State: IN Zip: 46032 invoice CF4249 of !Descripti U nit Price Total Shipping Charges(attached) 3 1 10.31 Packaging Charge( attached) 1241 12.73 34.18 O 34 18 C —1 32.73 4/27/2009 41 2 C -0 177 74 C ro n v Sub Total 177.74 a% Discount Thank You for Your Order? After Discount 0% Sales Tax Total 177.74 4 BOXFRM -01 (10106) CO DEPT DATE NO PACKAGE SHIPPING REQUEST a r 17 THE BOX COMPANY S NAME ca /t4 l 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 KG SEND TO DESCRIPTION OF DE L A RR $�V AL E NO PAC GE CONTENTS YOU WANT ADD'L INS NAME 1 L(� �fCC 1 PKG VVT f CARRIER 1 STREET AD 9 RESS f CHARGES ADDITIONAL r J W ZONE INSURANCE r-8 TATE, Z(P r 1n (1 f Q CHARGE V �t Y V f I,L1 r r HANDLING NAME f PKG WT CARRIER CHARGES 2 STREET ADDRESS ADDITIONAL ZONE INSURANCE CITY, STATE, ZIP HANDLING CHARGE NAME PKG WT CARRIER CHARGES 3 STREET ADDRESS ADDVTVONAL 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 7 NAME THE BOX 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 'EKG SEND TO DESCRIPTION OF DE LAR $1 D OOAND E NO PACKAGE CONTENTS YOU WANT ADO'LINS NAME PKG WT ARRIER 121 1 0 5 C CHARGES STRE A/PDRrES ADDITIONAL ZONE INSURANCE CITY. S Z STATE, ZIP HANDLING ('NIUicasl7 1 /rj 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 w STREET ADDRESS L+ 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 C( 1 3 NAME I THEBOX COMPANY S GAP-m 61RE 657 616 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 DE LLAR g�oA E NO ff"" gg PACKAGE CONTENTS YOU WANT ADD'L INS NA ME wdaw GI" 6 lN6�.Qlp� C O. S7/�� K P G tT: CHARGES STREETADDRESS 5/ ,1, n ADDITIONAL J�� T ZOt E INSURANCE CITY, STATE, ZIP HANDLING c— `S/ Z f r 0 L II CHARGE NAME PKG WT CARRIER S U/G Q� CHARGES 2 STREETADDRESS 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 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 U NAME T COMPANY S C'AklylF U 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 PACKAGE CONTENTS YOU WANT ADD'L INS NAME n 1)/ 6L �L y �I2 -s;�� EKG WT CJ CHARGES CARRIER STREET ADDRE S T• ADDITIONAL /LQ GJQ Q s Zb NE jj INSURANCE CITY, STATE, ZIP HANDLING t Z4?O_ CHARGE NAME PKG WT CARRIER CHARGES 2 STREET ADDRESS j ADDITIONAL INSURANCE CITY, CITY, STATE, ZIP HANDLING p CHARGE NAME PKG WT CARRIER o 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. BOXFRM -01 (10106) PACKAGE SHIPPING REQUEST CO I DEPT DATE NO 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 b-) 412/- ff L r r YOU WANT ADD'L INS NAM CJ/ Sr� l L.�G J 7� J PKG WT 32 CARRIER S STREET ADDRESS n^ ADDITIONAL y 1 3 L O `DA ZONE' INSURANCE CITY, STATE, ZIPP HANDLING C} r-61)911 N l y J CHARGE NAME PKG WT CARRIER CHARGES 2 STREET ADDRESS ADDITIONAL ?p1.lE 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) CF4249 $177.74 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. 'vVARRANT NO. ALLOWED 20 The Box Company IN SUM OF 616 Station Drive Carmel, IN 46032 $177.7 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO, ACCT /TITLE AMOUNT Board Members 1120 CF4249 43- 421.00 $177.74 1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except MAY 11 U9 f a Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund 616 Station Drive The Box Company Phone: 317 846 -7467 Carmel, IN 46032 Fax: 317 846 -7468 Name: Carmel Police Dept. Phone Number: 317- 571 -2500 Date: 4127(2009 Address: 3 Civic Square City: Carmel State: IN. Zip: 46032 invoice M CPD4279 U Qt TY iDescription Unit Price Total Shipping Charges(attached) 162.68 O Sent 04/27/2009 co 0 3 (D c1n) Sub Total 162.68 o°io Discount Thank You for Your Order! After Discount 6 %Sales Tax Total 162.68 3J T ©V BOXFRNi -01 (10106) CO DEPT DATE NO PACKAGE SHIPPING REQUEST NAME THEBOX COMPANY S c 1C- &IIcf: "Z>*_PAdc OME-IJ7 616 Station Drive E STREET ADDRESS Carmel, In 46032 N 3 &IvlG D CITY, STATE, ZIP E Cdt L i,.> j/In432 (317) 846 -7467 FAX (317) 846 -746$ R HOME HONE, WORK PHONE Internet http: /wvvw.boxco.com (3173 57/—. A SDf SIC1?_V44 PKG SEND TO DESCRIPTION OF D E OVER S7Do VAL NO PACKAGE CONTENTS YOU WANT ADD'LINS NAME R D/� p PKG WT f CARRIER �)Ou ke1� I� eci s /O.a_7 J F-ept 7 CHARGES STREET ADDRESS ADDITIONAL. 1 300? Alw qft. Aof 5"t E 11 s( ZO E INSURANCE CITY, STATE, ZIP HANDLING i r: 4AjAVCR-t7ALE FL 33309 CHARGE NAME PKG WT CARRIER CHARGES 2 STREET ADDRESS ADDITIONAL ZONE INSURANCE CITY, STATE, ZIP HANDLING CHARGE NAME PKG WT CARRIER o 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. J /0- 0 BOXFRM -01 (10106) PACKAGE SHIPPING REQUEST CO DEPT DATE I ND NAME T COMPANY S CMA41iL 616 Station Drive E STREET ADDRESS Carmel, In 46032 N 3 611AG Z cXaL A-(�f- D CITY, STATE, ZIP E /it!EL /nj f(03a (317) 846 -7467 FAX (317) 846 -7468 R HO E P ONE, WORK PHONE Internethttp: /www.boxco.com 17 S7l-,a25bo PKG SEND TO DESCRIPTION OF D E oven D V ALUE NO PACKAGE CONTENTS YOU WANT ADD'LINS NAME .j J5&%> &L C&. PKG WT f CARRIER CHARGES 1 STREET ADDRESS ADDITIONAL S FoAtea ST>LE£T ZONE INSURANCE CITY, STATE, ZIP HANDLING TAf�w1 �7(pl CHARGE NAME PKG wT CARRIER CHARGES 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 CUSTOMERSN 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. 13 -y BOXFRM -01 (10106) CO DEPT DATE Nd PACKAGE SHIPPING REQUEST THEBOX COMPANY S NAI��J^�£L n pC�cf b�.(�i�- �.br4.�37' 616 Station Drive E STREET ADDRESS G Carmel, In 46032 N 3 e 5Qt.xp(L D CITY, STATE, ZIP �f E rr G i.� YrCxw 3 Z (317) 846 -7467 FAX (317) 846 -7468 R HOME PHONE, WORK PHONE Internet http: /www.boxco.com 317D S 3,d'z,4) QGL PKG SEND TO DESCRIPTION OF DEpL NO PACKAGE CONTENTS YOU WANTADD'L INS NAME -fq4ERAZ_ SWA>AL 6cpPb f /e1K> PKG WT CARRIER �t /59137C O l CHARGES 1 STREET ADDRESS ��p ADDITIONAL J& y5 afiAL S( GN/bL �/V�LJ ZOO INSURANCE CITY, STATE, ZIP W'll c si P�a� -K lL HANDLING (130if(Ia CHARGE NAME L —3 Ino'gILf V lSl O.J PKG WT Q CARRIER A*tr 93117 9 C� CHARGES 2 S TREET 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 T W 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) PACKAGE SHIPPING REQUEST CO DEPT DATE NO NAME T HEBOX COMPANY S CAilZmel- Pofr« 000- a ,o44cAj 616 Station Drive E STREET ADDRESS Carmel, In 46032 N 3 CI u rG SQ L.AzF D CITY, STATE, ZIP E CA41KIEc IA X6032 (317) 846 -7467 FAX (317) 846 -7468 R HOME PH NE, WORK PHONE Internet httpalwww.boxco.com 3l7 57/ a 2 Sbo PKG DESCRIPTION OF DECLARED VALUE NO SEND TO PACKA CONTENTS IF OVER $100 AND NAME TAG (,��G YOU WANT ADD'L INS PKG WT CARRIER A ,/i'- /I CAAV qU 'GA CHARGES 1 STREET ADDRESS) /'ns ADDITIONAL y D S pu Al� ZONE INSURANCE CITY, STATE, ZIP C 6� ,4T5WDktTh4 J 3 r HANDLING �1 CHARGE NAME PKG WT CARRIER CHARGES STREET ADDRESS Lp 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 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 $25,000 IN VALUE. �AI A l/5 BOXFRM -01 (106) CO DEPT DATE NO PACKAGE SHIPPING REQUEST NAME THEB ®X COMPANY S "¢L cf—'Z P$l tW49,0 616 Station Drive E STREET ADDRESS Carmel, In 46032 N 3 C-f SG)UAAE D CITY, STATE, ZIP E CA e- 3 Z (317) 846 -7467 FAX (317) 846 -7468 R HOME P ONE, WORK PHONE CP7— F Internet http: /www,boxco.com 3 17) 571—p9 5 00 yx,�t S7 PKG SEND TO DESCRIPTION OF D E L A R sD V AL U E NO PACKAGE CONTENTS YOU WANT ADD'L INS 1, NAME 'JX$£ !N 1 F PK WT CARRIER J .47rA i<l4fA T,/�Wkj MA 11S670 f CHAR 1 STREETADDRESS ADDITIONAL l� Sb 0 Al $S +k 5 ONE v INSURANCE CITY, STATE, ZIP 77 SµSS —9 H ANDLING NAME PKG WT CARRIER CHARGES '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 a CHARGE NAME PKG WT CARRIER CHARGES 4 STREET ADDRESS ADDITIONAL ZONE INSURANCE CITY, STATE, ZIP HANDLING 1 0 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. Ap y 0; 1 BOXFRM -01 +10106) CO DEPT DATE NO PACKAGE SHIPPING REQUEST NAME THEBOX COMPANY S CA�m* past« 616 Station Drive E STREET ADDRESS Carmel, In 46032 N 3 e! Gdc- D CITY, STATE, ZIP E eAkAel I YGo�Z (317) 846 -7467 FAX (317) 846 -7468 R HOME PHONE, WORK PHONE Internet http: /www.boxco.com 3t7) Z 57 S DO ,AJAAIC ZfLLC2g PKG SEND TO DESCRIPTION OF DECLARED VALUE NO PACKAGE CONTENTS IF OVER $100 AND V YOU WANT ADD'L INS NAME F63: LA(�j c CARRIER uib�tf. 6cgsTkw_ UAJ4. r Pr 0 C Z CHARGES 1 STREETADDRESS ADDITIONAL ixaAsTlGIaT /aJ VA(Lv SAY ZONE INSURANCE CITY, STATE, ZIP HANDLING OL LmAi rico, WO i S CHARGE NAME PKG WT CARRIER CHARGES 2 STREETADDRESS f J ADDITIONAL ZONE INSURANCE CITY, STATE, ZIP HANDLING CHARGE NAME PKG WT CARRIER CHARGES STREET ADDRESS ADDITIONAL n ZONE INSURANCE CITY, STATE, ZIP l J I 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 DA 1 y I p NAME o THEB®X COMP s Carmel Police De t'-_ n 616 Station Drive E STREET ADDRESS Carmel, In 46032 N D CA, STM Square E Carmel, IN 46032 (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 YOU WANT ADD'L INS NAME PKG WT CARRIER CHARGES 1 STREET ADDRESS ADDITIONAL 1 13400 S. 520 Road ZONE INSURANCE CITY, STATE, ZIP Lk HANDLING Miami- QK 74354 CHARGE M E 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 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 The Box Company Purchase Order No. 616 Station Dr Terms Carmel, IN 46032 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 4/27/09 CPD4279 payment for shipping charges 162.68 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_h.e Box Company IN SUM OF 616 Station Dr Carmel, IN 46032 162.68 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 CPD4279 421 162.68 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 May 6, 20 09 Signat Chief W e Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund