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Home My WebLink About206974 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: 360427 Page 1 of 1 ONE CIVIC SQUARE THE BOX COMPANY CHECK AMOUNT: $64.93 CARMEL, INDIANA 46032 616 STATION DR CARMEL IN 46032 CHECK NUMBER: 206974 CHECK DATE: 3/13/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4342100 CFD3112 64.93 POSTAGE 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: 3/1/2012 Address: 2 Civic Square Fax Number P.O. Number City: Carmel State: IN Zip: 46032 Invoice M CFD3112 Qt Descri tion Unit Price Total Shipping Charges(attached) 59.93 Packaging Charge( attached) 5.00 O U) 3 0 U) (D n U) --f- GO Sub Total 64.93 F 0011- Discount Thank You for Your Order! After Discount 0% Sales Tax Total 64.93 BOXFRM -01 (10/06) CO DEPT DATE j NO PACKAGE SHIPPING REQUEST I/ J 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 SEND TO DESCRIPTION OF DE OVER $R)0 V ALUE NO PACKAGE CONTENTS YOU WANT ADD'L INS NAME A Co Wt P )j G CHARGES STREETADDR j%t 7 ADDITIONAL Dir-Pql! S ,O A p E INSURANCE CITY, STATE, ZIP �j J� yI HANDLING 1(�EK.� /T 7 H COQ 9 4 CHARGE NAME B P G WT CARRIER 0 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 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 I DAT.� NO PACKAGE SHIPPING REQUEST Z THE BOX COMPANY S NAM qi ,>M EL 616 Station Drive E STRE Carmel, In 46032 N 11 t) V c :5 ah U 1 D CA, STATE, ZIP E (317) 846 -7467 FAX (317) 846 -7468 R HOME PHONE, WORK PHO E Internet http: /www.boxco.com PKG SEND TO DESCRIPTION OF D E L A R ED V ALU E NO PACKAGE CONTENTS YOU WANT ADDT INS NAME PK CARRIER ST�zE 'WT 4 M L /ANT CHARGES STREET ADDRESS �j ADDITIONAL F46 �v O ZONE INSURANCE CI1 �E, Z 19j L L E 6 .l �U F CHARGE NAME n PKG WT L r L LL 14 90 CARRIER 3 CHARGES G V 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 A 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 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 �J SEND TO PAC CONTENTS CONTENTS YOU WANT ADD'L INS NAMf�� /1 G -mil /"G /�li /VF i�r� /y"4TTF�� PKG WTI CHARGES 1 STREET DRESS ADDITIONAL ZONE INSURANCE CITY, STATE, ZIP HANDLING P—A,A -c/7 UV /CCp �OO CHARGE NAME P G 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 CUSTOMERII S 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 IC NAME THEBOX COMPANY S C4 i?M EL- bE7P% 616 Station Drive E STREET ADDRES C Carmel, In 46032 N toC A D CI STATE, ZIP (317) 846 -7467 FAX (317) 846 -7468 R HOME PHONE, WORK PHONE Internet http: /www.boxco.com PKG SEND TO DESCRIPTION OF DEC $D NO PACKAGE CONTENTS YOU WANT ADD'LINS NAME CARRIER PKG S -�7� E4MLI C Nr /CEP ,4I P CHARGES 1 STREET ADDRESS 14i ADDITIONAL C �4C V O L l2Or4 J �r �Vb ZONE INSURANCE CITY, STATE, ZIP t Q G HANDLING E 1q C L I-- V I LL r P q I f) S 3� 1 (1 p CHARGE NAME PKG WT 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. BOXFRM -01 (10/06) PACKAGE SHIPPING REQUEST CO DEPT DATE NO NAME T COMPANY' S 616 Station Drive E STREET ADDRESS Carmel, In 46032 N C i D CITY, ST A�, ZIP (317) 846 -7467 FAX (317) 846 -7468 R HOME PHONE, WORK PHONE Internet hftp://www.boxco.com 71 7 PKG DESCRIPTION OF DECLARED VALUE IF OVER $100 AND NO SEND TO PACKAGE CONTENTS YOU WANT ADDT INS NAME O PKG WT CARRIER CHARGES STREET ADDRESS ADDITIONAL 708 ,5_ ZONE INSURANCE CITY, STATE, ZIP HANDLING Lf�/��J .Z� 7� j �D V�S G CHARGE NAME PKG WT CARRIER CHARGES 2 STREET ADDRESS ADDITIONAL a ti L ZONE INSURANCE CITY, STATE, ZIP 2- I 2 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 ADDITIONAL L ZONE INSURANCE r CHARGE P HANDLING 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)) CFD3112 $64.93 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 $64.93 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1120 I CFD3112 I 43- 421.00 I $64.93 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 MAR 19, 2012 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund