206975 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: 360427 Page 1 of 1
0 4f ONE CIVIC SQUARE THE BOX COMPANY
CARMEL, INDIANA 46032 616 STATION DR CHECK AMOUNT: $189.33
CARMEL IN 46032 CHECK NUMBER: 206975
CHECK DATE: 3/13/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239099 CPD3112 14.95 OTHER MISCELLANOUS
1110 4342100 CPD3112 174.38 POSTAGE
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: 3/1/2012
Address: 3 Civic Square
City: Carmel State: IN. Zip: 46032 Invoice M CPD3112
Qt Description Unit Price Total
Shipping Charges(attached) 143.38
Packaging Charges (attached) 31.00
15 Gold Foil Ring Boxes (ann picked up on 01/25/2012) 0.99 14.85
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CQ
Cn
(D
0
G7
Sub Total 189.23
o °1° Discount
Thank You for Your Order! After Discount
6 %Sales Tax
Total 189.23
i
BOXFRM-01 (9/03)
CO DEPT DATE NO
PACKAGE SHIPPING REQUEST d
�j
T S lEi� iG7c Iv
HE BOX COMPANY p. /A�� Cc
Merchants Square E STREETADDRESS
2462 East 116th Street IN 3 IV S
Carmel, In 46032 D CITY, STATE, ZIP
E C AK,.-1 CZ l fn 0,3 J..
(317) 846 -7467 FAX (317) 846 -7468 R HOME PHONE, WORK PHONE
Internet http: /www.boxco.com S 7 :25�) a n1dOa el O C0. ('f'A f D
PKG DESCRIPTION OF DECLARED VALUE
NO SEND TO PACKAGE CONTENTS YOU OVER $10D AND
U WANT ADD'L INS
NAME —7� f PKG WT CARRIER
/CZU L 7 "[L/ Ci� l� Q. C7'v I L Z1 p 7 l CHARGES
ST EETADDRESS j O pD ADDITIONAL
Q
ZONE S� INSURANCE
CITY, STATE, ZIP f HANDLING
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 STREETADDRESS 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 G� y
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
I I I I iaT
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 DECLARE 10 V
NO PACKAGE CONTENTS YOU WANT ADD'LINS
NAME PKG
CHARGES CARRIER
1 STREET ADDRF�SS` _q "l ADDITIONAL
�I Q Cj ZO INSURANCE
CITY, STATE, ZIP
HANDLING
CHARGE
NAME PKG WT CARRIER
v
cc t'Xk p 1 a—S� I CHARGES
2 STREET ADDRESS ADDITIONAL
I�IlI ZONE INSURANCE
CITY, STATE, ZIP
s 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))
03/01/12 CPD3112 gold foil ring boxes $14.95
03/01/12 CPD3112 shipping charges $174.38
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
$189.33
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1110 CPD3112 42- 390.99 $14.95
I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1110 CPD3112 43- 421.00 $174.38
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, March 09, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund