209933 06/20/2012 „yf CITY OF CARMEL, INDIANA VENDOR: 360427 Page 1 of 1
ONE CIVIC SQUARE THE BOX COMPANY
CARMEL, INDIANA 46032 616 STATION DR CHECK AMOUNT: $55.22
CARMEL IN 46032
CHECK NUMBER: 209933
CHECK DATE: 6/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4342100 CFD6812 55.22 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: 6/8/2012
Address: 2 Civic Square Fax Number P.O. Number
City: Carmel State: IN Zip: 46032 Invoice M CFD6812
Qt Y. Description Unit Price Total
Shipping Charges(attached) 55.22
Packaging Charge( attached)
O
O
U)
_0
(Q
U)
_0
(D
0
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U)
—f.
Sub Total 55.22
o% Discount
Thank You for Your Order.! After Discount
0% Sales Tax
Total 55.22
BOXFRM -01 (10 /06)
CO DEPT DATE NO
PACKAGE SHIPPING REQUEST C 3 U
THE NAME
B ®X 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 D E LAR sD o N E
NO PACKAGE CONTENTS YOU WANT ADD'L INS
NAME PKG W7 CARRIER
s-� CHARGES
STREET ADDR ADDITIONAL
Z E INSURANCE
CITY, STATE, P S HANDLING
V l0' ✓�V l' CHARGE
NAME PKG WT CARRIER
CHARGES
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.
BOXFRM -01 (10/06)
CO DEPT DATE NO
PACKAGE SHIPPING REQUEST
NAME
THEBOX COMPANY S r,4 RMCL T DEa�-
616 Station Drive E STREET ADDRE
Carmel, In 46032 N I (!J C- �Q
c Ut j/Z T /V1 1
E E /A/ 1 16,°.3 2
(317) 846 -7467 FAX (317) 846 -7468 R HOME PHONE, WORK PHONE
Internet http: /www.boxco.com
PKG SEND TO DESCRIPTION OF D E LAR sD onr� E
io
NO PACKAGE CONTENTS YOU WANT ADDT INS
NAME PKG WT CARRIER
Tq,5 Fo/R c E I CHARGES
1 STREET ADDRESS '-1 T ADDITIONAL
0 I IJ00VA_rlDt1/ W 14 ZONE INSURANCE
CITY, STATE, ZIP
L pR 1 n R C l C HANDLING
rt 7 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
3
ZONE INSURANCE
CITY, STATE, ZIP HANDLING
CHARGE
NAME PKG WT CARRIER
CHARGES
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 I A
PACKAGE SHIPPING REQUEST I
NAME
THEBOX COMPANY S y�
Ca,e m L Ft
616 Station Drive E STREET ADDRESS
Carmel, In 46032 N Gt_)o C 0 1 C
D CITY, STATE, ZIP
E C, ^A EC g403
(317) 846 -7467 FAX (317) 846 -7468 R HOME PHONE, WORK PHONE
Internet http: /www.boxco.com 3 (7 '5 Z 4 OQ
PKG SEND TO DESCRIPTION OF D E LAR D VA
NO PACKAGE CONTENTS YOU WANT ADD'L INS
NAME, /U ECT)?C I C 5 A77 P Q v W. CHARGES
STREET ADDRESS C AD
1 DITIONAL
I 4 0 C H E AV E ONE INSURANCE
CITY, STATE, ZIP
ANDLING
�It' S� Sq 11 H
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
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
NAME
THE BOX COMPANY S 0 -om et Fiac AE►'T
616 Station Drive E STR T ADDRESS
Carmel, In 46032 N O 1. I Lh C 50 V A /?F
D CITY STATE, ZIP
E .42/ 7 E'L q4 o 3 2
(317) 846 -7467 FAX (317) 846 -7468 R HOME PHONE, WORK P NE
Internet http: /www.boxco.com 3)-4 Z (0 OQ
PKG SEND TO DESCRIPTION OF D E LARsD V
NO PACKAGE CONTENTS YOU WANT ADD'LINS
NAME c PKG WT CARRIER
r J1 AL Co a, RM CHARGES
STREET ADDRESS ADDITIONAL
1 4�/s b6 -l? ✓/CA-)gt_ `J /Z ZONE INSURANCE
CITY, STATE, ZIP a CHARGE
F I
�lV I V Eh�J l I�
I L co i7 HANDLING
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
4 STREET ADDRESS
ADDITIONAL
ZONE INSURANCE
CITY, STATE, ZIP HANDLING
e 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))
CFD6812 $55.22
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
$55.22
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
1120 I CFD6812 I 43- 421.00 I $55.22 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
JUN 18 2012
A w7
d Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund