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Home My WebLink About217970 03/13/2013 CITY OF CARMEL, INDIANA VENDOR: 027425 Page 1 of 1 ONE CIVIC SQUARE THE BOX CO CARMEL, INDIANA 46032 616 STATION DRIVE CHECK AMOUNT: $63.78 CARMEL IN 46032 CHECK NUMBER: 217970 CHECK DATE: 3/13/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4342100 CFD22213 63 . 78 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: 2/22/2013 Address: 2 Civic Square Fax Number P.O. Number City: Carmel State: IN Zip: 46032 Invoice M CFD22213 Qt Y.. Description Unit Price Total Shipping Charges(attached) $ 63.78 Packaging Charge(attached) $ - $ $ O C $ -I $ !^ $ $ $ $ �Q $ VJ $ �TT \V $ n $ si $ Sub Total $ 6378 o% Discount Thank You for Your Order! After Discount 0% Sales Tax Total $ 63.78 BOXFRM-01(10/06) DEPT PACKAGE SHIPPING REQUEST CO DA` NO NAME THEBOX COMPANY S 612, 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 YOU WANT AD AND INS NA t $ PKG WT $% CARRIER CiJSTC"y Ct�L7L,Q S CHARGES STREET ADDRESS 1 ADDITIONAL p o O E � INSURANCE CITY,STATE,ZIP L`I.�od:A 1�SS $ 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(10106) CO DEPT DATE J �1\10 "PACKAGE SHIPPING REQUEST / .�.� THEBOX COMPANY S NAME 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 LARsDoA E NO PACKAGE CONTENTS YOU WANT ADD'L INS NAME PKG WT $ � f�C o `� $ CARRIER / C..,.Y5, CHARGES 1 STREET ADDR SS $ ADDITIONAL ZONE INSURANCE CITY,STATE,ZIP $ HANDLING 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 $25,000 IN VALUE. BOXFRM-01(10/06) CO DEP PACKAGE SHIPPING REQUEST T D E s ls�" NAME THE BOX COMPANY S - -"� E STREET ADDRESS 616 Station Drive �QM ` rJ;7.e Carmel,In 46032 N D CITY,STATE,ZIP E (317)846-7467 FAX(317)846-7468 R HOME PHONE,WORK PHONE Internet http://www.boxco.com PKG SEND TO DESCRIPTION OF DE LAR$Do NANO E NO PACKAGE CONTENTS YOU OVER$10 A INS NAME - $ PKG W1 $ I n CARRIER CHARGES 1 STREET ADDRESS $ ADDITIONAL ON INSURANCE CITY,STATE,ZIP ) ] 1� $ HANDLING I/ t 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. • VOUCHER NO. WARRANT NO. ALLOWED 20 The Box Company IN SUM OF $ 616 Station Drive Carmel, IN 46032 $63.78 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 I CFD22213 I 43-421.00 I $63.78 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 1. 1 2010 Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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)) CFD22213 $63.78 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