217970 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