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227281 12/17/2013 CITY OF CARMEL, INDIANA VENDOR: 360427 Page 1 of 1 ONE CIVIC SQUARE THE BOX COMPANY CHECK AMOUNT: $527.97 CARMEL, INDIANA 46032 616 STATION DR CARMEL IN 46032 CHECK NUMBER: 227281 4rox c CHECK DATE: 1 2/1 71201 3 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1120 4342100 CFD103013 527 . 97 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: 12/9/2013 Address: 2 Civic Square Fax Number P.O. Number City: Carmel State: IN Zip: 46032 Invoice M CFD103013 Qt Description Unit Price Total Shipping Charges(attached) $ 460.97 Packaging Charge(attached) $ 67.00 O $ - C $ _ -I $ I) $ - $ - a $ - $ _ D $ - (O $ - (n $ _0 (D $ - n $ - $ _ (� _ I $ _ $ - $ - Sub Total $ 527.97 o°io Discount Thank You for Your Order! After Discount 0% Sales Tax Total $ 527.97 BOXFRM-01(1DI06) CO DEPT DATE NO PACKAGE SHIPPING REQUEST NAME THE OX COMPANY 616 Station Drive E STREET ADDRESS (� p 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 o AANLp E NO PACKAGE CONTENTS YOU WANT ADD'L INS NAME � � $ PKG WT $ ■`� CHARGES 1 STREET ADDRESS _ ADDITIONAL 1 mC ZONE ■ INSURANCE CITY,STATE,ZIP 2 / $ HANDLING �' )1 � N t �J (� �� J ■ 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 NA THE 'OX COMPANY S 7 . 616 Station Drive E PTREET ADDRESS Carmel, In 46032 N I D CITY,STATE,ZIP E (317)846-7467 FAX (317)846-7468 p HOME PHONE,WORK PHONE L Internet http://www.boxco.com 3)' C� '� ' J C'o>"Cr' p PKG SEND TO DESCRIPTION OF DECLARED.VAWE NO PACKAGE CONTENTS You WANT aoo�INS NAME $ PKG WT $,r.'9 —7/ CARRIER t CHARGES 1 STREET ADDRESS j , $ ADDITIONAL ZONE INSURANCE CITY,STATE,ZIP $ HANDLING f(/ CHARGE NAME $ PKG WT $� �ja CARRIER tt // r STREET ADDRESS L/ LJJ) CHARGES 2 / $ ADDITIONAL ZONE INSURANCE CITY,STATE,ZIP 6171 PO J $ HANDLING CHARGE NAME $ PKG WT $ CARRIER CHARGES 3 STREET ADDRESS I $ ADDITIONAL ZONE INSURANCE CITY,STATE,ZIP $ HANDLING CHARGE NAME PKG WT $ $ 3� CARRIER �Lq CHARGES 4 STREET ADDRESS $ ADDITIONAL ZONE INSURANCE CITY,STATE,ZIP $ HANDLING Y 7,OD 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. 'w �� BOXFRM-01(10/1 CO DEPT DATE NO PACKAGE SHIPPING REQUEST NAME THEBOX COMPANY ESTREET ADDRESS 616 Station Drive N Carmel,In 46032 D CITY,STATE,ZIP E (317)846-7467 FAX(317)846-7468 R HOME PHONE,WORK PHONE Internet http://www.boxco.com PKG SF,ND TO DESCRIPTION OF DECLARED V AND NO / PACKAGE CONTENTS YOU WANT ADD'L INS NAME $ PK $ -G CARRIEI J, CHARGE 1 TREE?ADDRESS / � $ ADDITION 1 � .ZONE INSURAN( CITY,STATE,ZIP �( $ HANDLIN 7 (��. CHARGE NAME AL PKG WT $ CARRIEI i /�ti �j $ CHARGE S REET ADDRESS / ADDITION 2 �L/' ZONE INSURAN, CITY,STATE,ZIP f� $ HANDLIN V � CHARGI NAME ru P ( CARRIE. CHARGE TREET ADDRESS I j $ ADDITION ZONE INSURAN CITY,STATE,ZIP � $ e HANDLIE CHARG NAME PKG WT $ � O CARRIE / CHARGE 4 STREET ADDRESS $ ADDITIOP ZONE INSURAN CITY,STATE,ZIP ^ R $ HANDLNf '✓ (�/6� CHARG ATTENTION CUSTOMERSIE 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 ALUE OVER THE CARRIER'S LIMITED$100 LIABILITY.MAXIMUM C0�ERAGE CANNOT EXCEED $25.000 IN V91 t1E. � ^ 50 OWN Lop L �� (e AOL eel BOXFRM-01(10/0 CO DEPT DATE NO PACKAGE SHIPPING REQUEST U THEBOX COMPANY S NAME �1E I i2 616 Station Drive E STREET ADDRESS L 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 IF OVER$100 AND NO SEND TO PACKAGE CONTENTS YOU WANT ADD'L INS NAME $ PKG WT $ CARRIER �rA 0� - 1� ' CHARGES 1 STREET ADDRESS $ ADDITIONA ZONE INSURANCI CITY,STATE,ZIP $ HANDLING CHARGE NAME $ PKG WT $ CARRIER CHARGES 2 STREET ADDRESS $ ADDITIONA ZONE INSURANCI CITY,STATE,ZIP $ HANDLING CHARGE NAME $ PKG WT $ CARRIER CHARGES 3 STREET ADDRESS j I $ ADDITIONA' ZONE INSURANCI CITY,STATE,ZIP $ HANDLING CHARGE NAME $ PKG WT $ CARRIER CHARGES STREET ADDRESS $ ADDITIONA! 4 ZONE INSURAP CITY,STATE,ZIP $ HANDLIN 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 $527.97 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1120 I CFD103013 I 43-421.00 I $527.97 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 ;ZlLn )449e-- Fire Chief Title Cost distribution ledger classification if claim paid motor vehicle highway fund 3rescribed by State Board of Accounts City Form No.201(Rev.1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL 4n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by nrhom, 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)) CFD103013 $527.97 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