HomeMy WebLinkAbout227668 1/8/2014 », CITY OF CARMEL, INDIANA VENDOR: 360427 Page 1 of 1
f' ONE CIVIC SQUARE THE BOX COMPANY CHECK AMOUNT: $85.78
` 4 CARMEL, INDIANA 46032 616 STATION DR
CARMEL IN 46032 CHECK NUMBER: 227668
CHECK DATE: 1/8/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4342100 CFD123013 85 . 78 POSTAGE
616.Station Drive The Bax Company Phone: 317-846-7467
Carmel, IN 46032 p� Y Fax: 317-846-7468
Name: Carmel Fire Department Phone Number 571-2600 Date: 12/30/2013
Address: 2 Civic Square Fax Number P.O. Number
City: Carmel State: IN Zip: 46032 Invoice M CFD123013
Qt Y, Description Unit Price Total
Shipping Charges(attached) $ 85.78
Packaging Charge(attached) $ -
$
$ O
$ -
$ - f/)
$ 3
$ Z3
$ -
$
$ Cl)
$ -0
CD
$ - n
$ -
$ U)
I $
$ -
Sub Total $ 85.78
Discount
Thank You for Your Order! After Discount
0% Sales Tax
Total $ 85.78
' BOXFRM-01(10/06)
CO DEPT DATE NO
PACKAGE SHIPPING REQUEST ` z I i
NAME
THEBOX COMPANY s
616 Station Drive E STREET ADDRESS
Carmel, In 46032 N - 1.
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 LARsDVALUE
NO PACKAGE CONTENTS YOU WANT ADD'LINS
NAME $ PKG WT CARRIER
/ I7■ CHARG S
C, STREET ADDRESS $
ADDITIONAL
ZONE INSURANCE
CITY,STATE,ZIP $
HANDLING
CHARGE
NAME $ FK $r, CARRIER
CHARGES
2 TREETADDRESS $ ADDITIONAL
INSURANCE
■
ALE
ZIP $
HANDLING
CHARGE
NAME $ P G WT $ "). 7
CARRIER
TREET ADDRESS $ ADDITIONAL
ZONE INSURANCE
CITY,STATE,ZIP $
HANDLING
CHARGE
AME PK WT $
$ Cj'2,-"
CARRIER
4PY
EETADDRESS f/ CHARGES
$ ADDITIONAL
ZONE INSURANCE
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
$25,000 IN VALUE. •
BOXFRM-01(10/06)
DgT
PACKAGE SHIPPING REQUEST CO DEPT NO
J
NAME 1
THEBIOX COMPANY S
616 Station Drive E STREETADDRESS
Carmel,In 46032 N IT L
D CITY,STATE,ZIP
E
(317)846-7467 FAX(317)846-7468 R HOME PHONE,WORK PHONE
Internet http://www.boxco.com
PKG DESCRIPTION OF DECLAREDVAWE
NO SEND TO IF OVER$too AND
PACKAGE CONTENTS YOU WANT ADD'L INS
NAME PKG WT $
�--r 'f CARRIER
CHARGES
1 STREET ADDRESS $
ADDITIONAL
ZONE INSURANCE
CITY,STATE,ZIP $
HANDLING
CHARGE
NAME $ PKG WT $ CARRIER
CHARGES
STREET ADDRESS l $ 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.
y Prescribed by State Board of Accounts City Form No.201 (Rev. 1995)
VOUCHER NO. WARRANT-NG"
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
The Box Company IN SUM OF $ CITY OF CARMEL
616 Station Drive An invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
Carmel, IN 46032 whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
$85.78 Payee
Purchase Order No.
ON ACCOUNT OF APPROPRIATION FOR
Terms
Carmel Fire Department
Date Due
Invoice Invoice Description Amount
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members Date Number (or note attached invoice(s) or bill(s))
1120 I CFD123013 I 43-421.00 $85.78 1 hereby certify that the attached invoice(s), or CFD123013 $85.78
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
,SAN F
I
d � b
Fire Chief
Title
Cost distribution ledger classification if I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
claim paid motor vehicle highway fund with IC 5-11-10-1.6
, 20—
Clerk-Treasurer
20Clerk-Treasurer