HomeMy WebLinkAbout229327 2 /25/2014 CITY OF CARMEL, INDIANA VENDOR: 362876 Page 1 of 1
ONE CIVIC SQUARE TRAVELERS
CARMEL, INDIANA 46032 CHECK AMOUNT: $1,902.80
13607 COLLECTIONS CENTER DRIVE
`oCHICAGO IL 60693 CHECK NUMBER: 229327
CHECK DATE: 2/25/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 J 4347500 455728 1, 902 . 80 GENERAL INSURANCE
Adw
TRAVELERS J PAGE 1
THE TOTAL DUE INCLUDES PAST DUE CHARGES.
PLEASE REVIEW YOUR ACCOUNT IMMEDIATELY.
i i
14N99887-ZPP 5216X7087 01/31/2014 000455728 02/15/2014 3,475.70
\"keQ-- CURRENT
CLAIM#: EXK2736 DATE OF LOSS: 07/01/2012
DESCRIPTION: ALLEGATION THAT A CITY OF CARMEL POLICE OFFICER RAN
THE CLMT'S PERSONA
CLAIMANT: NICOLE RYERSON
EXPENSE 904.50
0`kc-v- CLAIM TOTAL 904.50
CLAIM#: EYQ5411 DATE OF LOSS: 07/25/2012
DESCRIPTION: PROF C - CIMT WAS ARRETED BY THE MARION COUNTY DRUG
TASK FORCE AND CHA
CLAIMANT: JONAH LONG
EXPENSE 998.30
CLAIM TOTAL 998.30
CURRENT CHARGES
ACCOUNT SUMMARY
CURRENT CHARGES 1,902.80 INSURED NAME: CITY OF CARMEL,CARMEL CLAY PARKS BUILDIN
PAST DUE CHARGES 1 ,572.90 AGENT NAME: HYLANT GROUP INC
UNAPPLIED PAYMENTS 0.00 AGENT PHONE: (317) 817-5000
TOTAL DUE 3,475.70
DISPUTED ITEMS 0.00
ACCOUNT BALANCE 3,475.70
CONTACT YOUR AGENT LISTED ABOVE IF YOU HAVE QUESTIONS RELATED TO YOUR POLICY OR ��COOV�VERAGE.
UCT
CONTACT THEOFOLLLOWING ACCOUNTING SPECIALISTBILLING QUESTINS, PLEASEIATD1-860-277-6812DESPAN : NIOV U� Iffit d T®
FEB 2 4 2014
C-lew 'freasurer
TRAVELERS
NON-FUNDED DEPARTMENT
ONE TOWER SQUARE -9CR
HARTFORD, CT 06183
00762 39191
CITY OF CARMEL, CARMEL CLAY PARKS BUIL
ONE CIVIC SQUARE
CARMEL IN 46032
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Travelers
IN SUM OF $
13607 Collections Center Drive
Chicage, IL 60693
$10,847.25
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
000455729 43-475.00 $526.76 1 hereby certify that the attached invoice(s), or
� bill(s) is (are)true and correct and that the
0000455728 43-475.00 $1,902.80
materials or services itemized thereon for
120"5 000455727 43-475.00 $2,031.95
which charge is made were ordered and
1205% 000455727 43-475.00 $6,385.74 received except
Monday, February 24, 2014
Director, Administration
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))
01/31/14 000455729 Fire $526.76
01/31/14 0000455728 Police $1,902.80
01/31/14 000455727 Utilities $2,031.95
01/31/14 000455727 Street $6,385.74
I 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