HomeMy WebLinkAbout232239 05/07/14 r CAq
''' CITY OF CARMEL, INDIANA VENDOR: 00352999
� r ONE CIVIC SQUARE HYLANT GROUP CHECK AMOUNT: $*****4,525.00*
?q; CARMEL, INDIANA 46032 301 PENNSYLVANIA PKWY,SUITE 201 CHECK NUMBER: 232239
.y,�roN.�. INDIANAPOLIS IN 46280 CHECK DATE: 05/07/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4347500 44975 4,525.00 GENERAL INSURANCE
Hylant-Indianapolis Invoice # 44975
HYLANT
301 Pennsylvania Pkwy,Ste 201Date, Balance;Due OnT-F
Indianapolis,IN 46280
4/22/2014 5/7/2014
hylant.com �S 1�Insured
Carmel Farmers Market, Inc.
1Z�S-
Account Amount.Due `
CARMFAR-01 $4,525.00
Carmel Farmers Market, Inc.
Attn: Steve Engelking
One Civic Square
Carmel, IN 46032
Please Return Top with Remittance To: 301 Pennsylvania Pkwy,Ste 201,Indianapolis,IN 462800925
Win—F# w Trans Eff Date DuesDate Y Trans Description w .Amount
= u� _.
Directors&Officers Liab. Policy# 105770103 Effective: 4/12114 4/12/15
Issuing Company Travelers Cas&Surety of Amer
252228 4/12/2014 5/7/2014 RENB 2014-2015 D&O and Employment Practices Liability 1,195.00
General Liability Policy# P6605046C259TIL14 Effective: 4/12/14 4/12/15
Issuing Company Travelers Prop Cas Co of Amer
252227 4/12/2014 5/7/2014 RENB 2014-2015 General Liability 3,330.00
Total Invoice Balance: ( �$4,525.00
Thank you for your business!
Submitted To
MAY 052014
Clerk Treasurer
In HYLANT Hylant-Indianapolis 301 Pennsylvania Pkwy,Ste 201 Indianapolis IN 46280
4/22/201 Insured Carmel Farmers Market, Inc. Loan# Invoice#44975 WATSA1 Page 1 of 1
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hylant Group
IN SUM OF$
301 Pennsylvania Parkway, Suite 201
Indianapolis, IN 46280-0925
$4,525.00
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT i Board Members
1205 I 44975 I 43-475.00 I $4,525.00 I 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
Monday, May 05, 2014
Director, Administration
Title
�I
Cost distribution ledger classification if j
claim paid motor vehicle highway fund i
i
Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARME.L..
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
bate',' Number (or note attached invoice(s)or bill(s))
04/22/14 44975 $4,525.00
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