HomeMy WebLinkAbout235878 08/13/14 �%"4�"''�. CITY OF CARMEL, INDIANA VENDOR: 00352999
J• ; ONE CIVIC SQUARE HYLANT GROUP CHECK AMOUNT: $***M*8 712.00'
�.. �� CARMEL, INDIANA 46032 301 PENNSYLVANIA PKWY,SUITE 201 CHECK NUMBER: 235878
9,y�,__c�r' INDIANAPOLIS IN 46280 CHECK DATE: 08/13/14
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4347500 53702 "8,712.00 GENERAL INSURANCE
Hylant-Indianapolis Invoice # 53702
301 Pennsylvania PV:SteAt HYLANT Indianapolis,IN 462 ; Date Balance Due On',
hylant.com
7/28/2014 8/12/2014
�
Y Insured °
City of Carmel
Account Number f atriount:Due
CARMELO-02 $8,712.00
City of Carmel
City of Carmel
ATTN: STEVE ENGELKING
One Civic Square
Carmel, IN 46032
-- - -- ----------- - - ----------
Please Return Top with Remittance To: 301 Pennsylvania Pkwy,Ste 20.1,Indianapolis,IN 462800925
Item# Trans Eff Date Due Date Trans Description - " fmount
L-
Package-Commercial Policy# H630581M4076TIL14 Effective: 1/1/14 1/1/15
Issuing Company Travelers Prop Cas Co of Amer
314783 1/1/2014 8/12/2014 ENDT INCREASE BI/EE LIMIT 8,712.00
Total Invoice Balance: $8,712.00
Submitted To
AUG 112014
Clerk Treasurer
/►HYIANT Hylant-Indianapolis 301 Pennsylvania Pkwy,Ste 201 Indianapolis IN 46280
7/28/201 Insured City of Carmel Loan# Invoice#53702 11BAMA1 Page 1 of 1
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hylant Group
IN SUM OF$
301 Pennsylvania Parkway, Suite 201
Indianapolis, IN 46280-0925
$8,712.00
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
I hereby certify that the attached invoice(s), or
1205 53702 43-475.00 $8,712.00
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
i
i
f Monday August 11, 2014
Director, Administrati n
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))
07/28/14 53702 policy h630581 M4076till4 $8,712.00
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