HomeMy WebLinkAbout236870 09/10/14 ,CSN .
'' CITY OF CARMEL, INDIANA VENDOR: 00352999
V: K lY M#.*i1
.j; ® {• ONE CIVIC SQUARE HYLANT GROUP CHECK AMOUNT: $ 512.50*
t., r° CARMEL, INDIANA 46032 301 PENNSYLVANIA PKWY,SUITE 201 CHECK NUMBER: 236870
�,j�.TON Gam'` INDIANAPOLIS IN 46280 CHECK DATE: 09/10/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4347500 57460 512.50 GENERAL INSURANCE
Hylant-Indianapolis Invoice # 57460
®i 301 Pennsylvania Pkwy,Ste 201
HYLANT
Indianapolis,IN as2so D"ate .., Balance Due On;:
9/2/2014 9/14/2014
hylant.com 1�5
'"�• Insured °.
—�f Carmel Porch Fest, Inc.
Account Number - Amount Due
CARMPOR-01 $512.50
Carmel Porch Fest, Inc.
Attn: City of Carmel
Attn: Steve Engelking
One Civic Square
Carmel, IN 46032
Please Return Top with Remittance To: 301 Pennsylvania Pkwy,Ste 201,Indianapolis,IN 462800925
Iie'm.# Trans Eff Date Due Date Trans » Description Amount
General Liability Policy# 277B001494 Effective: 9/14/14 9/15/14
Issuing Company Burlington Insurance Company
344365 9/14/2014 9/14/2014 NEWB SPECIAL EVENT GENL LIAB 500.00
344366 9/14/2014 9/14/2014 CFEE SURPLUS LINES TAX SPECIAL EVENT GL 12.50
Total Invoice Balance: $512.50
SPECIAL EVENT GENERAL LIABILITY FOR
Submitted To
SEP 0 8 2014
Clerk Treasurer
At HYLANT Hylant-Indianapolis 301 Pennsylvania Pkwy,Ste 201 Indianapolis IN 46280
9/2/2014 Insured Carmel Porch Fest, Inc. Loan# Invoice# 57460 UBAMAI Page 1 of 1
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))
09/02/14 57460 277B001494 Porch Fest $512.50
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hylant Group
IN SUM OF $
301 Pennsylvania Parkway, Suite 201
Indianapolis, IN 46280-0925
$512.50
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1205 I 57460 I 43-475.00 I $512.50 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
Monday, ptember 08, 2014
Director, Administration
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund