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Home My WebLink About238290 10/21/14 1 u!".�rSH'y �( \,. CITY OF CARMEL, INDIANA VENDOR: 366179 ;; ® °S ONE CIVIC SQUARE LIBERTY MUTUAL INSURANCE CO CHECK AMOUNT: $*******975.00* :„ �� CARMEL, INDIANA 46032 25761 NETWORK PLACE CHECK NUMBER: 238290 ''�uN�. CHICAGO IL 60673-1257 CHECK DATE: 10/21/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1701 4347500 LSF022774-50 975.00 BOND-CORDRAY r Someday is Today,LLC $' i.sbcrtyAhittmI, 7116 E 71ST ST INDIANAPOLIS,IN 46256-1997 Liberty Mutual Surety Bond Invoice 2757 1 MB 0.432 P:2757 / T:15 / S:1 Statement Date: 10/08/2014 II11111111II111Jill 1I1I1In1III1n1III1II111111 llittltlllllillll Premium: 975.00 xv CORDRAY, DIANA L. Applicable Taxes: 0.00 CITY OF CARMEL 1 CIVIC SQ Applicable Fees: 0.00 CARMEL IN 46032-7569 Amount Due: 975.00 Payment Due Date: 11/22/2014 A4ake checks payable to: Liberty Mutual ---- -- mond-Nu*-abe-r: LSF0227-74-5067093 - -- - -- - - - —__ Your Liberty Mutual Surety Bond Activity Summary Effective Date: 1/01/2015 Bond Description: Renewal-New Bond Official Treasurer Obligee: CITY OF CARMEL Issuing Company: Ohio Casualty Insurance Company Billing is automatic until the bond is cancelled. If your bond is no longer needed or required, please notify your agent for cancellation.Thank you! For billing questions or to pay by credit card,please call the Liberty iVutual Surety Billuig Center at 1-800-773-3312 PLEASE DO NOT SEND ANY CORRESPONDENCE WITH YOUR PAYMENT; 'VT-TTP- Tt4 A V TART AV'rLTV 131D"('RCCTAT!_ !AR-%7 TTA 73 A V7 1TT7XT'T'___--________ Help Us To Serve You Better: Please remember to include the bottom portion of this invoice with your payment. This will assist us in properly crediting your account. Please do not send any correspondence With your remittance;this may delay the processing of your payment. In addition,please assist us by indicating your bond number on your check,making check payable to Liberty\Mutual,and using the return envelope provided for your convenience. Premium: Total amount due after applying all payments, credits, or additional charges since the last billing. Applicable Taxes Where applicable, these fees are assessed by your state and local government and &Fees: are sent from Liberty Mutual to the appropriate government agency. Where applicable, these fees are assessed by your agent :and sent from Liberty Mutual to your agent of record. Mailing Instructions: Please mail at least fifteen days prior to the payment due date. Payments not received in a tiunely manner are subject to cancellation Credit Card Payments: You can pay this. invoice by using your Visa(R), Mastercard(-R), or Ainerican Express( card. To pay by credit card, please call our billing center at 1-800-773-3312. Billing Questions or Issues: Liberty Mutual 1333 Mqm Street,Suite 600 Columbia,SC 29201 1-800-773-3312 Please Note: To dispute the premium amount owed, please send a written notification to the address sho-,van above. This written notification must be received prior to the payment due date. The following information should be uicluded: 1) Name appearing on bond 2) Bond number 3) Any supporting documentation -,which may offer further explanation of the amount in dispute Upon receipt of the written notification we will suspend. billiig of the amount in question until a resolution to your dispute can be made. However, you will still be required to pay ii full the undisputed amount by the payment due date shown on this billing notice. Bond Questions or Issues: Contact your local agent. (See activity summary for agent contact information.) __Address_(:h nnues: Prescribed by State Board of Accounts City Forth No.201(Rev.1995) ACCOLIN I S 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)) Total I hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accor- dance with IC 5-11-10-1.6. 20 Clerk-Treasurer VOUCHER NO. WARRANT NO. Lk bLa4 LJ� ALLOWED 20 IN SUM OF $ f _hAUk IL $ I ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), iL- r-- f or bill(s) is (are) true and correct and that Jo-7 b the materials or services itemized thereon for which charge is made were ordered and received except i I d 20 ISignatur Cost distribution ledger classification if i Title claim paid motor vehicle highway fund