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HomeMy WebLinkAbout239542 11/25/14 . 4y u�C1pMf ql �� CITY OF CARMEL, INDIANA VENDOR: 00352999 *#**�} g :; ONE CIVIC SQUARE HYLANT GROUP CHECK AMOUNT: $ 100.00 �. ,� CARMEL, INDIANA 46032 301 PENNSYLVANIA PKWY,SUITE 201 CHECK NUMBER: 239542 9M,f TUN i�. INDIANAPOLIS IN 46280 CHECK DATE: 11/25/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1180 4347500 64284 50.00 GENERAL INSURANCE 1180 4347500 64285 50.00 GENERAL INSURANCE Hylant-Indianapolis Invoice # 64284 301 Pennsylvania Pkwy,Ste 201 HY LANT Indianapolis,IN 46280 Date B,alanCe Dueott y P-(800)678-0361 11/14/2014 11/14/2014 hylant.com F-(317)817-5151 [nSUred City of Carmel Account Number x AiinountDue e ....r....... CARMELO-02 $50.00 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 Bond-Notary Policy# 32S453455 Effective: 11/14/14 - 11/14/22 Issuing Company Ohio Casualty Insurance Company 397565 11/14/2014 11/14/2014 NEWB NOTARY BOND-APRIL D. MURRAY 50.00 Total Invoice Balance: $50.00 IIIHYLANT Hylant-Indianapolis 301 Pennsylvania Pkwy,Ste 201 Indianapolis IN 46280 11/14/20 Insured City of Carmel Loan# Invoice#64284 UBAMA1 Page 1 of 1 Hylant-Indianapolis invoice # 64285 301 Pennsylvania Pkwy,Ste 201 PHYL ANT „v Date ; .' Balance Due Qn: Indianapolis,IN 46280 P-(800)678-0361 11/14/2014 11/14/2014 hY lant.com F-(317)817-5151 „ Insured City of Carmel Account Number�,' Amount Due CARMELO-02 $50.00 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 Item# ;--Trans EffMate Due Date s Trans - Uescnption A o tit Bond-Notary Policy# 32S453459 Effective: 11/14/14 - 11/14/22 Issuing Company Ohio Casualty Insurance Company 397566 11/14/2014 11/14/2014 NEWB NOTARY BOND-STEPHANIE L. GRIGGS 50.00 Total Invoice Balance: $50.00 /RYLANT Hylant-Indianapolis 301 Pennsylvania Pkwy,Ste 201 Indianapolis IN 46280 11/14/20 Insured Cityof Carmel Loan# Invoice#64285 UBAMA1 Page 1 of 1 Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHERCity Forth No.201(Rev.1995) 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 Hylant Indianapolis Purchase Order No. 301 Pennsylvania Pkwy, Ste. 201 Terms Indianapolis, IN 46280 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 11/19/14 00 Payment of No ary Bond insurance for April Murray50.00 11/19/14 4347500 Pa meet of Notary Bond insurance for Ste hanie Griggs $50.00 Per attached invoices Total 1 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. I ALLOWED 20 ii p yT"'oar-Indianapolis. IN SUM OF $ 1 301 Pennsylvania Pkwy, Suite 201 Indianapolis, IN 46280 $ $100.00 ON ACCOUNT OF APPROPRIATION FOR Department of Law - 1180 434-7500-General Insurance Board Members PO#or DEPT.# INVOICE NO. ACCT#!TITLE AMOUNT 1 hereby certify that the attached invoice(s), 1180 64284 4347500 $50.00 ' or bill(s) is (are) true and correct and that 1180 64285 4347500 50.00 the materials or services itemized thereon for which charge is made were ordered and received except U01/.P12i b, 20 Sig u e Cost distribution ledger classification if �Titl claim paid motor vehicle highway fund