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