The URL can be used to link to this page

Home My WebLink About240455 12/16/14 CITY OF CARMEL, INDIANA VENDOR: 362876 ONE CIVIC SQUARE TRAVELERS CHECK AMOUNT: $*****4,323.50* CARMEL, INDIANA 46032 13607 COLLECTIONS CENTER DRIVE CHECK NUMBER: 240455 CHICAGO IL 60693 CHECK DATE: 12/16/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4347500 473875 2,966.20 GENERAL INSURANCE 1205 434750.0 473876 1,238.10 GENERAL INSURANCE 1205 4347500 473877 119.20 GENERAL INSURANCE TRAVELERS PAGE 1 THE TOTAL DUE INCLUDES PAST DUE CHARGES. PLEASE REVIEW YOUR ACCOUNT IMMEDIATELY. ,POLICY NUMBER ACCOUNT NUMBER BILL OATE BILL NUMBER PAYMENT DUE TOTAL DUE 3036P64A-810 521GX7087 11/26/2014 000473876 12/15/2014 1,951 .22 !l� CURRENT CLAIM#: E2J5533 T DATE OF LOSS: 10/13/2014 DESCRIPTION: BAUT C - YOUNG, WILLIAM P. IV WAS IN STOP AND GO TRAFFIC AT A LIGHT AN. CLAIMANT: WILLIAM P YOUNG LOSS 164.71 CLAIM TOTAL 164.71 CLAIM#: E2J9713 DATE OF LOSS: 11/12/2014 DESCRIPTION: ARNOLD, SHEILA, IV WAS ADJUSTING THE REAR VIEW MIRROR AND DID NOT BNOT CLAIMANT: SHEILA A ARNOLD LOSS 1,073.39 CLAIM TOTAL 1,073.39-- CURRENT ,073.39CURRENT CHARGES $1,238.10 ACCOUNT SUMMARY CURRENT CHARGES 1,238. 10 INSURED NAME: CITY OF CARMEL,CARMEL CLAY PAST DUE CHARGES 713. 12 AGENT NAME: HYLANT GROUP INC UNAPPLIED PAYMENTS 0.00 AGENT PHONE: (317) 817-5000 TOTAL DUE 1,951.22 DISPUTED ITEMS 0.00 ACCOUNT BALANCE 1,951.22 CONTACT YOUR AGENT LISTED ABOVE IF YOU HAVE QUESTIONS RELATED TO YOUR POLICY OR COVERAGE. FOR BILLING QUESTIONS, PLEASE EMAIL DEDUCTIBLE-HELPDESK@TRAVELERS.COM OR CONTACT THE FOLLOWING ACCOUNTING SPECIALIST - §.O-" 68 NIO ERAS Submitted To DEC 15 2014 Clerk T reaSUrer TRAVELERS NON-FUNDED DEPARTMENT ONE TOWER SQUARE -9CR HARTFORD, CT 06183 00723 39241 CITY OF CARMEL,CARMEL CLAY ONE CIVIC SQUARE __CARME_L___I N__46032 a N Ol r m m n 0 0 0 0 N O a 0 N TRAVELERS, PAGE 1 THE TOTAL DUE INCLUDES PAST DUE CHARGES. PLEASE REVIEW YOUR ACCOUNT IMMEDIATELY. 14N99887-ZPP 5216X7087 11/26/2014 000473875 12/15/2014 16,324.55 CURRENT CLAIM#: EXK1029 DATE OF LOSS: 12/02/2012 DESCRIPTION: PLAINITIFF ALLEGES UNLAWFUL DETENTION DUE TO POLICE RESPONDING TO THE CLAIMANT: JAMES BECKETT EXPENSE 1,541.70 CLAIM TOTAL 1,S41.70 CLAIM#: EXK2736 DATE OF LOSS: 07/01/2012 DESCRIPTION: ALLEGATION THAT A CITY OF CARMEL POLICE OFFICER RAN THE CLMT'S PERSONA CLAIMANT: NICOLE RYERSON EXPENSE 89.40 CLAIM TOTAL 89.40 CLAIM#: EYQ5411 DATE OF LOSS: 07/25/2012 DESCRIPTION: PROF C - CIMT WAS ARRETED BY THE MARION COUNTY DRUG TASK FORCE AND CHA CLAIMANT: JONAH LONG EXPENSE 208.60 CLAIM TOTAL 208.60 CLAIM#: EIES133 DATE OF LOSS: 07/01/2012 DESCRIPTION: ALLEGATION THAT A CITY OF CARMEL POLICE OFFICER RAN THE CLMT'S PERSONA CLAIMANT: NICOLE RYERSON FDEC mitted To EXPENSE 1, 126.50 CLAIM TOTAL 1 26.50 � � 214 CURRENT CHARGES $2,966.20 Treasurer TRAVELERS NON-FUNDED DEPARTMENT ONE TOWER SQUARE -9CR HARTFORD, CT o6183 00721 39244 CITY OF CARMEL, CARMEL CLAY PARKS BUIL ONE CIVIC SQUARE CARMEL IN 46032 - v a N n m m r a 0 0 0 N O a 0 N AW_ TRAVELERS) PAGE 2 DEDUCTIBLE / SELF-INSURED INVOICE 1 1 1 1 1 1 14N99887-ZPP 5216X7087 11/26/2014 000473875 12/15/2014 16,324.55 ACCOUNT SUMMARY CURRENT CHARGES 2,966.20 INSURED NAME: CITY OF CARMEL,CARMEL CLAY PARKS BUILDIN PAST DUE CHARGES 13,358.35 AGENT NAME: HYLANT GROUP INC UNAPPLIED PAYMENTS 0.00 AGENT PHONE: (317) 817-5000 TOTAL DUE 16.324.55 DISPUTED ITEMS 0.00 ACCOUNT BALANCE 16,324.55 ... ........... - - ---------- --------- ------- CONTACT YOUR AGENT LISTED ABOVE IF YOU HAVE QUESTIONS RELATED TO YOUR POLICY OR COVERAGE. FOR BILLING QUESTIONS, PLEASE EMAIL DEDUCTIBLE-HELPDESK@TRAVELERS.COM OR CONTACT THE FOLLOWING ACCOUNTING SPECIALIST AT 1-860-277-6812 ANTONIO CONTRERAS TRAVELERS NON-FUNDED DEPARTMENT ONE TOWER SQUARE -9CR HARTFORD, CT 06183 00721 39243 CITY OF CARMEL, CARMEL CLAY PARKS BUIL ONE CIVIC SQUARE CARMEL IN 46032 a N m m r a 0 0 0 N Q O N TRAVELERS PAGE 1 THE TOTAL DUE INCLUDES PAST DUE CHARGES. PLEASE REVIEW YOUR ACCOUNT IMMEDIATELY. : I1 14TG2033-ZLP 5216X7087 11/26/2014 000473877 12/15/2014 7,652.20 �^ CURRENT CLAIM#: EON3470 ' DATE OF LOSS: 05/28/2014 DESCRIPTION: EPL CLAIM: OFFICER CLAIMS SEXUAL HARASSMENT AND HOSTILE WORK ENVIRONME CLAIMANT: CRYSTAL HUGHES EXPENSE 119.20 CLAIM TOTAL 119.20 e. CURRENT CHARGES $119.20 ACCOUNT SUMMARY CURRENT CHARGES 119.20 INSURED NAME: CITY OF CARMEL,CARMEL CLAY PARKS BUILDIN PAST DUE CHARGES 7,533.00 AGENT NAME: HYLANT GROUP INC UNAPPLIED PAYMENTS 0.00 AGENT PHONE: (317) 817-5000 TOTAL DUE 7,652.20 DISPUTED ITEMS 0.00 ACCOUNT BALANCE 7,652.20 CONTACT YOUR AGENT LISTED ABOVE IF YOU HAVE QUESTIONS RELATED TO YOUR POLICY OR COVERAGE. FOR BILLING QUESTIONS, PLEASE EMAIL DEDUCTIBLE-HELPDESK@TRAVELERS.COM OR CONTACT THE FOLLOWING ACCOUNTING SPECIALIST AT 1-860-277-6812 ANTONIO CONTRERAS Submitted To DEC 15 2014 Clerk `treasurer TRAVELERS NON-FUNDED DEPARTMENT ONE TOWER SQUARE -9CR HARTFORD, CT 06183 00722 39242 CITY OF CARMEL, CARMEL CLAY PARKS BUILD ONE CIVIC SQUARE CARMEL --. I N_ 46032 N a N m m m m n V O O O N O Q O O VOUCHER NO. WARRANT NO. ALLOWED 20 Travelers IN SUM OF$ 13607 Collections Center Drive ;. Chicage, IL 60693 $4,323.50 d ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1205 000473876 43-475.00 $1,238.10 I hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and that the 1205 000473875 43-475.00 $2,966.20 materials or services itemized thereon for 1205 000473877 43-475.00 $119.20 which charge is made were ordered and received except Monday, December 15, 2014 Director, Administration 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)) 11/26/14 000473876 $1,238.10 11/26/14 000473875 $2,966.20 11/26/14 I 000473877 I I $119.20 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