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Home My WebLink About241157 01/13/15 Cqq - '" CITY OF CARMEL, INDIANA VENDOR: 362876 b l ONE CIVIC SQUARE TRAVELERS CHECK AMOUNT: $ "'12,195.20" ,. =4 CARMEL, INDIANA 46032 13607 COLLECTIONS CENTER DRIVE CHECK NUMBER: 241 157 CHICAGO IL 60693 CHECK DATE: 01/13/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4347500 000475626 8,120.70 GENERAL INSURANCE 1205 4347500 000475628 4,074.50 GENERAL INSURANCE TRAVELERS PAGE 1 121141 14N99887-ZPP 521GX7087 12/31/2014 000475626 01/15/2015 8, 120.70 CURRENT CLAIM#: EVB6603 DATE OF LOSS: 11/08/2012 DESCRIPTION: COMPLAINT OF DISCRIMINATION BASED ON RETALIATION FOR FAILURE TO PROVID CLAIMANT: GREG PARK EXPENSE 3,983.50 CLAIM TOTAL 3,983.50 CLAIM#: EXK1029 DATE OF LOSS: 12/02/2012 DESCRIPTION: PLAINITIFF ALLEGES UNLAWFUL DETENTION DUE TO POLICE RESPONDING TO THE CLAIMANT: JAMES BECKETT EXPENSE 2,330.50 CLAIM TOTAL 2,330.50 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 491 .70 CLAIM TOTAL 491.70 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 968.50 CLAIM TOTAL 968.50 CLAIM#: E1E6133 DATE OF LOSS: 07/01/2012 DESCRIPTION: ALLEGATION THAT A CITY OF rARMEL-PE)tPCE-I&FIF��C-ER'-WA THE CLMT'S PERSONA Submitted To CLAIMANT: NICOLE RYERSON EXPENSE 346.50 JAN 12 2014 CLAIM TOTAL 346.50 CURRENT CHARGES $8, 120.70 Clerk `treasurer TRAVELERS NON-FUNDED DEPARTMENT ONE TOWER SQUARE -9CR HARTFORD, CT 06183 00697 39261 CITY OF CARMEL, CARMEL CLAY PARKS BUIL ONE CIVIC SQUARE CARMEL IN 46032. 0 N N n O O O O O Q O M ANW TRAVELERS J PAGE 2 DEDUCTIBLE / SELF- INSURED INVOICE • i i 14N99887-ZPP 5216X7087 12/31/2014 000475626 01/15/2015 8, 120.70 ACCOUNT SUMMARY CURRENT CHARGES 8, 120.70 INSURED NAME: CITY OF CARMEL,CARMEL CLAY PARKS BUILDIN PAST DUE CHARGES 0.00 AGENT NAME: HYLANT GROUP INC UNAPPLIED PAYMENTS 0.00 AGENT PHONE: (317) 817-5000 TOTAL DUE 8, 120.70 DISPUTED ITEMS 0.00 ACCOUNT BALANCE 8, 120.70 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 00697 39260 riTv nF r-aRMFI _ - CARMEL CLAY PARKS BUIL - AgOW TRAVELERS J PAGE 1 14TG2033-ZLP 5216X7087 12/31/2014 000475628 01/15/2015 4,074.50 CURRENT CLAIM#: EON3470 DATE OF LOSS: 05/28/2014 DESCRIPTION: EPL CLAIM: OFFICER CLAIMS SEXUAL HARASSMENT AND HOSTILE WORK ENVIRONME CLAIMANT: CRYSTAL HUGHES EXPENSE 74.50 CLAIM TOTAL 74.50 CLAIM#: EON7099 DATE OF LOSS: 07/04/2014 DESCRIPTION: GLIA - C - WEINKAUF, MARSHA; TORT NOTICE; CLMT ALLEGING INJURY; DOESNT CLAIMANT: MARSHA WEINKAUF LOSS 4,000.00 CLAIM TOTAL 4,000.00 CURRENT CHARGES $4,074.50 ACCOUNT SUMMARY CURRENT CHARGES 4,074.50 INSURED NAME: CITY OF CARMEL,CARMEL CLAY PARKS BUILDIN PAST DUE CHARGES 0.00 AGENT NAME: HYLANT GROUP INC UNAPPLIED PAYMENTS 0.00 AGENT PHONE: (317) 817-5000 TOTAL DUE 4,074.50 DISPUTED ITEMS 0.00 ACCOUNT BALANCE 4,074.50 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 FJAN mitted TO 12 2014 Clerk Treasurer i 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)) 12/31/14 000475626 $8,120.70 12/31/14 000475628 $4,074.50 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Travelers IN SUM OF $ 13607 Collections Center Drive Chicage, IL 60693 $12,195.20 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members Prior Year I hereby certify that the attached invoice(s), or 1205 000475626 43-475.00 $8,120.70 Prior Year bill(s) is (are) true and correct and that the 1205 000475628 43-475.00 $4,074.50 materials or services itemized thereon for which charge is made were ordered and received except Monday, January 12, 2015 Director, Administratio Title Cost distribution ledger classification if claim paid motor vehicle highway fund