247315 07/15/15 4+pr C.1gMf
�., CITY OF CARMEL, INDIANA VENDOR: 00352999
�, ONE CIVIC SQUARE HYLANT GROUP CHECK AMOUNT: $*******150.00*
4� _� CARMEL, INDIANA 46032 PO BOX 638720 CHECK NUMBER: 247315
9�,_�1.: CINCINNATI OH 45263-8720 CHECK DATE: 07/15/15
«ON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
209 4358300 83051 50.00 OTHER FEES & LICENSES
1801 4347500 83244 100.00 GENERAL INSURANCE
-----
Please Return Top with Remittance To: PO Box 638720,Cincinnati,OH 45263-8720 ***NEW ADDRESS
I
Bond-Public Official (Specify) Policy# 106157029 Effective: 6/10/15 6/10/16
Issuing Company Travelers Casualty&Surety Co
564812 6/10/2015 6/25/2015 RENB POB BOND WILLIAM L. BROOKS,JR. 100.00
Total Invoice Balance: $100.00
**PLEASE NOTE REMITTANCE ADDRESS CHANGE**
- 4YT`.AN`T` Hylant-Indian'apolis 301 Pennsylvania Pkwy,Ste 201 Indianapolis IN 46280
I
6/25/201 Carmel Redevelopment Comm Loan# Invoice#83244 UBAMAI Page 1 of 1
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.
Doi 0972'p. Terms
6-111 C1)1 X16 , U Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
forjii
i
i
Total
i
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-I.6.
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
j I ALLOWED 20
I6i IN SUM OF $
ON ACCOUNT OF APPROPRIATION FOR
)9011414750b
Board Members
PO#or DEPT.# INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s),
or bill(s) is (are) true and correct and'that
the materials or services itemized thereon
for which charge is made were ordered and
received except
3 20.l-
Si atu
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Hylant-Indianapolis Invoice # 83051
/� 301 Pennsylvania Pkwy,Ste 201 -Date t Balance Due L n rti �'
At HYLAN11"
T Indianapolis,IN 46280 , s'
6/24/2015 6/24/2015
hylant.com
City of Carmel
�Accotant Number � At�ount Due,� � _�, a�
*a
CARMELO-02 $50.00
City of Carmel
Attn: STEVE ENGELKING
One Civic Square
Carmel, IN 46032
I
Please Return Top with Remittance To: PO Box 638720,Cincinnati,OH 45263-8720 ***NEW ADDRESS
I - _
rtsAlilOUilt
I
Bond -Notary Policy# 32S475211 Effective: 6124115 6124123
Issuing Company Ohio Casualty Insurance Company
563074 6/24/2015 6/24/2015 NEWB NOTARY BOND-CONNIE MURPHY 50.00
Total Invoice Balance: $50.00
**PLEASE NOTE REMITTANCE ADDRESS CHANGE"
I
III HYLANT Hylant-Indianapolis 301 Pennsylvania Pkwy,Ste 201 Indianapolis IN 46280
6/24/201 City of Carmel Loan# Invoice#83051 LIBAMA1 Page 1 of 1
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City 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 Numbe (or note attached invoice(s) or bill(s))
I
6/24/15 4358300 Payment of Notary Bond insurance for Connie Murphy 50.00
per the attached
i
I
i
Total
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 I1.6.
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hylant Indianapolis IN SUM OF $
301 Pennsylvania Pkwy, Suite 201
I
Indianapolis, IN 46280
$ $50.00
I
ON ACCOUNT OF APPROPRIATION FOR
Deferral Department - 209
434-7500 -General Insurance
Board Members
I
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
209 83051 4358300 $50.00 or bill(s) is (are) true and correct and that
the materials or services itemized thereon
for which charge is made were ordered and
received except
20
na ure
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund