HomeMy WebLinkAbout247891 07/28/15 Q
CITY OF CARMEL, INDIANA VENDOR: 00352999
ONE CIVIC SQUARE HYLANT GROUP CHECK AMOUNT: $ .....'50.00"CARMEL, INDIANA 46032 PO BOX 638720 CHECK NUMBER: 247891
CINCINNATI OH 45263-8720 CHECK DATE: 07/28/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4347500 85174 50.00 GENERAL INSURANCE
Hylant-Indianapolis Invoice # 85174
301 Pennsylvania Pkwy,Ste 201AP® HYLANT Indianapolis,IN 46280
Due�`Oa���.r•�
r„ver:a�o-:«�:�;fi�d• ,b, �-: €P�.€Ga�,"•:�e5€'.:�,;vie. c,rv:w�?x:rua;tk«.�.mr-r,x;s”. .t#ia..
7/8/2015 7/8/2015
hylant.com ,
City of Carmel
mA:.^i.cnac.•r.�o..tu,xs�xne;,t» NR„uc. m:znb.e,x. �PRsA1'wi,a.�o«due.,ritFDug �?
CARMELO-02 $50.00
City of Carmel
Attn: STEVE ENGELKING
One Civic Square
Carmel, IN 46032
Please Return Top with Remittance To: PO Box 638720,Cincinnati,OH 45263-8720 ***NEW ADDRESS
^.;x;-s��,�:--, ".�. �^+,T:"^r--�r-'S--•w.-e ,w--�^.o-�c..Q �^:�a,—��r�€,-,, '"t;^ +r—,aver
Item# =° .Al;'�ans,!EffDate '�aD;ueaDate'.- ''� �:�Trans �,;r 'Des n � x �Y`" =�`„, =� �' �•� %�?--�` �`���° � ; A
e:..:s..�.`�'• '��•�.;� ��, �.��tt;�u.:, � `' yi�� c pt�on=;�`+s �-� s,:�• t) �` -�._ '�',�x„>� mount
�R "s seM, x-r �...,w`."...5,...u4:`�'t..t;'.tH..:".:a3_":r'6...�.atr", T"�.�.".'''..:3f:::..::ai�'d�a'�..x�.t.Y�.S�. � ;3c»M... ,=,.4xN��.:.cfR.,... •"�..:&5".�':Gx '�i�`�� ."'"f�`sf�'iL, `Y�
BOND-Other(Specify) Policy# 32S476432 Effective: 7/8/15 7/8/23
Issuing Company Ohio Casualty Insurance Company
576969 7/8/2015 7/8/2015 NEWB NOTARY BOND DOUGLAS C. HANEY 50.00
Total Invoice Balance: $50.00
"PLEASE NOTE REMITTANCE ADDRESS CHANGE**
®01 HYLANT Hylant-Indianapolis 301 Pennsylvania Pkwy,Ste 201 Indianapolis IN 46280
718/2015 City of Carmel Loan# Invoice#85174 UBAMAI Page 1 of 1
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form 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))
7/8/15 4358300 Payment of Notary Bond insurance for Douglas Haney 50.00
per the attached
c:
Total
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 5-11-10-1.6.
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
HTlax�+-_Incii�naroliSIN SUM OF $
301 Pennsylvania Pkwy, Suite 201
Indianapolis, IN 46280
$ $50.00
ON ACCOUNT OF APPROPRIATION FOR
Law Department - 1180
434-7500 -General Insurance
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
1180 85174 4347500 $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
\` L� 20
i nature
r d
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund