248873 08/26/15 ' CITY OF CARMEL, INDIANA VENDOR: 00352999
® ,. .
I' ONE CIVIC SQUARE HYLANT GROUP CHECK AMOUNT: S**......50.00*
r. ?� CARMEL, INDIANA 46032 PO BOX 638720 CHECK NUMBER: 248873
CINCINNATI OH 45263-8720 CHECK DATE: 08/26/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4239099 88822 50.00 OTHER MISCELLANOUS
I
"""'_Indianapolis
"'i......is Invoice # 88822
At HYLANT
301 Pennsylvania Pkwy,Ste 201 0"1"
Indianapolis,IN 46280Datr8'iI4jijbe D�.,ye, n,,
8117/2015 9/19/2015
hylant.com
11risur6b1z
City of Carmel
„Account Number AmountDue aws�
�
CARMELO-02 $50.00
City of Carmel
Attn: STEVE ENGELKING
One Civic Square
Carmel, IN 46032
?lease Return Top with Remittance To: PO Box 638720,Cincinnati,0.4 45263-8720 NEW ADDRESS
Item • '`Trans Eff D-atd ,ZT
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L,.._
Bond -Notary Policy# 32S480181 Effective: 9/19/15 9119/23
Issuing Company Ohio Casualty Insurance Company
605482 9/19/2015 9/19/2015 NEWB NOTARY BOND-LISA M. STEWART 50.00
Total Invoice Balance: $50.00
"PLEASE NOTE REMITTANCE ADDRESS CHANGE"
At'HYLANT Hylant-Indianapolis 301 Pennsylvania Pkwy,Ste 201 Indianapolis IN 46280
8/17/201 City of Carmel Loan# Invoice#88822 UBAMA1 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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
08/17/15 88822 Notary Bond- Lisa Stewart $50.00
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
120
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
Hylant Group ALLOWED 20
Sue Morlock IN SUM OF$
501 Congressional Blvd.
Carmel, IN 46032
$50.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1192 I 88822 I 42-390.99 I $50.00 1 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
Friday; Aug Ljt 21 015
Directo
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund