251122 11/04/15 *F CITY OF CARMEL, INDIANA VENDOR: 00352999
\. CHECK AMOUNT: $ 441.00'
ONE CIVIC SQUARE HYLANT GROUP »»»»»'»
,.. CARMEL, INDIANA 46032 PO BOX 638720 CHECK NUMBER: 251 122
9MrTON�� CINCINNATI OH 45263-8720 CHECK DATE: 11/04/15
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 92248 285.00 OTHER EXPENSES
1205 4347500 92249 156.00 GENERAL INSURANCE
Please Return Top with Remittance To: PO Box 638720, Cincinnati, OH 45263-8720 *** NEW ADDRESS
Item# .Trans Eff Date Due Date. , . Trans'-' ,',. bescription Amounf
Package-Commercial Policy# H630581M4076TIL15 Effective: 1/1/15 1/1/16
Issuing Company Travelers Prop Cas Co of Amer
639053 1/1/2015 10/15/2015 ENDT PROP POL-ADD VAR EQUIP (SEWER DEPT) 285.00
Total Invoice Balance: $285.00
**PLEASE NOTE REMITTANCE ADDRESS CHANGE**
D r J�- pw�
At HYLANT Hylant-Indianapolis 301 Pennsylvania Pkwy,Ste 201 Indianapolis IN 46280
91301201 City of Carmel Loan# Invoice#92248 UBAMAI Page 1 of 1
h -
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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
00352999
HYLANT GROUP Purchase Order No.
P.O. Box 1910 Terms
Carmel, IN 46082 Due Date 10/29/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/29/201,' 92248 $285.00
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
Date Officer
VOUCHER # 156583 WARRANT # ALLOWED
00352999 IN SUM OF $
HYLANT GROUP
P.O. Box-1.91-a
i SNC�`/VN/�-�r � l l �( �✓ ���
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
92248 01-7560-02 $285.00
e
Voucher Total $285.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
`
.n..n� Invoice # 92249
At
3V1 Ponnsv*an� Pxwy.8�uo1
HYLANT mdiunupu|�.|m*VuVV ��
CP
alv) 9/30/2015 10/15/2015
xy|ant.cvm | -` ~
City of Carmel
CARMELO-02 $156.00
City ofCarmel
Attn: STEVEENGELK|NG
One Civic Square
Carmel, IN 46032
Please Return Top with Remittance To: PO Box 638720, Cincinnati, OH 45263-8720 NEW ADDRESS
Package'Commercial Po|ioy# H63058iKU4076DL15 Effective: 1Md5 1/1M6
Issuing Company Travelers Prop Cas CoofAmer
839054 1/1/2015 10/15/2015 ENDT PROP POLICY ADD DIGITAL FIRE TRAIN 156.00
SYSTEM
ALLOCATE PREMIUM TOFIRE DEPT.
Total Invoice Balance: $156.00
"PLEASE NOTE REMITTANCE ADDRESS CHANGE"
|
Submitted To
NOV 0 2 2015
Clerk Treasurer
AtHYLANT Hylant-Indianapolis 301 Pennsylvania Pkwy,Ste 201 Indianapolis IN 46280
��/201 City of Carmel Loan# Invoice#92249 U13AMA1 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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
09/30/15 I 92249I Prop Policy-Add Digital Fire Train I $156.00
1205 101
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
HYLANT GROUP
PO BOX 638720
IN SUM OF $
CINCINNATI, OH 45263-8720
$156.00
ON ACCOUNT OF APPROPRIATION FOR
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
92249 I 43-475.00 I $156.00 1 hereby certify that the attached invoice(s), or
1205 101
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
Monday, November 02, 2015
Barb Lamb, Director
Cost distribution ledger classification if
claim paid motor vehicle highway fund