HomeMy WebLinkAbout257035 03/31/16 CITY OF CARMEL, INDIANA VENDOR: 362876
ONE CIVIC SQUARE TRAVELERS CHECK AMOUNT: $*****2,442.80*
CARMEL, INDIANA 46032 13607 COLLECTIONS CENTER DRIVE CHECK NUMBER: 257035
CHICAGO IL 60693
CHECK DATE: 03/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4347500 03292016 2,442.80 GENERAL INSURANCE
VOUCHER NO. WARRANT NO.
ALLOWED 20
TRAVELERS
13607 COLLECTIONS CENTER DRIVE IN SUM OF$
CHICAGO, IL 60693
$2,442.80
ON ACCOUNT OF APPROPRIATION FOR
General Administration
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
03292016 I 43-475.00 I $2,442.80 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
Tuesday, March 29, 2016
Cost distribution ledger classification if
claim paid motor vehicle highway fund
'rescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
\n invoice or bill to be properly itemized must show: kind of service,where performed, dates service rendered, by
vhom, rates per day, number of hours, rate per hour, number of units, price per unit,etc.
Payee
Purchase Order No.
Terms
Date Due
ivoice Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
03/29/16 I 03292016 I I $2,442.80
1205 101
hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
vith IC 5-11-10-1.6
_' 20-
Clerk-Treasurer
AN bk
PAGE 1
TRAVELERS )
POLICY NUMBER ACCOUNTNUMBER BILL DATE BILL NUMBER PAYMENTDUE TOTAL DUE
14T62033-ZLP 5216X7087 .3/29/2016 03292016 4/15/2016 '$2,442:80'
CURRENT
CLAIM#: EYQ7995 DATE OF LOSS: . 10111/2013
DESCRIPTION: PLAINTIFF ALLEGES FALSE ARREST.
CLAIMANT: CARL COOPER o
Submitted To EXPENSE $2,442.80 .
p CLAIM TOTAL $2',442:80
MAR.`2 8 2016. CURRENT CHARGES $2 442.80.
ACCOUNT SUMMARY Clerk Treasure
CURRENT CHARGES $2,442:.80 TIOFARM.EL,CARMEL CLAY PARKS
WTDUE CHARGES $0.00. AGENT NAME:HYLANT GROUP INC:-. .
UNAPPLIED.PAYMENTS $0.00. . AGENT PHONE: -(317) ,817=5000
TOTAL DUE' $2,442:80
DISPUTED ITEMS $0.00
ACCOUNT BALANCE. $2'442.80-
CONTACT
2;442.80CONTACT YOUR AGENT LISTED ABOVE IF YOU HAVE QUESTIONS RELATED TO YOUR POLICY OR DEDUCTIBLE COVERAGE
FOR BILLING QUESTIONS,PLEASE EMAIL DEDUCTIBLE-HELPDESK@TRAVELERS.COM OR
CONTACT THE FOLLOWING ACCOUNTING SPECIALIST AT 1=860-277-6812:ANTONIO CONTRERAS