HomeMy WebLinkAbout257203 04/05/16 R % 4�p\� CITY OF CARMEL, INDIANA VENDOR: 00352999
® �7 ONE CIVIC SQUARE HYLANT GROUP CHECK AMOUNT: $*****5,836.00*
,� ��a CARMEL, INDIANA 46032 PO BOX 638720 CHECK NUMBER: 257203
M�«oN�. CINCINNATI OH 45263-8720 CHECK DATE: 04/05/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4347500 107719 1,144.00 GENERAL INSURANCE
1205 4347500 108788 4,692.00 GENERAL INSURANCE
'rescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
kn 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
nvoice Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
03/31/16 108788 $4,692.00
1205 101
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
HYLANT GROUP
PO BOX 638720
IN SUM OF$
CINCINNATI, OH 45263-8720
$4,692.00
ON ACCOUNT OF APPROPRIATION FOR
General Administration
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
108788 43-475.00 j $4,692.00 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,April 04, 2016
r '
Dz
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Hylant-Indianapolis Invoice# 108788
III HYLANT Ind Pennsylvania Pkwy,Ste 201 Date Balance;DueOn a
Indianapolis,IN 46280 _ _
P-(800)678-0361 3/31/2016 4/12/2016
hylant.com F-(317)817-5151
1n"suired
1� Carmel Farmers Market,Inc.
(�s Account Number=v Amount Du�
CARMFAR-01 $4,692.00
Carmel Farmers Market, Inc.
Attn: RON CARTER
PO Box 4292
Carmel, IN 46082-4292
Please Return Top with Remittance To: PO Box 638720,Cincinnati,OH 45263-8720 ***NEW ADDRESS
_ Trans 'Descri M'' •�_
tem' Trans E Date's Due:Date ��. pt�on ,� Amount
Executive Risk Package Policy# 105770103 Effective: 4112114 - 4112117
Issuing Company
777680 4/12/2014 4/12/2016 RENB 14-17 Executive Risk Year 3 of 3 1,195.00
General Liability Policy# 6605046C259 Effective: 4/12/16 - 4112/17
Issuing Company Travelers Prop Cas Co of Amer
777677 4/12/2016 4/12/2016 RENB 16-17 General Liability 3,497.00
Total Invoice Balance: $4,692.00
**PLEASE NOTE REMITTANCE ADDRESS CHANGE**
Submitted To
" 2016
Clerk Treasurer
I/►HYLANT Hylant-Indianapolis 301 Pennsylvania Pkwy,Ste 201 Indianapolis IN 46280
3/31/2016 Carmel Farmers Market,Inc. Loan# Invoice#108788 FARWEI Page 1 of 1
'rescribed 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))
03/22/16 107719' $1,144.00
1205 101
I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
HYLANT GROUP
PO BOX 638720 IN SUM OF$
CINCINNATI, OH 45263-8720
$1,144.00
ON ACCOUNT OF APPROPRIATION FOR
General Administration
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
107719 I 43-475.00 I $1,144.00 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, March 28, 2016
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Hylant-Indianapolis 107719
Invoice#
/II H.�Y
LANT :. Ind Pennsylvania Pkwy,Ste 201 'Date Balance Due On
Indianapolis,IN 46280
3/22/2016 .4/6/2016
hylaht.com
Insured
City of Carmel
Account Number- Amount Due
CARMELO-02 $1,144.00
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"**
_--- --__..-- ----ems_-•-- -_ ..e�__.-_ -._.-__._ -
Item# Trans Eff.Date Due Date Trans Description Amount
Package-Commercial Policy# 630581M4076. Effective: 1/1/16 111117.
Issuing Company Travelers Prop Cas Co of Amer
770066 111/2016 4/6/2016 ENDT Update EDP to Include Digital'Fire Train Sys 1,144.00
Total Invoice Balance: $1,144.00
"PLEASE NOTE REMITTANCE ADDRESS CHANGE**
Ecierk.
itled TO
AR 11 2016
T i'p
IA1 HYLANT Hylant-Indianapolis 301 Pennsylvania Pkwy,Ste 201 Indianapolis IN 46280
3/22/2016 City of Carmel Loan# Invoice#107719 FARWE1 Page 1 of 1