HomeMy WebLinkAbout257463 04/12/16 CITY OF CARMEL, INDIANA VENDOR: 00352999
® \1 ONE CIVIC SQUARE HYLANT GROUP CHECK AMOUNT: $*******250.00*
CARMEL, INDIANA 46032 PO BOX 638720 CHECK NUMBER: 257463
CINCINNATI OH 45263-8720 CHECK DATE: 04/12/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4347500 109803 250.00 GENERAL INSURANCE
VOUCHER NO. WARRANT NO.
ALLOWED 20
HYLANT GROUP
PO BOX 638720
IN SUM OF$
CINCINNATI, OH 45263-8720
$250.00
ON ACCOUNT OF APPROPRIATION FOR
General Administration
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
109803 43-475.00 $250.00 1 hereby certify that the attached invoice(s), or
1205 I I 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
Wednesday, April 06, 2016
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
04/06/16 I 109803 I I $250.00
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
Hylant=IndianapolisIIIYO.Ice # 109803
THTvT STT 301.Permsylvania Pkwy,Ste 201
LA r .1 Indianapolis,IN 46280 Dace Balance Due On
4/6/2016 4/21/2016
hylant.com 75
Insured
Via.J City of Carmel .
Account Number Amount Due.
CARMELO 02 $250.00. . ,
City of Carmel .'
Attn:.Steve Engelkirig
One.Civic Square
Carmel, IN 46032
Please Return Top with Remittance To:. PO Box 638720, Cincinnati,OH,45263.' 720 *.*,*NEW ADDRESS"*
Item# Trans Eff.Date- Due Date A. Trans Y, Description~ �" - -�- -�Amount -
Package-Commercial: Policy# 630581 M4076.'• Effective: 1/1/1.6. 1/1/17.
Issuing Company Travelers.Prop Cas Co of,Arrier
785232 3/21/20161 . 4/21/2016 '.ENDT: Increase Employee Dishonesty 250.00
e
Tofal'Invoic Balance:. $250.00
"PLEASE NOTE REMITTANCE ADDRESS CHANGE*.*.
APR .0:6 2016
Clerk Tt saSLIrer
I/►HYLANT Hylant=Indianapolis 301 Pennsylvania Pkwy,Ste 201 Indianapolis IN 46280
F6/2016 City of Carmel Loan# Invoice,#109803 FARWE1 Page 1.of 1
CHANGE EFFECTIVE DATE:03-21-16
CHANGE ENDORSEMENT NUMBER:0007
TRAVELERS One Tower Square, Hartford, Connecticut 06183
CHANGE ENDORSEMENT
Named Insured:
CITY OF CARMEL
Policy Number: H-630-581M4076-TIL-16
Policy Effective Date: 01/01/16
Issue Date: 03/30/16
Additional Premium $ 250
INSURING COMPANY:
TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA
Effective from 03/21/16 at the time of day the policy becomes effective.
THIS INSURANCE IS AMENDED AS FOLLOWS:
THE COMMERCIAL CRIME COVERAGE PART IS AMENDED AS FOLLOWS:
AMENDING EMPLOYEE THEFT INSURANCE AGREEMENT LIMIT OF INSURANCE TO
$300,000.
NAME AND ADDRESS OF AGENT OR BROKER: COUNTERSIGNED BY:
HYLANT GROUP INC (G8433)
301 PENNSYLVANIA PKWY STE 201
INDIANAPOLIS, IN 46280 Authorized Representative
DATE:
IL TO 07 09 87 PAGE 1 OF 1
OFFICE: SAN ANTONIO-EAST