HomeMy WebLinkAbout258427 05/10/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 00352999
ONE CIVIC SQUARE HYLANT GROUP CHECKAMOUNT: $*******200.00*
CARMEL, INDIANA 46032 PO CNCX 638 H0 45263-8720 CHECK NUMBER: 258427
CHECK DATE: 05/10/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4347500 111375 50.00 GENERAL INSURANCE
1205 4347500 112822 150.00 GENERAL INSURANCE
VOUCHER NO. WARRANT NO.
ALLOWED 20
HYLANT GROUP
PO BOX 638720
IN SUM OF$
CINCINNATI, OH 45263-8720
$200.00
ON ACCOUNT OF APPROPRIATION FOR
General Administration
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Member:
111375 43-475.00 $50.00 1 hereby certify that the attached invoice(s), or
1205 101
112822 43-475.00 $150.00 bills) is (are)true and correct and that the
1205 101 materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, May 09, 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))
04/20/16 111375 $50.00
1205 101
05/04/16 112822 $150.00
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 Indianapolis : : . . : . . . 11.1375
nvOce #
III HYLANT 301 Pennsylvania Pkwy;Ste 201
Indianapolis,IN 46280 :
ate Balance Due.On
4/20/2016 616/201.6. .. :. ..
hylant.com
Insured. - - -
��S'
City ofC
armel ;
Accoutif Number Amount Due
CARMELO-02
50.00:
City of Carmel
One.Civic Square
Carmel;IN 46032.
Please'Return. Top with Remittance To:: =PO Box.638720;Cincinnati;OH_45263,=8720
tem#, Trans Eff.Date -b
, ue Date Trans Description Am
�_ ount
Bond:-Notary Policy# :601104238 6 6/6/
• . Effective: 616/1 •
, . • 24.
Issuing'Company- Ohio Casualty.Insurance Company ;
.794376 6/6/2016 - -- 6/6/2016 RENB.' 601104238 Janet,R.Arnone.IN Notary Bond, .. . 50.00 . ..
• Total'Invoice Balance:. : $50.00 . . .
-**PLEASE NOTE REMITTANCE ADDRESS CHANGE**.
itted
MAY 0 9 2016
Clerk Trereg .
lei,A ANT Hylant=Indianapolis 301 Pennsylvania Pkwy,Ste 201 Indianapolis IN 4U80.
4/20%2016 City.of Carmel . Loan# Invoice#111375- FARWEI Page ,1 of 1
Hylant Indianapolis IIIVO.IC@ # 112822
ApEy
LANT 301 Pennsylvania Pkwy,Ste 201. .Date Balance-Due On
Indianapolis;IN 46280
5/412016. 5119/2016
hylant.com .
Insured
llc�
�l C
City of Cafinel ;
S
__ . . . Account Number. Amount Due
25 CARMEL0-02 : . • $150.00:
City of Carmel .
Attn::Steye Engelking.
One-Civic Square.
Carmel;IN:46032.
Please Return, Top with:Remittance To:. :P0 Box,638720;Cincinnati;OH-.45263=8720
Item# Trans Date Due Date Trans Descripti
Effon Amount
Package-Commercial: Policy#;630581M4076. Effective: .1%1/1,6, 1/1/17. .
Issuing Company Travelers.Prop'Cas Co of_Amer'
804742 1/1/2016 : 5/19/2016 . END T . Add Designated Agents as Employees : 150.00
Total Invoice Balance:. :$150.00
MAY. .0 9 -2016
.
Chane Tr6asUrOr .
1K HYLANT Hylant=Indianapolis 301 Pennsylvania Pkwy,Ste 201 Indianapolis IN 46280,
5/4/2016 City of Carmel Loan# Invoice#112822 FARWEI Page..1 of 1.