HomeMy WebLinkAbout258612 05/13/16 CITY OF CARMEL, INDIANA VENDOR: 261400
ONE CIVIC SQUARE JANET ARNONE CHECK AMOUNT: $********1 1.22*
CARMEL, INDIANA 46032 COMM CENTER CHECK NUMBER: 258612
COMM CENTER CHECK DATE: 05/13/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4239099 050516 11.22 OTHER MISCELLANOUS
VOUCHER NO. WARRANT NO.
ALLOWED 20
JANET ARNONE
COMM CENTER
IN SUM OF$
COMM CENTER
$11.22
ON ACCOUNT OF APPROPRIATION FOR
Communications .
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
0 42-101 $11.22 1 hereby certify that the attached invoice(s), or
I OS
1115 I teaI 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, May 09, 2016
TerryCrockett
Director
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
m 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
nvoice Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s) or bill(s))
05/05/16 0 $11.22
1115 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
5/5/2016 Indiana Payment Portal
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Your transaction is complete
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i
i Your transaction is complete. Print this receipt for your records. Your receipt identification
number is 22149882. Please reference this number in any correspondence regarding your I
transaction.
I i
! Payer Information ?
t
JANET ARNONE
1231 HILLCREST DRIVE j
j CARMEL, IN 46033
Phone : - -
lEmail : jarnone@carmel.in.gov
�..__....-------__.._..._.......___...___....._..,....._.....__._.__ ---. ----__..._ ------ . -. 1 I
f
Account Xnf®rmatiion ? f
' 5***********3284 exp. 02/18
Transaction Details
I
Description lt9w'st Price Quantity Extended
Price
E INotary Application Fee $10.00 1 $10.00 j
j jInstant Access Fee $1.22 1 $1.22 i
i
s Total : $11.22 i I
i
t
The following amounts have been charged to your credit card. Your credit card statement will
i show the following merchant name(s) and amount(s) for this transaction. _...__._._..._...., __.....
merchant Amount
[IN Sec of State 800-236-5446 $11.22
._ ---------- - - - .._. _._..._.__._.. _.. _..._. . ---------------
The
- -----The total amount charged to your credit card is $11.22.
i
i
Privacy Statement
https://secure.i n.gov/apps/kwikekard/checkout/servlettrecei pt?token=321 D41 CB26A43177EO54002128l4gAgE 1/1
Arnone, Janet R
From: customerservice@www.IN.gov
Sent: Thursday, May 05, 2016 2:12 PM
To: Arnone,Janet R
Subject: SOS Notary and Renewal receipt
Thank you for using the SOS Notary and Renewal online at www.IN.gov. Your transaction is complete. Your receipt identification number is 22149882. Please
reference this number in any correspondence regarding your transaction.
Payer Information
JANET ARNONE
1231 HILLCREST DRIVE
CARMEL, IN 46033
Email : iarnone@carmel.in.gov
Account Information :
5***********3284 exp.02/18
Transaction Details :
Description Unit Price Quantity Extended Price
Notary Application Fee$10.00 1 $10.00
Instant Access Fee $1.22 1 $1.22
Total :$11.22
The following amounts have been charged to your credit card. Your credit card statement will show the following merchant name(s) and amount(s)for this
transaction.
Merchant Amount
IN Sec of State 800-236-5446 $11.22
The total amount charged to your credit card is$11.22.
1
LibReport of Bond
Commercial
SURETY
Biu SURETY
The:Ohio Casualty Insurance Company
en . 340397 Bond Number 601104238
Hylant Group Inc.
Toledo Ohio
Principal: . lie
Name Janet R.Amone Name: State.of Indiana-Secretary of State's Office
Street: 1231 Hillcrest Drive Street State House-Room 201
City: Carmel City. Indianapolis
State: Indiana Zip:46033 :. State. Indiana Zip:46204
Account Name:City of Carmel .
Authorized By: LOA
Authorized.Date:
Bond Amounts Premium: $.50.00
Bond Amount $ 5,000 _
Co-Surety: Co-Surety:%,
Co Surety Name: .. Bill to: . 'Agency ,
Bond Term. .
-
fffectiyeDate: . 06!06/2096 Renewal Method:: -New Bond :.
Expiration Dater 06/06/2024
p Renewal Term:
:..
(In months)
Bond D�ils
Risk State: Indiana
Class Code: 105 Notaries Public
Bond Description:
erty
Remarks
BESTReportOfBond Execution User. MONMILLS
ExDate. 04/1912016
NOTARIAL BOND Bond No. 601104238*:
KNOW ALL MEN BY THESE PRESENTS,;Tl1t wit Jun�f Ytr�adi}r
t Nan94 or Ap�5licor}
as principal(Applicant)and The Ohio Casualty Insurance Company ,as corP orate surety, are
:held and firmly
bound unto the State of Indiana, in the,penaI sum:of FIVE THOUSAND DOLLARS($5,000),thepayment of which,well
and truly to be made,we bind ourselves, our.heirs,executors and adminlstrators;firmly by these presents.
WHEREAS,the above bound principal has applied-for appointment by the Governor of the State of Indiana as a
Notary Public, In and for the State of Indiana,for an eight year term.
Now, if the said principal shall'truly and faithfully perform and discharge the-duties of said office of Notary Public,
in all things:according to law,then:the.above obligation to be null and void, otherwise to remain in full force and virtue:in
law.The term of this bond is from the effective date of the principal commission to the expiration date of the same:
Timothy A.Mikolajewski,Assistant Secretary
Congratulations;you have,successfully obtained a'notary bond for the State of Indiana.
Bond 601104238;.
Surety.Company:The Ohio Casualty Insurance Company
To obtain the notary commission =:
Each,nota 'applicant:mutt now access the Indiana Notary Public Application online_at www.in.gov to complete the pre-
qualification,
qualifirycation,training-and oath agreement.After successfully completing,the applicant must pay the application fees to
the State of Indiana via MasterCard or Visa. Once.the fees are paid,your client can download a file that contains the
Notary.Commission Certificate.
10�
11berty
MutThe Ohio Casualty Insurance-Company
SUR 1 - ..
NOTARY PUBLIC:ERRORS AiND-OMISSIONS POLICY.
Bond N6.:fi01104238
The Ohio Castialty Insurance Company (the"Company"),will pay on behalf of'Janet R.Amone
Of
1231.Hillcrest Dnve, Carmel, IN 46033 (the"Insured");
all sins which the Insured all become obligated-to.pay byreason of.liability for breach of duty while acting as.a duly
commissioned and sworn Notary Public,claim for which-is made against,the-Insured by reason.of any negligent.act,error or
omission, committed or alleged to have been committed by:the Insured arising.out.of the performance.of notarial service for
others in the hmred's capacity as a duly commissioned and sworn Notary
Public:
POLICY PERIOD: This policy applies only to negligent acts,errors`or omissions which occur during the Policy Period
and then only if claim,.shit or other action arising therefrom is commenced within the.applicable Statute of-Limitations
pertaining to the Insured.The Policy Period commences on the'Effective Date hereof and terminates upon the expiration of the
Insured's commission as a Notary Public.This policy is not valid for more than;ane commission term:
LD IITS OF LIABILITY: The liability,of the Company shall not exceed in the aggregate for all claims-under this
insurance the amount of"Five Thousand.Dollars And Zero Cents . ($5,000.00* )DOLLARS.
In addition to the limit of liability and in:accordance:wA the tither provisians.of this:policy,the Company will pay costs and
expenses paid and incurred in investigating, contesting or setting liability in an amount not to exceed'one-half of the limit of ..
this policy.
CONDITIONS PRECEDENT: As a condition precedent to the right:o£indemnification or defense hereunder, the
Insured shall mail.or deliver.to the Company within ten(10)days after;notice or knowledge of a,claim or possible claim against
the Insured copies of any written notice thereof and a complete description of the-facts and circumstances alleged to give rise to
such claim.Bankruptcy.or Insolvency of the:Insured shall not release the Company of its liability hereunder. -
EXCLUSIONS: Coverage under this policy does not apply to any dishonest,fraudulent, criminal or malicious act or
omission of the Insured»
CO=INSURANCE: If the Insured has other insurance against a loss covered by this policy,the Company.shall'not be
liable under this policy for.a greater proportion of such-loss than the limit of liability stated in,this policy bears to the total limit.
of:liability of all valid and collectible"insurance"against such loss.
CANCELLATION: This policy may be cancelled by the Company by mailing dlirty.(30) days written notice to the
Insured and may be cancelled by the Insured by surrender thereof to:the Company-or any of its agents or by mailing to the
Company thirty(30)days wntten.notice and-this policy.shall be deemed cancelled and the Policy Period terminated upon such
return or at the expiration of said thirty(30)days.A pro rata return premium shall be allowed on cancellation. '
CONFORMITY WITH STATUTES:Terms of this policy which are in conflict with the statutes of the jurisdiction in
which the policy is issued are hereby amended to conform to such statutes and.any terms required bysuch statutes but.omitted
herefrom are hereby incorporated herein.
EFFECTIVE DATE: 06/06/2016 through,06/06/202
By
'timothy A Mikolalewski,Asststant Secretary
54834