HomeMy WebLinkAbout259051 05/31/16 �� CITY OF CARMEL, INDIANA VENDOR: 00352999
`? CHECK AMOUNT: $*******291.00*
.��® ONE CIVIC SQUARE HYLANT GROUP
d9 ?Q CARMEL, INDIANA 46032 PO BOX 638720 CHECK NUMBER: 259051
.�_roN�, CINCINNATI OH 45263-8720 CHECK DATE: 05/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4347500 113749 291.00 GENERAL INSURANCE
VOUCHER NO. WARRANT NO. Prescribed by State Hoard of Accounts City Form No.201(Rev.1995)
HYLANT GROUP ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 638720 IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
CINCINNATI, OH 45263-8720 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$291.00 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
General Administration Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
113749 43-475.00 $291.00 1 hereby certify that the attached invoice(s),or 5/20/16 113749 $291.00
1205 101 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, May 24,2016
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—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Please Return, Top withRemittance To:. PO.Box,638720;Cincinnati;OH,45263=8720
.Trans 0FD—te ue DDate Trans ;Description i /Amo n{
Package Commercial: Policy# 630581M4076'. • Effective: 1/1/1,6, ; 1/1/17.
Issuiri' Company 9 P Y ..
' Travelers.Prop Cas Co of_Amer,
818108 5/1/2016 : 6/4/2016 ENDT ' -:Add 1.10.W.Main Street(All Things Carmel). 21.00-
818109 . ..5/5/20.16 6/4/2016 ENDT . Add.Equipment to IM . 270:00
iota/Invoice Balance:. $291.00, .
. :r Su' bmitted'To'
MAY 2 4 2016.
perk Treasdrer
II/HYLANT• Hylant=Indianapolis . 301•Pennsylvania Pkwy,Ste 201 Indianapolis, IN . .46280, - :
5/20%2016 City.of Carmel Loan# Invoice#113749 FARWEI Page."I of 1