HomeMy WebLinkAbout260208 06/28/16 (jYV C4q�F� CITY OF CARMEL, INDIANA VENDOR: 00352999
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ONE CIVIC SQUARE HYLANT GROUP CHECK AMOUNT: $*******100.00*
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*. a CARMEL, INDIANA 46032 PO Box 638720 CHECK NUMBER: 260208
CINCINNATI OH 45263-8720 CHECK DATE: 06/28/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1801 4347500 114710 100.00 GENERAL INSURANCE
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995).
HYLANT GROUP ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 638720 IN SUM OF$ 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.
$100.00 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Redevelopment Department 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
114710 43-475.00 $100.00 1 hereby certify that the attached invoice(s),or 6/2/16 114710 POB Bond renewal for commissioner Brooks $100.00
1801 101 1801 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,June 20,2016 -
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
Hylant-Indianapolis Invoice # 114710
04 HYLANT Ind Pennsylvania Pkwy,Ste 201
Indianapolis,IN 46280 Date ` .Balance.Due On
P-(800)678-0361 6/2/2016 6/10/2016
hylant.com F-(317)817-5151 Insured
Carmel Redevelopment Commission
Account Number Amount Due
CARMRED-01 $100.00
Carmel Redevelopment Commission
Attn: Michael Lee
30 West Main St.Ste.220
Carmel,IN 46032
Please Return Top with Remittance To: PO Box 638720,Cincinnati,OH 45263-8720
Item.# Trans Eff Date Due Date Trans Description Amount
Bond-Public Official(Specify) Policy# 106157029 Effective: 6/10/16 - 6/10/17
Issuing Company Travelers Casualty&Surety Co
826356 6/10/2016 6/10/2016 RENB 16-17 William Brooks POB Renewal 100.00
Total Invoice Balance: $100.00
II►HYLANT Hylant-Indianapolis 301 Pennsylvania Pkwy,Ste 201 Indianapolis IN 46280
6/2/2016 Carmel Redevelopment Commission Loan# Invoice# 114710 FARWE1 Page 1 of 1