HomeMy WebLinkAbout301944 08/18/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 00352999
ONE CIVIC SQUARE HYLANT GROUP CHECK AMOUNT: $*****5,898.00*
CARMEL, INDIANA 46032 PO BOX 638720 CHECK NUMBER: 301944
CINCINNATI OH 45263-8720 CHECK DATE: 08/18/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4347500 121720 5,898.00 GENERAL INSURANCE
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
HYLANT GROUP ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 638720 IN SUM OF$ 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.
$5,898.00 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
121720 43-475.00 $5,898.00 1 hereby certify that the attached invoice(s),or 8/8/16 121720 $5,898.00
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
Monday,August 15,2016
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 with Remittance TO: ry box usurxu,t,mcmnati,wn wP,coa-orr-u I
em# Trans Eff Date Due Date Trans Description Amount
Package-Commercial Policy# 630581M4076 Effective: 111/16 - 1/1/17
Issuing Company Travelers Prop Gas Co of Amer
885914 5/5/2016 8/23/2016 ENDT increase Energy Center Property Values 5,092.00
885916 7/1/2016 8/23/2016 ENDT Add 4925 E.106th St Facility 722.00
885917 5/5/2016 8/23/2016 ENDT Add Scheduled Equipment to IM 84.00
Total Invoice Balance: $5,898.00
F
bnmitted To
AUG 1 5 216
Cleat ,rreasurer
Itr HYLANT Hylant-Indianapolis 301 Pennsylvania Pkwy,Ste 201 Indianapolis IN 46280
8/8/2016 City of Carmel Loan# Invoice#121720 FARWEI Page 1 of 1