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HomeMy WebLinkAbout303617 09/29/16 %���p''"� CITY OF CARMEL, INDIANA VENDOR: 00352999 .� ® ONE CIVIC SQUARE HYLANT GROUP CHECK AMOUNT: $*•'"•6,608.00• r. �_� CARMEL, INDIANA 46032 PO BOX 638720 CHECK NUMBER: 303617 ll"", oN�° CINCINNATI OH 45263-8720 CHECK DATE: 09/29/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 902 4341999 123654 6,608.00 OTHER PROFESSIONAL FE VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) HYLANT GROUP ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 638720 IN SUM OF$ 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 hour;,rate per hour,number of units,price per unit,etc. $6,608.00 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Redevelopment Commission 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 123654 43-419.99 $6,608.00 1 hereby certify that the attached invoice(s),or 8/31/16 123654 builder's risk insurance for Midtown north $6,608.00 902 902 902 902 garage 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 Thursday,September 22,2016 Corrie Meyer 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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Item# Trans Eff Date Due Date Trans Description Amount Builder's Risk/Installation-Commercial Policy# 417158 Effective: 9110/16 - 10/1/17 Issuing Company Chubb Custom Insurance Company 900365 9/10/2016 9/10/2016 NEWB Builders Risk-Midtown North Garage 6,608.00 Total Invoice Balance: $6,608.00 I/►HYLANT Hylant-Indianapolis 10401 North Meridian St,Ste 280 Indianapolis IN 46290 8/31/2016 City of Carmel Loan# Invoice#123654 FARWE1 Page 1 of 1