HomeMy WebLinkAbout304034 10/10/16 CITY OF CARMEL, INDIANA VENDOR: 00352999
ONE CIVIC SQUARE HYLANT GROUP CHECK AMOUNT: S""'"""100.00•
CARMEL, INDIANA 46032 PO BOX 638720 CHECK NUMBER: 304034
vM,_ CINCINNATI OH 45263-8720 CHECK DATE: 10/10/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1801 4347500 126195 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
126195 43-475.00 $100.00 1 hereby certify that the attached invoice(s),or 9/30/16 126195 POB bond for Henry Mestetsky $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, October 03,2016
Come 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
Hylant-Indianapolis Invoice # 126195
AP HYLANT 10401 North Meridian St,Ste 280290 Date Balance Due On
Indianapolis,IN 46
P-(800)678-0361 9/30/2016 10/10/2016
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
'tem# Trans Eff Date Due Date Trans Description Amount
Bond-Public Official(Specify) Policy# 106601389 Effective: 9/21/16 - 9/21/17
Issuing Company Travelers Casualty Ins Co Amer
924846 9/21/2016 10/10/2016 NEWB 16/17 POB Henry Metestsky 100.00
Total Invoice Balance: $100.00
At HYLANT Hylant-Indianapolis 10401 North Meridian St,Ste 280 Indianapolis IN 46290
9/30/2016 Carmel Redevelopment Commission Loan# Invoice#126195 FARWE1 Page 1 of 1