HomeMy WebLinkAbout304626 10/31/16 4�r 4,pMff
CITY OF CARMEL, INDIANA VENDOR: 00352999
J' CHECKAMOUNT: $********66.00*
.�; ,• ONE CIVIC SQUARE HYLANT GROUP
=Q CARMEL, INDIANA 46032 PO BOX 638720 CHECK NUMBER: 304626
9y�,._,� CINCINNATI OH 45263-8720 CHECK DATE: 10/31/16
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4347500 100758 66.00 GENERAL INSURANCE
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
HYLANT GROUP ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 638720 IN SUM OF$ 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.
$66.00 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
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
100758 43-475.00 $66.00 1 hereby certify that the attached invoice(s),or 10/14/16 100758 $66.00
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, October 17,2016
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
120
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Please Return Top with Remittance To: PO Box 638720,Cincinnati,OH 45263-8720
tem# - «TransEff.Date Due.Date _ Trans
'Descr ., _ i Amount
v� R i tion..'.f-
Package-Commercial Policy# 630581M4076TIL15 Effective: 1/1/15 - 1/1116
Issuing Company Travelers Prop Cas Co of Amer
712273 7/16/2015 1/20/2016 ENDT Add 248 Gracile Drive 66.00
Total Invoice Balance: $66.00
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OCT 17 2016
filer Treasurer
At HYLANT Hylant-Indianapolis 10401 North Meridian St,Ste 200 Indianapolis IN 46290
10/14/2016 City of Carmel Loan# Invoice# 100758 FARWE1 Page 1 of 1