HomeMy WebLinkAbout305212 11/14/16 ,Cqq
^ *F CITY OF CARMEL, INDIANA VENDOR: 366179
® �1 ONE CIVIC SQUARE LIBERTY MUTUAL INSURANCE CO CHECK AMOUNT: $'"""'"100,00'
CARMEL, INDIANA 46032 25761 NETWORK PLACE CHECK NUMBER: 305212
9M,roN Go. CHICAGO IL 60673-1257 CHECK DATE: 11/14/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
801 4347500 601001685 100.00 GENERAL INSURANCE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF $
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$ \00.
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or
DEPT.# INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s), or
> 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
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Someday is Today,LLC
I t17t rtr kliq 1, 7116E 71ST ST
a�AEINDIANAPOLIS,IN 46256-1997
Liberty Mutual Surety Bond Invoice
5193 1 AB 0.396 P:5193 / T:26 / S:1 Statement Date: 10/06/2016
11111111111111 i�lll�iill1111111liilll111111ili-i'1111P-IIII Premium: 100.00
.xv MILLER ADAM C Applicable Taxes: 0.00
CITY U CARMEL POLICE DEPARTMENT Applicable Fees: 0.00
{ 3 CIVIC SQ pp
CARMEL IN 46032-2584 Amount Due: 100.00
Payment Due Date: 11/20/2016
Make checks payable to: Liberty Mutual
--Bond-Number: ----60100-1-635—
Your Liberty Mutual Surety Bond Activity Summary
Effective Date: 1/01/2017
Bond Description: Renewal-New Bond Official
Police Pension Secretary
Obligee: Carmel Police Department
Issuing Company: Ohio Casualty Insurance Company
Billing is automatic until the bond is cancelled. If your bond is no longer needed or required, please notify your agent
for cancellation.Thank you!
For billing questions or to pay by credit card,please call the Liberty Mutual Surety Billing Center at 1-800-773-3312
PLEASE DO NOT SEND ANY CORRESPONDENCE WITH YOUR PAYMENT;