HomeMy WebLinkAbout306088 12/12/16 (9)
CITY OF CARMEL, INDIANA VENDOR: 366179
LIBERTY MUTUAL INSURANCE CO CHECK AMOUNT: $*******100.00*
ONE CIVIC SQUARE CHECK NUMBER: 306088
CARMEL, INDIANA 46032 25761 NETWORK PLACE
CHICAGO IL 60673-1257 CHECK DATE: 12/12/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT GENERAL DESCRIPTION
801 4347500 100.00
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF $
$
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT I hereby certify that the attached invoice(s), or
DEPT.#
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
Soineda\'is'oday,I.I.0
hhi,,;AN Alultm1 7116 F.71ST ST
INDIANAPOLIS,IN 46256-1997
Liberty Mutual Surety Bond Invoice
SECOND NOTICE
8826 1 AB 0.396 P:8826 / T:43 / S:1 Statement Date: 11/25/2016
'I�"I1�'�Inll����u��llll'III"�I��II�I�I'�'I'll"II�I11'�I�II Premium: 100.00
xY MILLER ADAM C Applicable Taxes: 0.00
CITY d CARMEL POLICE DEPARTMENT Applicable Fees: 0.00
3 CIVIC SQ
CARMEL IN 46032-2584 Amount Due: 100.00
Payment Due Date: 11/20/2016
yfake checks payable to: Liberty Mutual
Bond Number: 601001685
Your Liberty Mutual Surety Bond Activity Summary
*** If you have already sent in your payment,please disregard this second notice ***
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 IA-lutual Surety Billing Center at 1-800-773-3312
PLEASE DO NOT SEND ANY CORRESPONDENCE WITH YOUR PAYMENT;
THIS MAY DET AY THF. PROCFSSTNG OF YOT TR PAYMENT.