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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.