HomeMy WebLinkAbout308141 02/13/17 �4A,F( CITY OF CARMEL, INDIANA VENDOR: 00352999
q ONE CIVIC SQUARE HYLANT GROUP CHECK AMOUNT: $*******100.00*
=q CARMEL, INDIANA 46032 PO BOX 638720 CHECK NUMBER: 308141
M,iroN��o, CINCINNATI OH 45263-8720 CHECK DATE: 02/13/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1801 4347500 135330 100.00 GENERAL INSURANCE
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 00352999 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
HYLANT GROUP IN SUM OF$ CITY OF CARMEL
PO BOX 638720 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
CINCINNATI, OH 45263-8720
Payee
$100.00
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
135330 43-475.00 $100.00 1 hereby certify that the attached invoice(s),or 1/12/17 135330 POB Bond for Jeff Worrell $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
Friday, February 03,2017
Meyer,Come
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
ncm fr ..ana���Vase Vue Vale i rans uescnption - _T Amount
BOND-Other(Specify) Policy# 106446611 Effective: 1/1/17 - 1/1/18
Issuing Company Travelers Cas&Surety of Amer
1005796 1/1/2017 1/20/2017 RENB 17/18 POB Jeff Worrell 100.00
Total Invoice Balance: $100.00
I/►HYLANT Hylant-Indianapolis 10401 North Meridian St,Ste 200 Indianapolis IN 46290
1/12/2017 Carmel Redevelopment Commission Loan# Invoice#135330 FARWE1 Page 1 of 1