HomeMy WebLinkAbout308556 02/28/17 q if CITY OF CARMEL, INDIANA VENDOR: 00352999 }
ONE CIVIC SQUARE HYLANT GROUP CHECK AMOUNT: $.***i s*«50.00
CARMEL, INDIANA 46032 PO BOX 638720 CHECK NUMBER: 308556
vM, CINCINNATI OH 45263.8720 CHECK DATE: 02/28/17
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4341999 138145 50.00 OTHER PROFESSIONAL FE
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 00352999 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
HYLANT GROUP IN SUM OF$ 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
$50.00
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Dept of Community Service 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
138145 43-419.99 $50.00 1 hereby certify that the attached invoice(s),or 2/21/17 138145 Notary Bond-Ross Pietrzak $50.00
1192 101 1192 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
Tuesday, February 21,2017
Mike Hollibaugh
Director
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
Hylant-Indianapolis Invoice # 138145
III HYLANT 10401 North Meridian St,Ste 200 Date Balance Due On
Indianapolis,IN 46290
P-(800)678-0361 2/13/2017 3/6/2017
hylant.com F-(317)817-5151 Insured
City of Carmel
Account Number Amount Due
CARMELO-02 $50.00
City of Carmel
One Civic Square
Carmel,IN 46032
Please Return Top with Remittance To: PO Box 638720,Cincinnati,OH 45263-8720
Item# Trans Eff Date Due Date Trans Description Amount
Bond-Notary Policy# 63075671 N Effective: 3/6/17 - 315/25
Issuing Company Western Surety Company
1030201 3/6/2017 3/6/2017 REN13 6307567IN IN State of IN Ross Michael Pietrzak 50.00
$5,000+$5,000 E&O
Total Invoice Balance: $50.00
^HYLANT Hylant-Indianapolis 10401 North Meridian St,Ste 200 Indianapolis IN 46290
2/13/2017 City of Carmel Loan# Invoice#138145 FARWEI Page 1 of 1