HomeMy WebLinkAbout313057 06/28/17 CITY OF CARMEL, INDIANA VENDOR: 00352999
ONE CIVIC SQUARE HYLANT GROUP CHECK AMOUNT: $****10,500.00'
:? ra CARMEL, INDIANA 46032 PO BOX 638720 CHECK NUMBER: 313057
' CINCINNATI OH 45263-8720 CHECK DATE: 06/28/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4347500 149732 10,500.00 GENERAL INSURANCE
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Third Party Administrator-Commercial Policy# 6268 Effective: 1/1/17 - 1/1/18
Issuing Company Midwest Employers Casualty Co
1130516 1/1/2017 6/23/2017 RENB 17/18 Semi-Annual TPA Service Fee 10,500.00
Total Invoice Balance: $10,500.00
Submitted To
JUN 2 0 2017
Clerk Treasurer
04 HYLANT Hylant-Indianapolis 10401 North Meridian St,Ste 200 Indianapolis IN 46290
6/12/2017 City of Carmel Loan# Invoice#149732 FARWE1 Page 1 of 1