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320257 01/04/18 {y,G4gM F. CITY OF CARMEL, INDIANA VENDOR: 117775 ONE CIVIC SQUARE H.J. SPIER CO, INC CHECK AMOUNT: $""""*150.00' CARMEL, INDIANA 46032 8250 WOODFIELD CROSSING SUITE 330 CHECK NUMBER: 320257 INDIANAPOLIS IN 46240 CHECK DATE: 01/04/18 �,rDN Co DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 506 4347500 100477 75.00 GENERAL INSURANCE 506 4347500 100478 75.00 GENERAL INSURANCE VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 117775 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER H.J. SPIER CO, INC IN SUM OF$ CITY OF CARMEL 8250 WOODFI ELD CROSSING SUITE 330 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. INDIANAPOLIS, IN 46240 Payee $150.00 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Carmel City Court 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 100477 43-475.00 $75.00 1 hereby certify that the attached invoice(s),or 11/28/17 100478 Bonding $75.00 1301 506 Prior Year 1301 506 100478 43-475.00 $75.00 bill(s)is(are)true and correct and that the 11/28/17 100477 Bonding $75.00 1301 1 1 506 1 Prior Year materials or services itemized thereon for 1301 506 which chWmadedered and received Wednesday,January 03,2018 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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer INVOICE N O . 100477 Page • H.J.SPIER CO., INC. 8250 Woodfield Crossing Blvd.,Ste.330 ,';ACCOUNT NO ,; .. Indianapolis,IN 46240 CARME01 KB 11/28/2017 317-815-2800 Pgbhc Official Bond Indry �e��� _� SINCE 1930 www.hjspier.comPOLICY# 0529208 ,COMPANY Lt — Cincinnati Insurance Company PRODUCER Michael J.Glaser Carmel Cita' Court `EFFECTIVE ;�_EXPIRATION r':BAI ANCEisDUE ON- 1 Civic Sq ~01/01/2018 01/01/2019 01/01/2018 Carmel,IN 46032 AMOUNT.PAID ,°, AMOUNT+DUE .. $75.00 Y { �,^�"^'} ..';^`"®'—"".' ;,'"-y.�..,('{'_:""�'—. •gar . ..`y} � t- r r--� i """-'.Q r a .• z i Date Trn r DescriptionAinount� 256022 01/01/18 REN 18-19 POB Renl Brian G Poindexter Invoice Balance: $75 . 00 �3 PLEASE MAKE CHECKS PAYABLE TO H. J SPIER CO. , INC. THANK YOU! '(l H.J.SPIER CO., SNC. INVOICE N O . 100478 Page 13 � CONT:NO -'AF '::� -J ;_DATE �_`'. 8250 Woodfield Crossing Blvd.,Ste.330 ..ACU.� Indianapolis, IN 46240 CARME01 KB 11/28/2017 317-815-2800 Ribhc Official Bond Indry � , . SINCE 1930 www.hjspier.com POLICY# - LOAN# 0552205 Cincinnati Insurance Company PRODUCER_ Michael J.Glaser Carmel City Court EFFECTIVE .-, EXPIRATION -BALANC&DUE ON; 1 Civic Sq 01/01/2018 01/01/2019 01/01/2018 Carmel,IN 46032 -AMOUNT_PAiD <AMouNTDUE _ $75.00 € ; gym- .� �e ri h I'tm # Eff Date Tri-n t ' D script o Aidount i 256023 01/01/18 REN 18-19 POB Renl $75 . 00 Reta J Klingerman Invoice Balance: $75 . 00 PLEASE MAKE CHECKS PAYABLE TO H. J SPIER CO. , INC. THANK YOU!