320257 01/04/18 ; CITY OF CARMEL, INDIANA VENDOR: 117775 CHECK AMOUNT: $****`**150.00`
d j ONE CIVIC SQUARE H.J. SPIER CO, INC
9 CARMEL, INDIANA 46032 8250 WOODFIELD CROSSING SUITE 330 CHECK NUMBER: 320257
(T�co INDIANAPOLIS IN 46240 CHECK DATE: 01/04/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
506 4347500 100477 75.00 GENERAL INSURANCE
506 4347500 100478 75.00 GENERAL INSURANCE
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
Vendor# 117775 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
H.J. SPIER CO, INC IN SUM OF$ CITY OF CARMEL
8250 WOODFIELD 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 1 506
which charge is made w re dered and
received 4CDt /71
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 NO . 100477 Page 1"
H.J.SPIER CO., INC. CGOUNTNO DpDATE
8250 Woodfield Crossing Blvd.,Ste.330
• Indianapolis,IN 46240 CARME01 KB 11/28/2017 ,
4d"-' Indiv 71"
317-815-2800 blkGfficial;B � " �"-' - 1;
SINCE 1930 www.hjspier.com
0529208
F C
V,
Cincinnati Insurance Company
PRODUCER
Michael J.Glaser ".-'---fC L�
Carmel City Court _EFFECTIVE
BAL—A-N_��IDU_EQN-:,
1 Civic Sq 01/01/2018 01/01/2019 01/01/2018
Carmel,IN 46032 _
M0UNT,PAIRc.,,'j' __�AM.QUNT'DU_E,
$75.00 1
..................................................................... .................. ---------------.............. .......... ..................... ........ ..........................-................................................- ....................................................... ......
777777777-71 77
-Jirn,-�
Description-
256022 01/01/18 REN 18-19 POB Renl $75 . 00
Brian G Poindexter
Invoice Balance: $75 . 00
PLEASE MAKE CHECKS PAYABLE TO H. J SPIER CO. , INC.
THANK YOU!
• •(J' • INVOICE N O . 100478 ;Page i
H.J.SPIER CO., INC.
8250 Woodfield Crossing Blvd.,Ste.330 ACCOUNT NO „�wOP, 'DATE
.. Indianapolis,IN 46240 CARME01 KB 11/28/2017
317-815-2800 Public Official Bond Indry
SINCE 1930 www.hjspier.com `–tLOAN#.
0552205
,.
CQM.PANY—Ii,
Cincinnati Insurance Company
`PRODUCER
Michael J.Glaser
Carmel City Court ;BALANCEDUE ON
1 Civic Sq 01/01/2018 01/01/2019 01/01/2018
Carmel,IN 46032 %AMOUN_T-PAID == AMOUNT DUE
$75.0,0
77
7,=t 7,
I:tm `# r"Eff Date Trn a,'Description r ` Amount
E�a! s '�
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!