HomeMy WebLinkAbout320714 01/11/18 •Vim....-� CITY OF CARMEL, INDIANA VENDOR: 00352999
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j ® it ONE CIVIC SQUARE HYLANT GROUP CHECK AMOUNT: $
***'***100.00*
'e PO BOX 638720 CHECK NUMBER: 320714
,r, CARMEL, INDIANA 46032 CINCINNATI OH 45263-8720 CHECK DATE: 01/11/18
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1801 4347500 168407 100.00 GENERAL INSURANCE
Prescribed by State Board of Accounts City Form No.201(Rev.1995)'
VOUCHER NO. WARRANT NO.
ALLOWED 20 ' 'ACCOUNTS-.PAYABLE VOUCHER
Vendor.# 00352999 1
IN'SUM OF$
HYLANT GROUP . : .
CITY OF CARMEL
PO BOX 638720 An'invoiceor 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;.pdce per.unit,etc.
CINCINNATI OH 45263=8720:
. . . . . . Payee:
$100:00
Purchase Order#
ON ACCOUNT-OF APPROPRIATION FOR
Redevelopment Department Terms
•
Date Due
PO# ACCT#. :DATE INVOICE#• DESCRIPTION:
DEPT# INVOICE# Fund.# AMOUNT. Board Members : DERT# . FUND# (or note attached invoices)or bill(s)) AMOUNT.
168407. 43-475.00 $100.00
herebycertify that•the attached hed invoice(s),o r 12%20/17. 168407 Public officials bond fo'r Dave Bowers $100.00.
I
1801. 101 P.rMr Year 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
Tuesday,'January'09,2018.
Meste.tsky;Henry. .
.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 5-11-1071.6
Cost distribution ledger classification if claim paid motor vehicle highway fund.:
I - a
C erk Tre surer .
Hylant-Indianapolis Invoice # 168407
10401 North Meridian St,Ste 200 Date
HYLANT ! Balance Due On.
Indianapolis,IN 46290
P-(800)678-0361 12/20/2017 12/31/2017
hylantcom F-(317)817-5151 Insured
Carmel Redevelopment Commission
`.Account Number Amount Due -
CARMRED-01 $100.00
Carmel Redevelopment Commission
Attn: Michael Lee
30 West Main St. Ste. 220
Carmel, IN 46032
Please Return Top with Remittance To: PO Box 638720, Cincinnati, OH 45263-8720
Trans Eff Date —•Due Date ` Tuns Description Amount
BOND-Other(Specify) Policy# 105580260 Effective: 12/31/17 - 12/31/18
Issuing Company Travelers Cas&Surety of Amer
1289562 12/31/2017 12/31/2017 RENB 17/18 Public Officals Bond David Bowers 100.00
Total Invoice Balance: $100.00
HYLA T' Hylant-Indianapolis 10401 North Meridian St,Ste 200 Indianapolis IN 46290
12/20/2017 Carmel Redevelopment Commission Loan# Invoice#168407 FARWE1 Page 1 of 1