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322730 03/12/18 .iy �4Af. CITY OF CARMEL, INDIANA VENDOR: 00352999 y; .� � il• ONE CIVIC SQUARE HYLANT GROUP CHECK AMOUNT: $r r r r r r►200.00' CARMEL, INDIANA 46032 PO BOX 638720 CHECK NUMBER: 322730 CINCINNATI OH 45263-8720 CHECK DATE: 03/12/18 ` DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1801 4347500 172480 100.00 GENERAL INSURANCE 1801 4347500 173733 100.00 GENERAL INSURANCE VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 00352999 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER HYLANT GROUP IN SUM OF$ 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 $200.00 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Redevelopment Department 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 172480 43-475.00 $100.00 1 hereby certify that the attached invoice(s),or 2/7/18 172480 POB bond for Commissioner Campagna $100.00 1801 101 1801 101 173733 43-475.00 $100.00 bill(s)is(are)true and correct and that the 2/28/18 173733 POB bond renewal for Commissioner Worrell $100.00 1801 101 materials or services itemized thereon for 1801 1 101 which charge is made were ordered and received except Tuesday, March 06,2018 Mestetsky, 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 5-11-10-1.6 ,20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Hylant-Indianapolis Invoice # 172480 10401 North Meridian St,Ste 200 . YLANT Indianapolis,IN 46290 Date Balance Due On P-(800)678-0361 2/7/2018 2/7/2018 hylant.com F-(317)817-5151 Insured Carmel Redevelopment Commission Account Number Amount Due CARMRED-01 $100.00 Carmel Redevelopment Commission 30 West Main St.Ste.220 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-Public Official(Specify) Policy# 106869603 Effective: 1/1/18 - 12/31/18 Issuing Company Travelers Casualty&Surety Co 1325684 1/1/2018 2/7/2018 RENB Adam Campagna;$15,000 100.00 . Redevelopment Commissioner Term:01/01/2018-12/31/2018 Total Invoice Balance: $100.00 HYLANT Hylant-Indianapolis 10401 North Meridian St,Ste 200 Indianapolis IN 46290 2/7/2018 Carmel Redevelopment Commission Loan# Invoice# 172480 FARWEI Page 1 of 1 Hylant-IndianapolisInvoice # 173733 10401 North Meridian St,Ste 200 Date Balance Due On :H PLANT Indianapolis,IN 46290 P-(800)678-0361 2/28/2018 317/2018 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 'tem# Trans Eff Date Due—Date----Yr—ani— Description Amount, BOND-Other(Specify) Policy# 106875765 Effective: 1/1/18 - 1/1/19 Issuing Company Travelers Cas&Surety of Amer 1346103 1/1/2018 3/7/2018 RENB 18/19 Jeff Worrell Public Officials Bond 100.00 Total Invoice Balance: $100.00 HYLANT Hylant-Indianapolis 10401 North Meridian St,Ste 200 Indianapolis IN 46290 2/28/2018 Carmel Redevelopment Commission Loan# Invoice#173733 FARWE1 Page 1 of 1