326771 06/29/18 a! CITY OF CARMEL, INDIANA VENDOR: 00352999
ONE CIVIC SQUARE HYLANT GROUP CHECK AMOUNT: $*******156.00*
�; CARMEL, INDIANA 46032 PO BOX 638720 CHECK NUMBER: 326771
9MQTppj L'�` CINCINNATI OH 45263-8720 CHECK DATE: 06/29/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1801 4347500 180456 156.00 GENERAL INSURANCE
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 00352999 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
HYLANT GROUP IN SUM OF$ 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
$156.00
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
180456 43-475.00 $156.00 1 hereby certify that the attached invoice(s),or 5/1/18 180456 POB bond renewal for Bill Brooks $156.00
1801 101 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
Friday,June 15,2018
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
L rlease Keturn Top with Remittance To: PO Box 638720, Cincinnati,OH 45263-8720
Itam# ` Trans Eff Date Due Date Trans ` y Descripton ` Amount
Bond-Public Official(Specify) Policy# 106914614 Effective: 6/10/18 - 12/31/19
Issuing Company Travelers Casualty&Surety Co
1403400 6/10/2018 6/10/2018 RENB 18-19;William L. Brooks,Jr;$15,000 156.00
Redevelopment Commissioner
Term:06/10/2018-12/31/2019
Total Invoice Balance: $156.00
HYLANT Hylant-Indianapolis 10401 North Meridian St,Ste 200 Indianapolis IN 46290
5/1/2018 Carmel Redevelopment Commission Loan# Invoice# 180456 FARWEI Page 1 of 1