HomeMy WebLinkAbout328768 08/14/18 v`! \� CITY OF CARMEL, INDIANA VENDOR: 00352999
`. it ONE CIVIC SQUARE HYLANT GROUP CHECK AMOUNT: $****10,976.10*
9� ;�o; CARMEL, INDIANA 46032 PO CINCINNATI 6372 45263-8720 CHECK NUMBER: 328768
r>oN CHECK DATE: 08/14/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4347500 167884 7,650.10 GENERAL INSURANCE
1205 4347500 176995 3,326.00 GENERAL INSURANCE
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 00352999 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
HYLANT GROUP IN SUM OF$ 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
$10,976.10
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
General Administration 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
167884 43-475.00 $7,650.10 1 hereby certify that the attached invoice(s),or 8/8/18 167884 $7,650.10
1205 101 1205 101
176995 43-475.00 $3,326.00 bill(s)is(are)true and correct and that the 8/8/18 176995 $3,326.00
1205 101 1 materials or services itemized thereon for 1205 1 101
which charge is made were ordered and
received except
Monday,August 13,2018
Ag�C �o
Crider,James
Administration
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
.�..... ..c....�.-.. vuo.vaw Ijail* arcacllPLW11 Amount
Third Party Administrator-Commercial Policy# 6268 Effective: 1/1/18 - 1/119
Issuing Company Midwest Employers Casualty Co
1286080 1/1/2018 7/1/2018 RENB 18/19 2 of 2 TPAC Service Contract Fee 10,847.50
1/1/2018 8/2/2018 APCR Ice Skating Rink Builders Risk-Project Completed (3,197.40)
Total Invoice Balance: $7,650.10
Tci
t.
AUG 0 9 2018
Ce k T re su ne r
HYLANT Hylant-Indianapolis 10401 North Meridian St,Ste 200 Indianapolis IN 46290
8/8/2018 City of Carmel Loan# Invoice# 167884 FARWE1 Page 1 of 1
MMOU"I
General Liability Policy# 6605046C259 Effective: 4/12/18 - 4/12/19
Issuing Company Travelers Prop Cas Co of Amer
1374248 4/12/2018 4/12/2018 RENB 18/19 General Liability 3,800.00
4/12/2018 7/19/2018 APCR Amend Premium Basis (474.00)
Total Invoice Balance: $3,326.00
Subnn'tted To
AUG 0 9 2018
Cleri-P Treasurer
HYLANT Hylant-Indianapolis 10401 North Meridian St,Ste 200 Indianapolis IN 46290
8/8/2018 Carmel Farmers Market,Inc. Loan# Invoice# 176995 FARWE1 Page 1 of 1