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CITY OF CARMEL, INDIANA VENDOR: 00352999
CHECKAMOUNT: $*******556.00*
ONE CIVIC SQUARE HYLANT GROUPCARMEL, INDIANA 46032 PO Box 638720 CHECK NUMBER: 329174
CINCINNATI OH 45263-8720 CHECK DATE: 08/27/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1801 4347500 190745 556.00 GENERAL INSURANCE
VOUCHER NO. ' WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 00352999 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
HYLANT GROUP IN SUM OF$ 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
$556.00
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
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
190745 43-475.00 $556.00 1 hereby certify that the attached invoice(s),or 8/16/18 190745 Extend Expiration for Midtown South Garage $556.00
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,August 24,2018
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 # 190745
10401 North Meridian St,Ste 200 Date Balance Due On
Indianapolis,IN 46290
P-(800)678-0361 8/16/2018 8/31/2018
hylant.com F-(317)817-5151 Insured
City of Carmel
Account Number Amount-Due
CARMELO-02 $556.00
City of Carmel
Attn: Jim Crider
One Civic Square
Carmel,IN 46032
Please Return Top with Remittance To: PO Box 638720,Cincinnati,OH 45263-8720
Item# Trans Eff Date Due Date AJ Trans _Description Amount
i
Builder's Risk/installation-Commercial Policy# 418721 Effective: 7/20/17 - 8/31/18
Issuing Company Federal Insurance Company
1498455 7/20/2018 8/31/2018 ENDT Extend Expiration for Midtown South Garage 556.00
Total Invoice Balance: $556.00
HYLANT Hylant-Indianapolis 10401 North Meridian St,Ste 200 Indianapolis IN 46290
8/16/2018 City of Carmel Loan# invoice#190745 FARWE1 Page 1 of 1