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CITY OF CARMEL, INDIANA VENDOR: 00352999
ONE CIVIC SQUARE HYLANT GROUP CHECKAMOUNT: $********39.00*
CARMEL, INDIANA 46032 PO BOX 638720 CHECK NUMBER: 330305
CINCINNATI OH 45263-8720 CHECK DATE: 09/21/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4347500 193287 39.00 GENERAL INSURANCE
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 00352999 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
HYLANT GROUP IN SUM OF$ 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
$39.00
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
193287 43-475.00 $39.00 1 hereby certify that the attached invoice(s),or 9/18/18 193287 Policy 630581 M4076 $39.00
1205 101 1205 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
Wednesday, September 19,2018
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
i
Item# Trans Eff Date Due Date ' ----Trans----, _ Description Amount
Package-Commercial Policy# 630581M4076 Effective: 1/1/18 - 1/1/19
Issuing Company Travelers Prop Cas Co of Amer
1525015 7/16/2018 10/3/2018 ENDT Add Equipment for ICS Dept 39.00
Total Invoice Balance: $39.00
T
SEP 18 2018
(31erk Treasurer
HYLANT Hylant-Indianapolis 10401 North Meridian St,Ste 200 Indianapolis IN 46290
9/18/2018 City of Carmel Loan# Invoice#193287 FARWE1 Page 1 of 1