HomeMy WebLinkAbout331650 10/25/18 CITY OF CARMEL, INDIANA VENDOR: 00352999
ONE CIVIC SQUARE HYLANT GROUP CHECK AMOUNT: $*****1,003.00*
s � CARMEL, INDIANA 46032 PO BOX 638720 CHECK NUMBER: 331650
CINCINNATI OH 45263-8720
,TON�• CHECK DATE: 10/25/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4347500 195700 1,003.00 GENERAL INSURANCE
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 00352999
HYLANT GROUP IN SUM OF$ 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
$1,003.00
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
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
195700 43-475.00 $1,003.00 1 hereby certify that the attached invoice(s),or 10/11/18 195700 Policy420655 $1,003.00
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
Thursday, October 18,2018
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
.T_ - --___ _—
Item# Trans Eff._.Date Due Date Trans Description - _` .�__ —_
Builder's Risk/installation-Commercial Policy# 420655 Effective: 1018118 - 211/19
Issuing Company Federal Insurance Company
1548809 10/8/2018 10/19/2018 NEWB CRC Office Buildout Builders Risk 1,003.00
Total Invoice Balance: $1,003.00
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OCT 17 2018
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HYLANT Hylant-Indianapolis 10401 North Meridian St,Ste 200 Indianapolis IN 46290
10/11/2018 Cityof Carmel Loan# Invoice#195700 FARWE1 Page 1 of 1