HomeMy WebLinkAbout331662 10/25/18 %��,A,,R� CITY OF CARMEL, INDIANA VENDOR: 366179
s d 31 ONE CIVIC SQUARE LIBERTY MUTUAL INSURANCE CO CHECK AMOUNT: $*******100.00*
9 ;�� CARMEL, INDIANA 46032 25761 NETWORK PLACE CHECK NUMBER: 331662
y��roN�. CHICAGO IL 60673-1257 CHECK DATE: 10/25/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
801 4347500 100.00 GENERAL, INSURANCE
VOUCHER NO. WARRANT NO.
3�cA\`l`1
ALLOWED 20
IN SUM OF $
ON ACCOUNT OF APPROPRIATION FO
Board Members
Po#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s),
O �3 '47�. �00•0� or 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
�O \O 20k�
Signature
Cost distribution ledger classification if �, STI le
claim paid motor vehicle highway fund cxn
Someday is Today, LLC
�`Libet-IN-Aluttol- 7116 E 71ST ST
ti. ._- .
"' INDIANAPOLIS, IN 46256
Liberty Mutual Surety E!Ond. Inv®ice
3217 1 AB 0.405 P:3217 / T:13 / S:1 Statement Date: 10/05/2018
Premium: 100 . 00
�xY ADAM C. MILLER Applicable Taxes: 0 . 00
ti CITY OF CARMEL POLICE DEPARTMENT
3 CIVIC SQ ,�,� Applicable Fees: 0 . 00
CARMEL IN 46032-2584 AmountDue: 100 . 00
Payment Due Date: 11/19/2018 I
iNlake checks payable to: Liberty\rlutt-t-11
`--Bond-Number: -Or0016$5 —Your Liberty Mutual Surety Bond :Activity Summary
Effective Date: 1/01/2019
Bond Description: Renewal-New Bond Official
Police Pension Secretary-Carmel Police Department
Obligee: State of Indiana
Issuing Company: Ohio Casualty Insurance Company
Billing is automatic until the bond is cancelled. If your bond is no longer needed or required, please notify your agent
for cancellation.Thank you!
For billing questions or to pay by credit card,please call the Liberty. \-luteal Surety Billing Center at 1-800-773-3312
PLEASE DO NOT SEND ANY CORRESPONDENCE WITH YOUR PAYMENT;
THIS MAY DELAY THE PROCESSING OF YOUR PAYMENT.
Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
, 20-
Clerk-Treasurer
20Clerk-Treasurer