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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