332169 11/13/18 CITY OF CARMEL, INDIANA VENDOR: 00352999
® ONE CIVIC SQUARE HYLANT GROUP CHECK AMOUNT: $*****1,264.00*
=9L a CARMEL, INDIANA 46032 PO Box 638720 CHECK NUMBER: 332169
CINCINNATI OH 45263-8720 CHECK DATE: 11/13/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4347500 198168 692.00 GENERAL INSURANCE
1701 4347500 198412 572.00 GENERAL INSURANCE
VOUCHER NO. WARRANT NO. Prescribed by state Board or Accounts City Form No.201(Rev.1995)
Vendor# 00352999 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
HYLANT GROUP IN SUM OF$ 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
$572.00
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Clerk Treasurer 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
198412 43-475.00 $572.00 1 hereby certify that the attached invoice(s),or 11/8/18 198412 $300,000.BOND FOR CHRISTINE 12/31/18- $572.00
1701 101 1701 101 12131/19
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, November 09, 2018
Quinn, Jacob
Deputy Clerk of City Business
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
Please Return Top with Remittance To: PO Box 638720, Cincinnati,OH 45263-8720
rans Date
rppqn
It
Bond^Public Official(Gpenify) Policy# 106469657 Effective: 13131118 ` 12/31h9
Issuing Company Travelers Casualty&Surety Co
1507554 12/31Q018 1281/2018 REN8 |NChristine S. PouleyTreasurer$3OU.UOO 572.00
Total Invoice Balance: $572.00
.HYLANT Hylant-Indianapolis 10401 North Meridian St,Ste 200 Indianapolis IN 46290
11/7/2018 City of Carmel Loan# Invoice#198412 FARVV81 Page I of 1
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VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vend or# 00352999 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
HYLANT GROUP IN SUM OF$ 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
$692.00
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
198168 43-475.00 $692.00 1 hereby certify that the attached invoice(s),or 11/20/18 198168 ZLP14T62033 $692.00
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
Tuesday, November 6,2018
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
Please Return Top with Remittance To: PO Box 638720,Cincinnati,OH 45263-8720
tem# Trans Eff Date Due Date Trans Description Amount
Package-Commercial Policy# ZLP14T62033 Effective: 1/1/18 - 111119
Issuing Company Charter Oak Fire Insurance Co
1566745 8/27/2018 11/20/2018 ENDT Add(4)Drones to Liability 692.00
Total Invoice Balance: $692.00
To �
4
NOV 0 6 2018
ark,
HYLANT Hylant-Indianapolis 10401 North Meridian St,Ste 200 Indianapolis IN 46290
11/5/2018 City of Carmel Loan# Invoice#198168 FARWE1 Page 1 of 1