181940 02/03/2010 CITY OF CARMEL, INDIANA VENDOR: 00352999 Page 1 of 1
it la` ,,,,f574:\ ONE CIVIC SQUARE HYLANT GROUP CHECK AMOUNT: $249.00
4 CARMEL, INDIANA 46032 P 0130X 40925 CHECK NUMBER: 181940
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INDIANAPOLIS IN 46082 -4910
CHECK DATE: 2/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4347500 715594 249.00 GENERAL INSURANCE
ftYLA P.O. Box 40925
Indianapolis, IN 46280 -0925
AA GROUP Local: 317 -817 -5000 INVOICE 715594 Page k
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CARME80 79 01/19/10
W. Michael Wells
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10/17/09
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City of Carmel
Steve Engel king
One Civic Square
Carmel, IN 46032
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INVOICE 715594
01/01/09 +EN PCKG GP09313908 PROP CHGS Travelers Insurance Companies 249 -00
ADD DWELLING LOCATED NEXT TO APOSTOLIC CHURCH ALLOCATE
PREMIUM OF $52.00 TO CRC
ADD EQUIPMENT $319,748 FOR BROOKSHIRE GOLF COURSE ALLOCATE
PREMIUM OF $197.00 TO GOLF COURSE
Invoice Balance: 249.00
D FEB 41 2010
By
HYLANT GROUP www.hylant.com
301 Pennsylvania Parkway Suite 201 P.O. Box 40925 Indianapolis, IN 46280 -0925 Local: 317- 817 -5000 Fax: 317- 817 -5151
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hylant Group
IN SUM OF$
301 Pennsylvania Parkway, Suite 201
Indianapolis, IN 46280 -0925
$249.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Administration
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1205 I 715594 I 43- 475.00 $249.00 I hereby certify that the attached invoice(s), 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
Thursday, January 28, 2010
Director, Administration
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
01/19/10 715594 $249.00
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
Clerk- Treasurer