182231 02/16/2010 a CITY OF CARMEL, INDIANA VENDOR: 00352999 Page 1 of 1
ONE CIVIC SQUARE HYLANT GROUP
1; A CARMEL, INDIANA 46032 P 0 BOX 40925 CHECK AMOUNT: $1,444.00
='.'r INDIANAPOLIS IN 46082 -4910
c o, CHECK NUMBER: 182231
CHECK DATE: 2/16/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4347500 716333 1,444.00 GENERAL INSURANCE
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INVOICE 716333
01/01/10 !ZEN MICI 104864945 IDENTITY FRAUD Travelers Insurance Companies 1,444.00
2 -YEAR PRE PAID PREMIUM
Invoice Balance: 1,444.00
FEB 152010
By
HYLANT GROUP wwwhylant.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
$1,444.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Administration
PO# Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1205 716333 I 43- 475.00 I $1,444.00 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
Monday, February 15, 2010
Director,
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))
01/01/10 716333 $1,444.00
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