HomeMy WebLinkAbout183589 03/23/2010 CITY OF CARMEL, INDIANA VENDOR: 00352999 Page 1 of 1
ONE CIVIC SQUARE HYLANT GROUP
CHECK AMOUNT: $50.00
CARMEL, INDIANA 46032 P o aox 40925
X 0 2 INDIANAPOLIS IN 46082 -4910 CHECK NUMBER: 183589
CHECK DATE: 3/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4347500 721209 50.00 NOTARY- JOHNSON
•HYLANT P.O. Box 40925
Indianapolis, IN 46280 -0925 JS,
U'A
Local: 317 -817 -5000 I N V O I C E# 721209 a e.
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CARMO8B 79 03/22/10
TBD
W. Michael Wells
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City of Carmel 03122/10 03/22/11 03/22/10
One Civic Square 50.00
Carmel, IN 46032
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INVOICE 721209
03/27/10 NEW BOND TBD New business Ohio Casualty Group S 50.00
NOTARY BOND FOR SANDY M. JOHNSON
Invoice Balance: 5 50.00
HYLANT GROUP www.hylanL.COM
301 Pennsylvania Parkway Suite 201 P.O. Box 40925 Indianapolis, IN 46280 -0925 Local: 317 -817 -5000 Fax: 317 -81,7 -5151
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
l(/V� Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice((s)) orr bill(s))
d
Total
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. 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
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund