183640 03/25/2010 CITY OF CARMEL, INDIANA VENDOR: 00352999 Page 1 of 1
ONE CIVIC SQUARE HYLANT GROUP
+,o CARMEL, INDIANA 46032 P 0 BOX 40925 CHECK AMOUNT: $1,072.00
INDIANAPOLIS IN 46082 -4910 CHECK NUMBER: 183640
or
CHECK DATE: 3/25/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4347500 719465 1,072.00 GENERAL INSURANCE
H YLANT P.O. Box 40925
Indianapolis, IN 46280 -0925
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e\M0UNT DUE,.
S [,072.00
Carmel Clay BdTarks Rec.
1411 E. 116th St
Carmel, IN 46032
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INVOICE 711461
04/01/09 REN CR -S 104720946 CRIME POLICY 2ND AN Travelers Insurance Companies S 1,072.00
Invoice Balance: S 1,072.00
Description
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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
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
352999 Hyiant Group Terms
P.O. Box 40925 Date Due
Indianapolis, IN 46280 -0925
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
3/1110 719465 Employee Dishonest policy 1,072.00
Total 1,072.00
1 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.
352999 Hylant Group Allowed 20
P.O. Box 40925
Indianapolis, IN 46280 -0925
In Sum of
1,072.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE N0. kCCT#/ AMOUNT Board Members
Dept
1125 719465 4347500 1,072.00 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
25 -Mar 2010
Signature
1,072.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund