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Home My WebLink About184112 04/13/2010 CITY OF CARMEL, INDIANA VENDOR: 00352999 Page 1 of 1 ONE CIVIC SQUARE HYLANT GROUP CARMEL, INDIANA 46032 P 0 BOX 40925 CHECK AMOUNT: $3,957.00 INDIANAPOLIS IN 46082 -4910 CHECK NUMBER: 184112 CHECK DATE: 4/1312010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4347500 720712 1,100.00 GENERAL INSURANCE 1 4347500 721581 2,857.00 GENERAL INSURANCE HYLANT P.O. Box 40925 Indianapolis, IN 46280 -0925 GROUP Local: 317 817 -5000 INVOICE# 721 581 CARMEN 79 03/25/10 r W. Michael Wells 01/01/09 2,857.00 City of Carmel Steve Engellung One Civic Square Carmel, IN 46032 INVOICE 721581 01/01/09 AUD PCKG GPO9313908 AUTO FINAL AUDIT Travelers Insurance Companies 2,857.00 FINAL AUDIT PERIOD 1/1/09 -10. PRENUUM ALLOCATION: STREI I DEPT. $220 ADD'L. POLICE DEPT. $2,637. STREET DEPT. 1 ADD L VEHICLE POLICE DEPT. 12 ADD'L VEHICLES Invoice Balance. S 2,857.00 D Q APR 12 2010 HYLANT GROUP www.hylant.com 301 Pennsylvania Parkway Suite 201 P.O. Box 40925 Indianapolis, IN 46280 -0925 Local: 317- 817 -5000 Fax: 317 -81.7 -5151 TRAVELERS J DELIVERY .INVOICE Company: audit Policy Period Audited: 01/01/2009 TO 01/01/2010 Cl7 X off', 'C N Agency Number: 130741 -2 S CARMEf [N 4603- Transaction Type: Final Auto Audit U R E Processing Date: 03/01/10 D Policy Number. GP09313908 A TN. G E %�rDtiapnixs trr a�2so N T Policy Description Amount Surtax/ Number Surcharge GP09313908 COMMERCIAL AUTO COVERAGE $2,857.00 Account Due Premium Surtax/ Date Date Surcharge 03/01110 04/10/10 $2,857 $0.00 INSURED COPY TOTAL DUE: $2,857.00 NOTE:. THIS IS NOT A BILL, YOU WILL RECEIVE A SEPARATE BILLING INVOICE. Entity Name: 6ftd RMEL ETG _Il�h Policy Period: 00041 U09 O. t3 _10112D10 Policy Number: Number: 'OF Q9313908 Liability Coverages New Count of Powered Units Old Count count from any completed endorsements 375 Difference 6 5flI Comprehensive Coverage New Ph sical Damage Original Cost New Old Physical Dama a values from an completed endorsements Difference Collision Coverage New Physical Damage Original Cost New Old Physical Damage values from any completed endorsements F Difference PEN Specified Perils New Physical Damage Original Cost New Old Physical Dama a values from an completed endorsements :5 y1 Difference old rates multiplied by exposures equals RIP or All' Liability: 388, x X _t. rte.: X _t Comprehensive M- D_17 x Collision: E_.._,0 7t1a: x :.$182,98.: $235: SP: -L r., x Calculated Premium: Total Additional Premium: TZ85T.00 HYLANT P.O. Box 40925 Indianapolis, IN 46280 -0925 d GROUP Local: 317- 817 -saoo INVOICE 720712 age i�r CARME -9 79 03/14/10 1 r^,PR0D UCER.: W. Michael Wells 6ALAi7CE' 1T lJEON£. ��"k.._.,`" 04/12/10 x IOU+IT :,u4 �$r .;a..�',k4 ,�n'.`G Al 0U1VT'6U�E �e c<.�;;„� ..a'<a_ 3 ar...,.4i 1,100.00 Carmel Farmers Market, Inc. Ron Carter 12715 Stanwich Place Carmel, TN 46033 d 13 s t" ,w ,y sh o y�xE:.%`� 8�§ B '�"'ni°��,A r Y: s.{ a as' p. `�5� P` b�..: g ,...�.�4 F"'�a� i s.. d r. r u f� �;`,s INVOICE 4 720713 04/12/09 REN D &O 104733360 D &O POLICY Travelers Insurance Companies 1,100.00 tnvoiceBatance: 1,100.00 D Q APR 12 2010 By HYLANT GROUP www.hylant.com 301 Pennsylvania Parkway Suite 201 PO- 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 $3,957.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Administration PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1205 721581 43- 475.00 $2,857.00 1 hereby certify that the attached invoice(s), or 1205 720712 43- 475.00 $1,100.00 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 /1 Friday, April 09, 2010 Director, Administrati n 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)) 03/25/10 721581 $2,857.00 04/12/10 720712 $1,100.00 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 2a Clerk- Treasurer