HomeMy WebLinkAbout188369 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: 00352999 Page 1 of 1
0 ONE CIVIC SQUARE HYLANT GROUP CHECK AMOUNT: $312.00
CARMEL, INDIANA 46032 P 0 BOX 40925
INDIANAPOLIS IN 46082 -4910 CHECK NUMBER: 188369
CHECK DATE: 8/3/2010
DEPARTMENT ACCOUNT PQ NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4347500 733603 312.00 GENERAL INSURANCE
Eff Date Tr Type Pl M Descnption m Amount s
Q
INVOiCE €S 733603
01101/10 +I;N PCKG GP09313908 ADD AUTO ENDT Travelers Insurance Companies 312.00
ADD AUTO PHYSICAL, DAMAGE AGREED VALUE ENDORSEMENT.
ALLOCATE TO FIRE DEPARTMENT.
hIvoice Balance: S 312.00
D Q
AUG 02 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.
Hyla`nt Group ALLOWED 20
IN SUM OF
301 'Pennsylvania Parkway, Suite 201
Indianapolis, IN 46280 -0925
$312.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Administration
PO# I Dept, INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1205 I 733603 43- 475.00 I $312.00 1 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
Friday, July 30, 2010
n
Director, dministratio
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))
07122/10 I 733603 $312.00
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