Loading...
HomeMy WebLinkAbout195076 03/02/2011 CITY OF CARMEL, INDIANA VENDOR: 00352999 Page 1 of 1 ONE CIVIC SQUARE HYLANT GROUP CHECK AMOUNT: $3,406.00 0 CARMEL, INDIANA 46032 P 0 BOX 40925 INDIANAPOLIS IN 46082 -4910 CHECK NUMBER: 195076 CHECK DATE: 3/2/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4347500 752139 3,406.00 GENERAL INSURANCE UtH P.O Box 40925 HYLANT Indianapolis, IN 46280-0925 Local: 317-817-500 INVOICE# 752139 A 0 -0 GROUP -107— CARME 79 02/16/ GP09313908 W. Michael Wells City of Carmel 01/01/10 01/01/11 01110/10 M.; RE FM" Steve Eagelking 3,406.00 One Civic Square Carmel, IN 46032 INVOICE 752139 0001110 AUD CR-S GPO9313908 AUTO AUDIT Travelers Insurance Companies S 3,406.00 FINAL AUDIT AUTO PERIOD: I A 0A 0- 11 ALLOCATE PREMIUM: FIRE DEPT. $1,022; POLICE DEPT. $2,384 Invoice Balance. 3,406.00 FL8 2 8 2011 By 301 Pennsylvania Parkway Suite 201 P. Box 40925 Indianapolis, IN 46280-0925 Toll Free: 800-678-0361 Local: 317-817-5000 Fax: 317-817-5151 Risk Manageniont �401 (10 -160jstrneht.s t VOUCHER NO. WARRANT NO. ALLOWED 20 Hylant Group l IN SUM OF 301 Pennsylvania Parkway, Suite 201 Indianapolis, IN 46280 -0925 $3,406.00 I ON ACCOUNT OF APPROPRIATION FOR Carmel Administration PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1205 752139 I 43- 475.00 I $3,406.00 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 M onday, February 28, 2011 i Y A Director, Administration Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No. 291 (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)) 02/16111 752139 I $3,406.00 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