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196821 04/26/2011 CITY OF CARMEL, INDIANA VENDOR: 00352999 Page 1 of 1 ONE CIVIC SQUARE HYLANT GROUP CARMEL, INDIANA 46032 P 0 sox 40925 CHECK AMOUNT: $17,439.00 *ti ox "i� i INDIANAPOLIS IN 480$2-4910 CHECK NUMBER: 196821 CHECK DATE: 4/26/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4347500 754451 1,100.00 GENERAL INSURANCE 1205 4347500 757544 1,874.00 GENERAL INSURANCE 1205 4347500 758326 13,764.00 GENERAL INSURANCE 1205 4347500 758327 655.00 GENERAL INSURANCE 1205 4347500 758328 46.00 GENERAL INSURANCE HYLANT P.O. Box 40925 Indianapolis, IN 46280-0925 INVOICE# 757544 Local: 317-817-5000 'AGROUP ft ja CARME-9 79 04/11/11 W. Michael Wells 04112/11 KWKTJ� 1,874.00 Carmel Farmers Market, Inc. Ron Carter 12715 Stanwich Place Carmel, IN 46033 INVOICE N 757544 04/12/11 REN GL-S P6605046C259T[L1 I GL POLICY Travelers Insurance Companies 1,874.00 Invoice Balance: 1,874.00 ZI—N APR 2 By 301Penusylvania Parkway Suite 201 P•O. Box 40925 Indianapolis, IN 46280-0925 Toll Free: 800-678-0361 Local: 317-817-5000 Fax: 317 -817 -5153 �—o s -n nsurance fnVesti ehts t P.O. Box 40925 I HYLANT Indianapolis, IN 46280- 0925 1 Local: 317 -817 -5000 INVO 754451 b Egm 0 U,JGROUP M CARME -9 79 3/13/11 W. Michael Wells 04/12111. 1,100.00 l Carmel Farmers Market, Inc. Ron Carter 12715 Stanwich Place ...Carmel,- IN....46.433...... INVOICE P 754451 04112!09 REN DOLI 104733360 D &O POLICY Travelers Insurance Companies 1,100.00 3RD ANNUAL INSTALLMENT Invoice Balance: S 1,100.00 D APR 2 2011 By 301Pennsylvania Parkway Suite 201 P.O. Box 40925 Indianapolis, IN 46280 -0925 Toll Free: 800- 678 -0361 Local: 317- 817 -5000 Fax: 317- 817 -5151 nen 40 Ut HYLANT P.O. Box 40925 Indianapolis, IN 46280 -0925 Local: 317 -817 -5000 INVOICE 758326 GROUP CARME80 79 04/20/11 acka�e. Co�unecctl W GP09313908 W. Michael Wells City of Carmel 01/01/10 01/01/11 04/22/1 A�)fO�PAID,F_...r..- _tea-- AIVfQlIN` T,DIIE- Steve Engelking 13,764.00 One Civic Square Carmel, IN 46032 �s Eif 7�►- tY s.t �,13esetl�fto� .Amount INVOICE 758326 01/01/10 +EN PCKG GP09313908 ADD PALLADIUM Travelers Insurance Companies 13,764.00 ALLOCATE PREMIUM TO: CARMEL REDEVELOPMENT AUTHORITY Invoice Balance: 13,764.00 301 Pennsylvania Parkway Suite 201 P.O. Box 40925 Indianapolis, IN 46280 -0925 Toll Free: 800- 678 -0361 Local: 317- 817 -5000 Fax: 317 -817 -5151 I Risk '1 U H YLANT P.O. Box 40 I N 46280 -0925 Local: 317 817-5000 INVOICE 758327 P age GROUP CA13ME80 79 04/20/11 �'ackae _Ca�ltlmercal GP09313908 W. Michael Wells City of Carmel 01/01/10 01/01111 04/22/11 31�i20I12V�1'li1D._ ._1._•...._;::...r.� 3Mi]IIPII= .D3t�:'= Steve Engelking 655.00 One Civic Square Carmel, IN 46032 EfiF#S Ye�Frn TyP �ol�cq f 's �Des�ripfion Y Am00" INVOICE 758327 01/01/10 -EN PCKG GPD9313909 ADD ENGERY CENTER Travelers Insurance Companies 655.00 ALLOCATE PREMIUM: CARMEL REDEVELOPMENT COMMISSION Invoice Balance: 655.00 301 Pennsylvania Parkway Suite 201 P.O, Box 40925 Indianapolis, IN 46280 0925 Toll Free: 800 678 0361 Local: 317 817 5000 Fax: 317 817 5151 Risk M 7 HYLANT Indi Box 409 1 462$0 -0925 INVOICE 758328 page ��`�l Local: 317- 817 -5000 GR GROUP CARME80 79 04/20/11 .1?a�k�te Cor�tmerc�al• GP09313908 W. Michael Wells 1 F.'yRF`!' 79 V' F' ..:�.yCPIRAT,ION _P;9T•AYGE DTfE.ON<,...�— s _ems..:_.. City of Carmel 01 /01 /10 01/01/11 04/22/11 Steve Engelking S 46.00 One Civic Square Carmel, IN 46032 c �L��ake. Ten 'Gybe Pglley L1escn _t�bn Fpsnoulat INVOICE 758328 01/01/10 +EN PCKG GP09313908 ADD HAZ MAT EQUIP Travelers Insurance Companies 46.00 ALLOCATE PREMIUM: FIRE DEPT. Invoice Balance: 46.00 301 Pennsylvania Parkway Suite 201 P.O. Box 40925 Indianapolis, IN 462$0 -0925 Toll Free: 800 -678 -0361 Local: 317 -817 -5000 Fax: 317- 817 -5151 nsurance Ri lhv6t VOUCHER NO. WARRANT NO. ALLOWED 20 Hylant Group IN SUM OF 4 301 Pennsylvania Parkway, Suite 201 Indianapolis, IN 46280 -0925 $17,439.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Administration PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1205 I 757544 43- 475.00 $1,874.00 1 hereby certify that the attached invoice(s), or 1205 I 754451 I 43- 475.00 I $1,100.00 bill(s) is (are) true and correct and that the 1205 758328 43- 475.00 $46.00 I materials or services itemized thereon for 1205 I 758327 1 43 475.00 I $655.00 11 which charge is made were ordered and 1205 758326 43- 475.00 $13,764.00 received except Friday, April 22, 2011 Director, Administratio�i 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)) 04111/11 757544 $1,874.00 04/12/11 I 754451 I I $1,100.00 04/22/11 758328 $46.00 04/22/11 758327 $655.00 04/22/11 I 758326 I I $13,764.00 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