166718 12/10/2008 CITY OF CARMEL, INDIANA VENDOR: 00352999 Page 1 of 1
ONE CIVIC SQUARE HYLANT GROUP
CARMEL, INDIANA 46032 P 0 BOX 1910 CHECK AMOUNT: $300.00
CARMEL IN 46082
CHECK NUMBER: 166718
CHECK DATE: 12110/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
9 "02 4347500 675547 100.00 GENERAL INSURANCE
902 4347500 675550 .100.00 GENERAL INSURANCE
902 4347500 675551 100.00 BOND
INVOICE 675551
12/31/08 REN BONC 104893114 Jeff Worrell- Public Off. BondTravelers Insurance Companies 100.00
Invoice Balance: 100.00
HYLANT GROUP www.hylant.com
501 Congressional Blvd Suite 300 PO. Box 1910 Carmel, IN 46032 Local: 317 817 -5000 Fax: 317- 817 -5151
17 yg Eff Trn Type Policy Loam# Descnption i tt a Amount
I n-.v.- .....s- u��i��.
INVOICE 675550
12/31/08 REN BONC 104893197 Carolyn Anker- Public Off. BoTihvelers Insurance Companies 100.00
Invoice Balance: 100.00
i
HYLANT GROUP www.hylant.com
501 Congressional Blvd Suite 300 P.O. Box 1910 Carmel, IN 46032 Local: 317 817 -5000 Fax: 317- 817 -5151
Eff T�rn.�Type Policy# Loan# Descnption Amount;
a` r� ":a x... r,.?�e a ���ns.*t�'�`u
INVOICE 675547
01/01/09 REN BONC 104574051 Ron Carter Public Off. Bond Travelers Insurance Companies 100.00
Invoice Balance: 100.00
HYLANT GROUP www.hylant.com
501 Congressional Blvd Suite 300 PO. Box 1910 Carmel, IN 46032 Local: 317 -817 -5000 Fax: 317 817 -5151
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.
L Payee
H Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1 Z Z -'0 y SA t C C e oft G! �itJO l oo. c)
IZ -Z -08 P7558DO ll�r lo o.00
/00.00
Total 300.
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.
ALLOWED 20
IN SUM OF
L j (0()8 z
30D ,00
ON ACCOUNT OF APPROPRIATION FOR
702- 4Sq"75
6 D� Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
0 Z `75 I Ll 2-1 `7� 0 100, U l) bill(s) is (are) true and correct and that the
o Z 7 o 431-1 75 D 00,D0 materials or services itemized thereon for
`OZ- '7 3 7 51 0 100 ,00 which charge is made were ordered and
received except
20 O t
c_
ig ature
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund