165807 11/12/2008 a CITY OF CARMEL, INDIANA VENDOR: 00352999 Page 1 of 1
ONE CIVIC SQUARE HYLANT GROUP
CARMEL, INDIANA 46032 P O BOX 1910 CHECK AMOUNT: $16.00
CARMEL IN 46082
CHECK NUMBER: 165807
CHECK DATE: 11/12/2008
DEPARTMENT ACCOUNT P NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4347500 672603 16.00 GENERAL INSURANCE
Eff Date Thn ''Type Policy Loan Descri ption Amourit
a '�rk4
INVOICE 672603_
01/01/08 +EN PCKG GP09313908 Add Broom Kit Travelers Insurance Companies 16.00
Brookshire Golf Course
Invoice Balance: 16.00
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
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 7995)
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
Hylant Group Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
i i05/08 672603- Add Brown Kit (Gulf Couise) $16.00
Total
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
VOUCHEFI tM -3 WARRANT NO.
ALLOWED 20
Box IN SUM OF
Carm. @l, IN 46082
$16.00
ON ACCOUNT OF APPROPRIATION FOR
GENERAL FUND
1205 Administration
Board Members
PO# or
DEPT INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or
205 672603 475 $16.00 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
20
Si atur
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund