HomeMy WebLinkAbout164112 09/30/2008 CITY OF CARMEL, INDIANA VENDOR: 00352999 Page 1 of 1
ONE CIVIC SQUARE HYLANT GROUP
CARMEL, INDIANA 46032 P 0 BOX 1910 CHECK AMOUNT: $3,112.00
CARMEL IN 46082 CHECK NUMBER: 164112
CHECK DATE: 9/30/2008
DEPARTMENT ACC OUNT PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTION
1047 4347500 656979 2,862.00 GENERAL INSURANCE
1205 4347500 667172 250.00 GENERAL INSURANCE
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HYLANT
1 J Boa. 1910
C`annel, IN 46082
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Local: :31 -817 =5000 S A T E NI E N 'T
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ACCOt7N7 NO ,_,CSR STATEMENT
CARME80 8Y 08/01/2008
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W. Michael Wells
3,737.00
City of Carmel
Steve Engelking
One Civic Square
Carmel, IN 46032
PLEAS' RETURN TOP PORTION WITH REMITTANCE
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69 REN, 01/18 Identity 'Fraud Policy
7.14.0:0v3i._00 8.3.00
6 2 2� tE:04 25/0 ab e Li' h 19.00 0.0.0 .19..00
656979 +EN 06/06/08 Add Cont nts 8/31/07 2,862 -.00 0.00. 2, 62.00
N 07 22/08 A LighItbars. Controllers 17.00 17..00
661149 +EN 07/22/08 Add Sculpture 129.00 0.00 129.00
661785 +EN 07/30/ 08 Add Liquor Liab -Golf Course 627.00 0.00 627.00
Total Balance Due: 3,737.00
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P Date
APp� Dat 14
CPTVED
S E P 1 2 2008
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QUESTIONS REGARDING STATEMENTS? PLEASE CONTACT YOUR REPRESENTATIVE.
HYLANj GitnUP wwIv:hylant.com
Sol Congressional Ellvct- 5'uitc 300 P.O Box 1910 Carmel, tN 4,6032 Local: 317- 817 -5000 F N. 317-817-515
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
352999 Hylant Group Terms
P.O. Box 1910 Date Due
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/1/08 656979 Business Personal Property Insurance MC 2,862.00
Total 2,862.00
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
1 20
Clerk- Treasurer
d\
Voucher No. Warrant No.
352999 Hylant Group Allowed 20
P.O. Box 1910
Carmel, IN 46032
In Sum of
2,862.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. kCCT#TTITLI AMOUNT Board Members
Dept
1047 656979 4347500 2,862.00 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
15 -Sep 2008
Signature
2,862.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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i
.r.
�Eff Date T�nType Policy Description Amount
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INVOICE 667172
01/01/08 +EN PCKG GP09313908 Add Crime Coverages Travelers Insurance Companies 250.00
Administration Dept.
Invoice Balance: 250.00
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 ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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))
667172 Add Crffime 6overnes $250.00
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
VOUCHER fO NO.
Hylant Group ALLOWED 20
PO Box 1910 IN SUM OF
Carmel, IN a2-0-Q22
$250.00
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1205 Administration
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1205 667172 475 $250.00 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
Stature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund