157970 04/01/2008 CITY OF CARMEL, INDIANA VENDOR: 00352999 Page 1 of 1
ONE CIVIC SQUARE HYLANT GROUP
CARMEL, INDIANA 46032 P 0 Box 1910 CHECK AMOUNT: $458.00
CARMEL IN 46082
CHECK NUMBER: 157970
CHECK DATE: 41112008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4347500 648851 458.00 GENERAL INSURANCE
s
t Eff DateTrn Policy,# Description Amount
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INVOICE 0' 648851
03/04/08 +EN PCKG GP09313908 Add John Deere Equip. 3/4/08 St. Paul Fire Marine Ins. Co 458.00
Department CRC
Invoice Balance: 458.00
HYLANT G ROUP 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 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
Hylant Group Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
648851 h In Deer Eq U upinei it 3/4/08 $458.00
Total
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER ()OKII /n$_WARRANT NO.
a ALLOWED 20
OX IN SUM OF
Carmel, IN 46662
$458.00
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1205 Administration
Board Members
PO# or DEPT. INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or
1205 648851 475 $458.00 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
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Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund