157516 03/19/2008 CITY OF CARMEL, INDIANA VENDOR: 00352999 Page 1 of 1
ONE CIVIC SQUARE HYLANT GROUP
i CHECK AMOUNT: $50.00
CARMEL, INDIANA 46032 P O BOX 1910
CARMEL IN 46082 CHECK NUMBER: 157516
CHECK DATE: 3/19/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE N AMOUNT DESCRIPTION
1110 4347500 645920 50.00 GENERAL INSURANCE
MI-1, 71 It"a-
Eff Date Trn TypePolicy� Description r E�� Amount
INVOICE 645920
s
02/29/68 REN NOTA APPLICATION Notary- Teresa Anderson Ohio Casualty Group 50.00
Invoice Balance: 50.00
HYLANT GROUP www.hylant.com
501 Congressional Blvd Suite 300 PO. Box 1910 Carmel, IN 46032 Local: 317 817 -5000 Fax: 317 817 -5151
l
7 5 'relcribed 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))
.0 Notary Teresa Ande, $50.00
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 03 117108 WARRANT NO.
ALLOWED 20
PO OX 191U IN SUM OF
Carrtel, IN 46082
$50.00
ON AccouGENERA ON FOR
L FUND
1205 Administration
Board Members
PO# or DEPT INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
5920 475 $50.00 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
r
S,' r d"\
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund