159194 05/12/2008 M. CITY OF CARMEL, INDIANA VENDOR: 00352999 Page 1 of 1
ONE CIVIC SQUARE HYLANT GROUP CHECK AMOUNT: $972.00
CARMEL, INDIANA 46032 P 0 BOX 1910
CARMEL IN 46082 CHECK NUMBER: 159194
CHECK DATE: 5/12/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4347500 652482 868.00 GENERAL INSURANCE
;1205 4347500 653855 47.00 GENERAL INSURANCE
1205 4347500 653940 57.00 GENERAL INSURANCE
ct
i
Eff3Da eTr�n�Type iJescripti n Amount
INVOfCE 653940
01/01/08 +EN PCKG GP09313908 Add Misc. Equipment St. Paul Fire Marine Ins. Co 57.00
Police Department
Invoice Balance: 57.00
F�
HYLANT GROUP www.hylant.com
501 Congressional Blvd Suite 300 PO. Box 1910 Carmel, IN 46032 Local: 317 817 -5000 Fax: 317 -817 -5151
Eff Date Trn. hype .Policy #Description Amount
l gym"
INVOICE 653855
01/01/08 +EN PCKG GP09313908 Add Misc. Equipment St. Paul Fire Marine Ins. Co 47.00
Police Department
f Invoice Balance: 47.00
HYLANT GROUP www.hylant.com
501 Congressional Blvd Suite 300 PO. Box 1910 Carmel, IN 46032 Local: 317 817 -5000 Fax: 31.7- 817 51.51.
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))
653940 Add Mes-e. Equipment (police dept) 5 1. 00
05/05/0 65 3855 Add Misr. Fcilihmpnt (police dept) $47.00
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 '62i 2108 WARRANT NO.
ylant Group ALLOWED 20
IN SUM OF
PO Box 1910
Garme l 1N 46982
$104.00
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 653940 475 $57.00 bill(s) is (are) true and correct and that the
materials or services itemized thereon for
1205 653855 0 which charge is made were ordered and
received except
20
ignatur
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
HYLANT P.O. Box 1910
<e Carmel, IN 46082
Local: 317-817-5000
4 GROUP INVOICE 652482
ACCOUNT N 0. a ..i r OP�r.. ILL� DATEk
CARME -3 -2001 8Y 04/25/08
PRODUCER!.
W. Michael Wells
.v._ BALANCE:DUE.ON :Gii�L.
04/25/08
='..AMOUNT:PAMa _."*.W ,..a�u AMOUNTSDUE
868.00
Carmel Clay BdTarks Rec.
1411 E. 116th St
Carmel, IN 46032
m eff Date Trn Type Polcy �Descnption� A 'oun
INVOICE 652482
04/01/06 +EN CR -S 104720946 Crime Policy Endt. St Paul Travelers Cos., Inc. 868.00
Increase number of employees under Crime coverage
Invoice Balance: 868.00
APP, L
/oi ii a 5� 41,3 Y7S 6
c vt _Lit -s v r
'1 J
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
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.
Hylant Group Terms
P.O. Box 1910
Carmel, IN 46032
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/25/08 652482 lEmployee dishonesty /increase of employees 868.00
Total 868.00
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
20_
Clerk- Treasurer
Voucher No. Warrant No.
Hylant Group Allowed 20
P.O. Box 1910
Carmel, IN 46032
In Sum of
868.00
ON ACCOUNT OF APPROPRIATION FOR
101 -1125 GEN FUND
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 652482 4341500 868.00 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
12 -May 2008
signatur
868.00 Business Services Manager
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund