HomeMy WebLinkAbout200702 08/17/2011 CITY OF CARMEL, INDIANA VENDOR: 00352999 Page 1 of 1
ONE CIVIC SQUARE HYLANT GROUP
1 CHECK AMOUNT: $203.00
CARMEL, INDIANA 46032 P O BOX 40925
INDIANAPOLIS IN 460824910 CHECK NUMBER: 200702
°M
CHECK DATE: 8/17/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4347500 768595 203.00 GENERAL INSURANCE
INVOICE 9 76$595
01/01 /11 +EN PCKG 63058IM4076 ADD MISC SCH EQUIP Travelers Insurance Companies 203.00
ADD $75,000 HAZARDOUS MATERIAL ID KIT SER. #3364
ALLOCATE TO FIRE DEPT.
Invoice Balance: 203.00
D z"' I 1
AUG 15 2011 i
301 Pennsylvania Parkway Suite 201 P.O. Box 40925 Indianapolis, IN 46280 -0925
Toll Free: 800 -678 -0361 Local: 317 -817 -5000 Fax: 317 -817 -5151
Risk Management Insurance 40 1(k),- Investments Benefits
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
A Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
9 -M-11 1 q5 qq 06
Jp-1 S T S 20
Total Q 0 0
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 NO. WARRANT NO.
`r ALLOWED 20
JJ� LAS IN SUM OF
po 4b ).5
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
X175 materials or services itemized thereon for
which charge is made were ordered and
received except
20
Sign e
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund