HomeMy WebLinkAbout203030 10/25/2011 CITY OF CARMEL, INDIANA VENDOR: 00352999 Page 1 of 1
ONE CIVIC SQUARE HYLANT GROUP
i CHECK AMOUNT: $104.00
CARMEL, INDIANA 46032 P o sox 40925
INDIANAPOLIS IN 46082 -4910 CHECK NUMBER: 203030
CHECK DATE: 10/25/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4347500 774200 104.00 GENERAL INSURANCE
Eff Date Trn Type. Policy a Descnpt�on ,t
Amount -`1
INVOICE 774200
01/01/11 +EN PCKG 63058IM4076 ADD FINE ARTS Travelers Insurance Companies 104.00
ADD BRAD HOWE SCULPTURE VALUED AT $130.000.
ALLOCATE TO CITY
Invoice Balance: 104.00
D Q
OCT 24 2011
By
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 ln�qrance 40
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
Purchase Order No.
Term s
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/18/11 774200 $104.00
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.
ALLOWED 20
Hylant Group
IN SUM OF
301 Pennsylvania Parkway, Suite 201
Indianapolis, IN 46280 -0925
$104.00
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1205 774200 43- 475.00 $104.00 I 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
Monday, October 24, 2011
Director, Administrati n
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund