HomeMy WebLinkAbout175732 08/06/2009 "Q4 CITY OF CARMEL, INDIANA VENDOR: 00352999 Page 1 of 1
ONE CIVIC SQUARE HYLANT GROUP
CHECK AMOUNT: $567.00
CARMEL, INDIANA 46032 P o sox isio
CARMEL IN 46082 CHECK NUMBER: 175732
I CHECK DATE: 8/6/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AM OUNT DESCRIPTION
1205 4347500 698476 30.00 GENERAL INSURANCE
1205 4347500 698477 537.00 GENERAL INSURANCE
g
�Eff Date Trn TypePol�cy Descnption t Amountu
ti
INVOICE 698476
01/01/09 +EN PCKG GP09313908 INCREASE FINE ARTS Travelers Insurance Companies 30.00
UNSCHEDULED FINE ARTS LIMIT INCREASED TO 125,000
Invoice Balance: 30.00
HYLANT GROUP ',,hylant.com
301 Pennsylvania Parkway Suite 201 P.O. Box 40925 Indianapolis, IN 46280 -0925 Local: 317 -817 -5000 Fax: 317 817 -5151
r Eff Date Trn Type Policy Descnption� 4 Amount y
INVOICE 698477
01/01/09 +EN PCKG GP09313908 AMEND MAKE /MODEL Travelers Insurance Companies 537.00
AMEND TO 2006 LDV WALK INCOMMAND #8519
Invoice Balance: 537.00
HYLANT GROUP www.hylant.com
301 Pennsylvania Parkway Suite 201 P.O. Box 40925 Indianapolis, IN 46280 -0925 Local: 31.7- 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))
07 /20/0il 69847 Increase Fine AFts
07/20/0 698477 Amend make/model $30.00
$537.00
Total $567.00
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 0 03 /09 WARRANT NO.
a ALLOWED 20
1918 IN SUM OF
Carmel, IN 46082
$567.00
ON ACC0U�§To fgRLT,Fj0ON FOR
1205 Administration
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
$30.00 bill(s) is (are) true and correct and that the
1205 698477 0 materials or services itemized thereon for
which charge is made were ordered and
received except
20
gnature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund