HomeMy WebLinkAbout173184 06/09/2009 CITY OF CARMEL, INDIANA VENDOR: 00352999 Page I of 1
ONE CIVIC SQUARE HYLANT GROUP CHECK AMOUNT: $25,194.25
CARMEL, INDIANA 46032 P 0 BOX 1910
CARMEL IN 46082 CHECK NUMBER: 173184
CHECK DATE: 6/9/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
-k302 5023990 693673 25,194.25 OTHER EXPENSES
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
Hylant Group Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3 of 4 insts to Gitizen's Ins Co of America
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 NQ6 /0 /09 WARRANT NO.
j-9y id! It Goup ALLOWED 20
0 Box 19 10 IN SUM OF
Carmel, IN 46082
$25,194.25
ON ACCOUNT OF APPROPRIATION FOR
302 Workers Compensation
Board Members
PO or INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
302 $25,194.25 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
0i�na r1
e
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund