172364 05/13/2009 CITY OF CARMEL, INDIANA VENDOR: 00352999 Page 1 of 1
ONE.CIVIC SQUARE HYLANT GROUP
t
i CHECK AMOUNT: $2,974.00
CARMEL, INDIANA 46032 P 0 BOX 1910
CARMEL IN 46082 CHECK NUMBER: 172364
CHECK DATE: 5/13/2009
DEPARTMENT AC PO NUMBER INV OICE NUMBER AM DESCRIPTION
1205 4347500 689976 1,100.00 GENERAL INSURANCE
1205 4347500 690050 1,874.00 GENERAL INSURANCE
8 escribed 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
y Hylant Group Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
n4/19/nci Carmel Farmers Market
04/12/09 689976 Carmel Far Market
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
VOLfi R NO a 11 /0 VARRANT NO.
�ly�ant Group
ALLOWED 20
Box 1910 IN SUM OF
Carmel, IN 46082
$2,974.00
ON ACCOUN$ENEWA�L0R bQN FOR
1205 Administration
Board Members
P NO. ACCT #/TITLE AMOUNT
o Q I hereby certify that the attached invoice(s), or
475 8 4.00 bill(s) is (are) true and correct and that the
89976 475 0 materials or services itemized thereon for
which charge is made were ordered and
received except
20
A t tu r
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund