167555 01/06/2009 f CITY OF CARMEL, INDIANA VENDOR: 00352999 Page 1 of 1
ONE CIVIC SQUARE HYLANT GROUP CHECK AMOUNT: $458.00
s ,o CARMEL, INDIANA 46032 P 0 Box 1910
CARMEL IN 46082 CHECK NUMBER: 167555
T CHECK DATE: 1/6/2009
DEPARTMENT ACCOUNT PO NUMBER INV OICE NUMBE AMOUNT DESCRIPTION
�6 02 4460807 677201 458.00 PERFORMING ARTS CENTE
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INVOICE 677201
It
10/22/07 +EN BR -I 06637524 Energy Center Bldrs. Risk Federal Insurance Company 458.00
Extend coverage to 1/10/09
Invoice Balance: 458.00
HYLANT GROUP www.hylant.com
501 Congressional Blvd Suite 300 P.O. Box 1910 Carmel, IN 46032 Local: 317 -817 -5000 Fax: 317- 817 -5151
Pres #.ied by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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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
6� y Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
IZ -Z1 -O 7a U L1 Se CIO
Total L-1 u o
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
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
4
�yz/
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
90 Z 6 20 1 111(oo uD� ys�vO 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
Signa ure
�fl� '1 Ct ✓1
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund