HomeMy WebLinkAbout178528 10/26/2009 CITY OF CARMEL, INDIANA VENDOR: 00352999 Page 1 of 1
ONE CIVIC SQUARE HYLANT GROUP CHECK AMOUNT: $6,679.00
')a CARMEL, INDIANA 46032 PO BOX 40925
INDIANAPOLIS IN 46082 -4910 CHECK NUMBER: 178528
CHECK DATE: 10/26/2009
DEPARTMENT ACCOU PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
902 4347500 705591 200.00 ANKER /WORRELL
902 4460913 706005 6,479.00 BLDR RISK
F HiLANT PO. Box 40925
.y Indianapolis, IN 46280 -0925
1 GxOUp 1 Deal: 317-817-5000 INVOICE 705591 �Page?�
A" 6_6N T NO n +f.. CSR:. ,..":w.^'. b. DATE 2
CARME80 79 10/02/09
W. Michael Wells
.-BALr1NCE
12/31/09
ARIOUNTDUEi,,,,.„.ek
200.00
City of Carmel
Steve Engelking
One Civic Square
Carmel, IN 46032
yp y p Amount
Eff Date Trn T e,„ Polic F Descn tion
.�...:r3*�...
INVOICE M 705591
12/31/09 REN BOND 104893197 PUBLIC OFFICE BOND Travelers Insurance Companies 100.00
CAROYLN ANKER
12/31/09 REN BOND 104893114 PUBLIC OFFICIAL BOND Travelers Insurance Companies 100.00
JEFF WORRELL
Invoice Balance: 200.00
HYLANT GROUP wwwhylant.com
301 Pennsylvania Parkway Suite 201 P.O. Box 40925 Indianapolis, IN 46280 -0925 Local: 317 817 -5000 Fax: 317 817 -5151
Prescribed b 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
Ltiti� y G�i� Purchase Order No.
PO 6ak' yG i 2S Terms
C292S Date Due
Invoice Invoice Description Amount
Date Number
(or note attached invoice(s) or bill(s))
r
Total G?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
Po /3ox y� s z s
/X1 �2k'a ,92's
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
/02 7�is s9/ �3y75 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
/U- 20 09
Sigoature
Director of O�eratipns
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
PrescribedOy 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
1 Y��gyi ��/J Purchase Order No.
Terms
l41 's O 925 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1 (7 70�O1i 5 0 7
t
t x`
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. g-;
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
�Y�l��vi Gov IN SUM OF
�f. „o� ��•s �'G 2�`0 925
ON ACCOUNT ION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
gU2 71�6D�S y��� /3 �,y;�gW 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 G�
Jj KID61
Si
Directo2of nat 0 rations
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund