HomeMy WebLinkAbout177705 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 00352999 Page 1 of 1
ONE CIVIC SQUARE HYLANT GROUP CHECK AMOUNT: $296.00
CARMEL, INDIANA 46032 P O BOX 40925
INDIANAPOLIS IN 46082 -4910 CHECK NUMBER: 177705
CHECK DATE: 9/29/2009
DEPAR J ACCOUNT PO NUM INVOICE NUMBER AMOUNT DESCRIPTION
1205 4347500 703732 296.00 GENERAL INSURANCE
9 LANT P.O. Box 40925
Indianapolis, IN 46280 0925 a GROUP Local: 317 817 -5000 INVOICE 703732 ;page
„_ACCOUNT,NO'
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CARME80 79 09/15/0
PRODUC
W. Michael Wells
14ALANCE.DUE ON._..,
07/22/09
,�.AMOUNT.PAID
296.00
City of Carmel
Steve Engelking
One Civic Square
Carmel, IN 46032
Eff Date Trn Type Policy Descn tion Amount,
w P r
..._.._..:?.'a.zw.�., .,l `,.55,. s._ ,z;stxi: m�. s,m .`�x «3.2 �*s M W �r _.,_.:w«�i .7.�
INVOICE 703732
01/01/09 +EN PCKG GP09313908 INC FINE ARTS SCH Travelers Insurance Companies 296.00
INCREASED LIMIT: $979,000 ALLOCATE PREMIUM TO CITY OF
CARMEL
Invoice Balance: 296.00
HYLANT GROUP wwwhylant.com
301 Pennsylvania Parkway Suite 201 P.O. Box 40925 Indianapolis, IN 46280 -0925 Local: 317 -81.7 -5000 Fax: 317- 817 -5151
'Ilk
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))
09/ r-Ing -7 03732 INC FINE ARTS SISH $296.0
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 N ®9 /2 8109 WARRANT NO
ALLOWED 20
PO Box 19 i 0 IN SUM OF
Carmel, IN 46082
$296.00
ON ACCOUN PP &E R PRIATION FOR
�i NN ERAL
7, 1205 Administration
Board Members
PO# I hereby INVOICE NO. ACCT #/TITLE AMOUNT certify that the attached invoice
DEPT. Y Y s or
I Zub 103132 475 $296.00 bill(s) is (are) true and correct and that the
F
j materials or services itemized thereon for
which charge is made were ordered and
received except
20
ignatu
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund