HomeMy WebLinkAbout206278 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 00352999 Page 1 of 1
0 ONE CIVIC SQUARE HYLANT GROUP
CARMEL, INDIANA 46032 P 0 Box 40926 CHECK AMOUNT: $138,906.00
INDIANAPOLIS IN 46082 -4910
CHECK NUMBER: 206278
CHECK DATE: 211412012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4347500 784313 87,463.00 GENERAL INSURANCE
1205 4347500 784314 31,214.00 GENERAL INSURANCE
1205 4347500 784315 12,137.00 GENERAL INSURANCE
1205 4347500 784316 8,092.00 GENERAL INSURANCE
O H YLANT P.O. Box 40925
Indianapolis, IN 46280 -0925 IN VOICE 7 8431 -6
GR OUP Local: 317 -817 -5000
1 GAIiM�.80 79 02106/12
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W. Michael Wells
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01/0112 01/01/13 01/01/12
City of Carmel
Steve Engelking g 092,00
One Civic Square
Carmel, IN 46032
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INVOICE 784316
01 /01 /12 MEN; GL -S 14N99887 GENL LIAR Travelers Insurance Companies 8,092.00
"PALLIDUM" CITY GENL LIAB
Invoice Balance' 8,092.00
FEB 13 2012 i
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301 Pennsylvania Parkway Suite 201 P.O. Box 40925 Indianapolis, IN 46280 -0925
Toll Free: 800- 678 -0361 Local: 317- 817 -5000 Fax: 317 -817 -5151
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HYLANT P.O Sap i 46280-0925
1 N V 0 1 CE 784313 z: 1
Local: 317 -817 -5000
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CARME80 79 42/06/1.2
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630581 M4076
W. Michael Wells
City of Carmel 01/01/12 0110111 Y 01101n2
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Steve Engelking 87,463.00
One Civic Square
Carmel, IN 46032
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INVOICE 794313
01/01/12 MEM PCKG 630581 M4076 PACKAGE Travelers Insurance Companies 87,463.00
'PALLADIUM"- CITY PROPERTY, INLAND MARINE 8a CRIME
Invoice Balance: 87,463.00
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FEB 13 2012
By
30lPennsylvania Parkway Suite 201 RO. Box 40925 Indianapolis, IN 46280 -0925
Toll Free: 800 678 -0361 Local: 317 -817 -5000 Fax: 317 -817 -5151 i
I' ne Be nefit
4
U PG RO Up YLANT P.O. Box 40926
Indianapolis, IN 46280 -0925 INVOICE 4 784315 gage
Local: 317- 817 -5000
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City Of Carmel 01/01/12 01/01/13 01/01/12
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j Steve Engellcing 12,137.00
One Civic Square
Carmel, IN 46032
[INVOICE 784315
01101/12 MEM GL -S AN99887 GENL LIAR Travelers Insurance Companies 12,137.00
CRC 4CDC $2,022; CGDC $2,022; CRC $8,093
Invoice Balance: 5 12,137.00
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FEB 13 2012
By
301Penusylvania Parkway Suite 201 P.O. Box 40925 Indianapolis, IN 46280 -0925
Toll Free: 800- 678 -0361 Local: 317 -817 -5000 Fax: 317 -817 -5151
HYLANT Indianapolis, P,11, Box 40925
IN'' 46280 -0925 �d e�
IN 784314 C�
r T Local: 317 -817 -5040 Y
GROUP
CARME80 79 02/06/
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63 0581M4076
2 W Michael Wells r
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01 /01/12 01 /01 113 01/01/12
City of Carmel
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Steve Engelking z. S 31,214.00
One Civic Square
Carmel, IN 46032
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INVOICE 9 784314
01/01/12 MEM PCKG 630581 M4076 PACKAGE Travelers Insurance Companies 31,214.00
CRC PROPERTY, INLAND MARINE CRIME
4CDC $7,463, CGDC $6,997 CRC $1 6,754
Invoice Balance= 31,214.00
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FEB 13 2012
By
30IPennsylvania Parkway Suite 201 P.O. Box 40925 Indianapolis, IN 46280 -0925
'Ibll Free: 800 -678 -0361 Local: 317- 817 -5000 Tax: 317 817 -5151
an
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Hylant Group
IN SUM OF
301 Pennsylvania Parkway, Suite 201
Indianapolis, IN 46280 -0925
$138,906.00
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1205 784316 43- 475.00 $8,092.00 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1205 784313 43- 475.00 $87,463.00
materials or services itemized thereon for
1205 784315 43- 475.00 $12,137.00
which charge is made were ordered and
1205 784314 43- 475.00 $31,214.00 received except
Monday February 13, 2012
Director, Admi istration
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by 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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
02/06/12 784316 $8,092.00
02/06/12 784313 $87,463.00
02/06/12 784315 $12,137.00
02/06/12 784314 $31,214.00
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