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HomeMy WebLinkAbout206407 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 354229 Page 1 of 1 ONE CIVIC SQUARE R M D /PATTI CARMEL, INDIANA 46032 PO BOX 1167 CHECK AMOUNT: $100.00 RICHMOND IN 47375 CHECK NUMBER: 206407 CHECK DATE: 2/14/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 802 4347500 558284 100.00 GENERAL INSURANCE P.O. Box 1167 Richmond, IN 47375 Office (765) 966 -7531 Fax (765) 935 -2476 tt Toll Free (800) 7111-1179 e Bruce A Knoit(POB) Indianapolis Office:; �y1 7116 E. 71st Street Indianapolis, IN 46256 27375 Office (317) 845 -1547 Fax (317) 841 -8847 www,rmdpatti.corn Toll Free (800) 720.2440 '02�05'2t) 2 Joseph ",Glaser, y m 1 of 1 v k A City of Carmel 2 Civic Square o Carmel, IN 46032 7 PA Yoa45sa Thank You PLEASE DETACH AND RETURN WITH PAYMENT Client. Bruce A Knott (POB) Pali C #501004590' 03 /OZ /a2a2 03 /O1 /2Q1&3� P u'�'�) Ohi Ca 5lI Gr'DUp z^ s...r 3' e ai 558284 03/01/2012 Renew pol cyT' Bonds Renew po cy s 100 00g m x a a RL 3 mow, °F r5' r a p}a cg s v. �t 54 k s z�p tip e ,rs a a a,. 3 al fi z a..m r�._. '�.�`�d� ,e'a'a€" m a r'y r a x .pi t `s' l t" g 7, R vim" wzi ;'a., a s.:d f€ 5 X rr x� y A�°_ r§ WS WEB fl 4 z 3�-T �`5 E a d a `�S�i' qs' z'' 3 a �'s, e onZ "q� PLEAS WITHIN 20A DAYS OF`INVDTCE DATE OR CALLIMP�EDZATELYx INVOICE r ''INCORRECT f L F^ Thank You +r €a:n �,,�'ry, �;$kf',- .,i'.`«- .��ax t'", k�s �?r� 317.845."547: g` `fi nzs oa zoo N. Liberty Surety First Mernbcr of Liberty Mutual Group BOND 601004590 KNOW ALL MEN BY THESE PRESENTS: That we, Bruce A. Knott of Carmel Indiana as Principal, and THE OHIO CASUALTY INSURANCE COMPANY, of Hamilton, Ohio a corporation organized and existing under the laws of the State of Ohio, (hereinafter called the Surety) are held and F=ly bound unto the State of Indiana in the aggregate and non cumulative penal sum of Fifteen Thousand and no /100 (515,000.00) Dollars, for the payment of which, well and truly to be made, we, bind ourselves, our.:,heirs,=executors.. administrators and assigns, jointly and severally, firmly by these presents. SIGNED, SEALED and DATED this 31 day of December, 2011. THE CONDITION OF THE ABOVE OBLIGATIONS IS SUCH, That, Whereas, the said Principal has been elected or appointed to (or holds by operation of law) the office of Pension Board Secretary Fire Department for a term beginning on March 1, 2012 and ending on continuous. NOW, THEREFORE, If said Principal shall well, truly and faithfully perform all official duties required by law of such official during the terra aforesaid, then this obligation shall be void; otherwise to remain in full force and effect. THE BOND is executed by the Surety upon the following express conditions: First: That the Surety may, if it shall so elect, cancel this bond by giving thirty (30) days in writing to Cite of Carmel Fire Department Headquarters, 2 Civic Square, Carmel, IN 46032 and this bond shall be deemed cancelled at the expiration of thirty (30) days; the Surety remaining liable, however, subject to all the terms, conditions and provisions of this bond, for any act or acts covered by this bond which have been committed by the Principal up to the date of such cancellation; and the Surety shall, upon surrender of this bond and its release from all liability hereunder, refund the premium paid, less a pro rata part thereof for the time this bond shall have been in force. Second: That the Surety shall not be liable hereunder for the loss of any public moneys or fiends occurring through or resulting from the failure of, or default in payment by, any banks or depositories in which any public moneys or funds have been deposited, or may be deposited, or placed to the credit, or under the control of the Principal, whether or not such banks or depositories were or may be selected or designated by the Principal or by other persons; or by reason of the allowance to, or acceptance by the Principal of any interest on said public moneys or funds, any law, decision, ordinance or statitte to the contrary notwithstanding, Third: That the Surety shall not be liable for any loss or losses, resulting from the failure of the Principal to collect any taxes; license's, le "vies, assessments, etc.,''with.the coElection of wliicli he'inay ba,chargeable by reason'of his eleetiori or appointirtrit as aforesaid. X Bruce A. Knott I affirm, under the penalties of perjury, that I have taken reasonable care to redact each Social Security number in this document unless required by law. THFOHIO CASUALTY INSURANCE COMPANY BY Denise M. Reister,Atto r ey in -fact VVSEAL' ra N ©14� OATH OF OFFICE tiac�c>- State of County of solemnly swear (or affirm) that I will support, protect and defend the Constitution of the United States and the Constitution of the State of Indiana, and that I will discharge the duties of my office of with fidelity; that I have not paid or contributed, or promised to pay or contribute, either directly or in irectly, any money or other valuable thing to procure my nomination or election (or appointment), except for necessary and proper expenses expressly authorized by law; that 1 have not knowingly violated any election law of this State, or procured it to be done by others in my behalf; that I will not knowingly receive, directly or indirectly, any money or other valuable thing for the performance or non performance of any act or duty pertaining to my office than the compensation allowed by law. So help me God. Sworn °to and subscribed before me this 53'`day of A.D., VOUCHER NO. WARRANT NO. ALLOWED 20 RMD Insurance IN SUM OF P.O. Box 1167 Richmond, IN 47375 $10 ON ACCOUNT OF APPROPRIATION FOR Carmel Fire Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members T $100.00 I hereby certify that the attached invoice(s), or 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 FEB Fire Chief 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)) 27375 $100.00 1 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