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211539 07/31/2012 °�. CITY OF CARMEL, INDIANA VENDOR: 00352999 Page 1 of 1 I. � t ONE CIVIC SQUARE HYLANT GROUP CHECK AMOUNT: $7,528.00 CARMEL, INDIANA 46032 P O BOX 40925 o„�o INDIANAPOLIS IN 460824910 CHECK NUMBER: 211539 CHECK DATE: 7/31/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4347500 799665 7, 354 . 00 GENERAL INSURANCE 1205 4347500 799685 91 . 00 GENERAL INSURANCE 1205 4347500 799691 83 . 00 GENERAL INSURANCE INVOICE# 799691 01/01/12 +EN PCKG H63058IM4076TIl-12 ADD MISC EQUIP Travelers Insurance Companies $ 83.00 ADD 15 MEDTRONICS LIFE13AK MONITORS a$30,000 I ACFI ALLOCATE PREMIUIM:FIRE DEPT.$83. Invoice Balance: $ 83.00 JUL 3 0 2012 By .� "7 301 Pennsylvania Parkway • Suite Toll Free: 800-678-0361 •; ,0 INVOICE# 799685 01/01/12 +EN PCKG 11630581 M4076TIL12 INC BLDG LIMTIS CIVIC Travelers Insurance Companies $ 361.00 ALLOCATE PREM:FIRE DEPT.$76.POLICE DEPT.$40 CITY(ONE CIVIC SQUARE)$245. Invoice Balance: $ 361.00 3L �: D Q � JUL 3 0 2012 , By 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 s" INVOICE# 799686 01/01/12 -EN PCKG H63058IM4076TIL12 DELETE APOSTOLIC C1IUR Travelers Insurance Companies $ -270.00 ALLOCATE PREMIUM: CRC Invoice Balance: $ -270.00 Lam] O D JUL 3 0 2012 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 0 Benefits Ye �� '' '" EffDate Trn� Type Policy# i� „� `� �,�� ,.�� �, INVOICE# 799665 01/01/11 AUD CA-S 8 1 03 03 61164A AUTO AUDIT Travelers Insurance Companies $ 7,354.00 FINAL AUDIT PERIOD: I/I/l 1-12 ALLOCATE PREMIUM: TIRE DEPT.$2,206 ADDL PREMIUtiI. POLICE DEPT.$5,148 ADDL PREMIUM Invoice Balance: $ 7,354.00 D 0 JUL ;11-' A ZOi i 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 Risk Ma'n'a ��