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Home My WebLink About212626 09/12/2012 CITY OF CARMEL, INDIANA VENDOR: 00352999 Page 1 of 1 t, ONE CIVIC SQUARE HYLANT GROUP CARMEL, INDIANA 46032 P 0 BOX 40925 CHECK AMOUNT: $1,613.00 INDIANAPOLIS IN 46280-5000 CHECK NUMBER: 212626 CHECK DATE: 9/1212012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4347500 802086 575 . 00 GENERAL INSURANCE 1205 4347500 802389 134 . 00 GENERAL INSURANCE 1205 4347500 802390 904 . 00 GENERAL INSURANCE HYLANT Indianapolis, 46280-0925 Age " GROUP Local: 317-817-s000 INVOICE # 802390 P g ACCOUNT NO._a.,[..i�:...:.:"._��':CSR' CARME80 79 08/28!12 S Package"-:"Commercial. „".POLIO]'.#.. . . ---._.....,. ':�.."'...E .�:.•.:._. ,.,... —�� H630581 M4076TIL12 125 :PRODUCER - .......«..........�...�:i:.:7s..i.... __r_...., . .,. ,.. ._..._.�.., -`-- W. Michael Wells _. EFFECTIVE -._---_..... .F-WIRATIONa;,,.:,?::.... ..__BALANCE DUE City of Carmel 01/01/12 01101113 05/23/12 "AMOUNT"PAID;,:.:.._:.,.." Steve Engelking $ 904.00 One Civic Square Carmel,IN 46032 ,.per j Eff Date.,-,Trn, 'Type`'" Policy# Description z x;, ,, F o" mount', INVOICE# 802390 01/01/12 +EN PCKG H63058IM4076TIL12 ADD SHAPIRO'S BLDG Travelers Insurance Companies $ 904.00 ADD SHAPIRO'S BLDG$2,250,334;CONTS$750,000 ALLOCATE PREMIUM:CRC Invoice Balance: $ 904.00 301Pennsylvania Parkway • Suite 201 • P.O.Box 40925 • Indianapolis,IN 46280-0925 Toll Free: 800-678-0361 Local: 317-817-5000 • Fax:317-817-5151 .� :- ft HYLANT P.O.Box 40926 Indianapolis,IN 46280-0925 INVOICE # 802389 Page-1,:,;.;'.r" " a GROUP Local:317-817-5000 „ACCOUNTNO..,: ; CARME80 79 08/28/12 �?S ;Package''-Commercial �- "POLICY# H630581 M4076TIL12 :.PRODUCER. ..M--.�... .....�.....:.......... ...--....__. .__�a.,.;_• ._�,.,... •..__..�...,�...,.:A_-° �...�.H. W. Michael Wells .. EFFECTIVE ,,:_.:.-_.- ESP[RATION..._.--- ..,•,BALANCE DUE ON;':,.'..:_-:_,- ._...ate:._..-... City of Carmel 01/01/12 01101113 06/06/12 ADIOUNTPAID-.-.__-_.,, ...._;„_... :,:1AMOUNT_DUE-'i', ._.-..-...,,'<. 'w.,:.Y..�.«�..... Steve Engelking $ 134.00 One Civic Square Carmel,IN 46032 ;;a"Eff Date sTrn; Type.,, Polic # ecri ption , mount ;:. INVOICE# 802389 01/01/12 +EN PCKG H63058IM4076TIL12 ADD FINE ARTS Travelers Insurance Companies $ 134.00 ADD SUNDANCE SCULPTURE(ON LOAN FROM LURIE GALLERY)$65,000 ALLOCATE PREMIUM: CITY Invoice Balance: $ 134.00 301 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 • �� :- VOUCHER NO. WARRANT NO. ALLOWED 20 Hylant Group IN SUM OF $ 301 Pennsylvania Parkway, Suite 201 Indianapolis, IN 46280-0925 $1,038.00 ON ACCOUNT OF APPROPRIATION FOR Administration Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1205 802390 43-475.00 $904.00 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 1205 802389 43-475.00 $134.00 materials or services itemized thereon for which charge is made were ordered and received except Monda September 10, 2012 Director, Administrati n 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)) 08/28/12 802390 $904.00 08/28/12 802389 $134.00 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 YLANT P.O.Box 40925 _ Indianapolis.IN 46250-0925 I N `�7 O I C �,i # 802086 UGR OUP Local:317-517-5000 , -. - .ACGOU�I'.YO.. ..CSR. 1: PATE CARME80 79 !� 08/22/12 PA-ckaae;-:Commercial POLICY'#':.': . ., H_6305SIM4076TIL12 �PRovuCEiF' W.Michael Wells EFFI;CTI\'E i EXI'MA1110N BALANCE DUE ON - 01/01/12 01101113 05/16/12 Cite of Cannel ____ --------r—; ------------------------ _ANJOUNTIWD; AMOUNI'DQE Steve Enuelkin; S 8,209.00 One Civic Square Carmel,IN 46032 Eff Date Trn Type Policy,# Description AYnount. INVOICE r,' 8(12086 01/01/12 +EN PCKG H630581M4076TIL12 AMEND PROP SC'H Travelers Insurance Companies S 8,209.00 ADD INDIANA DESIGN CENITER GruviGE-ALLOCATE PREM:CRC aL47o" d ,/j ��rr ADD CARMEL C'" CENTER GARAGE-ALLOCATE PREM:CRC 56;156 A-DD WAVELOCH FLOW R E-R-(QENTRAL PARK AQUATICS CENTER)ALLOC ATE PREIvi:PARKS DE $575 �-� Invoice Balance: S 8,209.00 I ly V r 6 1 AUG 2 4 IZ j BY: 57-r>, o OWL P.O.# -- --PorF G.L.# /091 • q 34,5 -oo , t Line bescr eA � � ,c Purchaser Date Approval Dated is 301 Pennsylvania Park\vay • Suite 201 • P.O.Box 40925 • Indianapolis,IN 46280-0925 Toll Free: 300-675-0361 Local:317-517-5000 • Fax:317-817-5151 • i ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 00352999 Hylant Group Terms P.O. Box 40925 Date Due Indianapolis, IN 46280-0925 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 8/22112 802086 Add flow rider $ 575.00 Total $ 575.00 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 i Voucher No. Warrant No. 00352999 Hylant Group Allowed 20 P.O. Box 40925 Indianapolis, IN 46280-0925 In Sum of$ $ 575.00 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. kCCT#/TITLI AMOUNT Board Members Dept# 1091 802086 4347500 $ 575.00 1 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 6-Sep 2012 Signature $ 575.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund i I i