HomeMy WebLinkAbout219185 04/23/2013 -�u CITY OF CARMEL, INDIANA VENDOR: 00352999 Page 1 of 1
ONE CIVIC SQUARE HYLANT GROUP CHECK AMOUNT: $3,951.00
CARMEL, INDIANA 46032 P 0 BOX 40925
INDIANAPOLIS IN 46280-5000 CHECK NUMBER: 219185
CHECK DATE: 4/23/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4347500 822873 2 , 775 . 00 GENERAL INSURANCE
1205 4347500 822874 1, 176 . 00 GENERAL INSURANCE
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INVOICE 4 822873
04/12/13 REN GL-S P6605046C259TIL13 2013-2014 General Liab Policy Travelers Prop Cas Co of Amer 2,775.00
Invoice Balance: $ 2,775.00
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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
-Risk Mzinagem6nt.? Insurance,- 401-(k)' Investments Bendits
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;Eff Date Trn';'Type ;.P,olicy#'" •: bescription. R°:;. , -; s ? ' Amount
INVOICE# 822874 _ - - - -——
04/12/13 REN DOLI 105770103 2013-2014 D&O Policy Travelers Cas&Surety of Amer $ 1,176.00
Invoice Balance: $ 1,176.00
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APR 2 2 2013
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
Risk Management Insurance,- .� Benefits
VOUCHER NO. WARRANT NO.
ALLOWED 20
Hylant Group
IN SUM OF $
301 Pennsylvania Parkway, Suite 201
Indianapolis, IN 46280-0925
$3,951.00
ON ACCOUNT OF APPROPRIATION FOR
Administration Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1205 822874 43-475.00 $1,176.00 I hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
1205 822873 43-475.00 $2,775.00
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, April 22, 2013
Director, Administration
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))
04/12/13 822874 $1,176.00
04/12/13 822873 $2,775.00
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