HomeMy WebLinkAboutTRAVELERS- 003072- 8/16/2012 CARMEL REDEVELOPMENT COMMISSION 003072
Travelers ` Check: 3072
13607 Collections Center Drive Date: 8/16/2012
Chicago, IL 60693 Vendor: TRAVELE1
Prior
Invoice P.O. Num, Invoice Amt Balance Retention Discount Amt. Paid
411449 784.00 784.00 0.00 0.00 784.00
Crider v Hagerman
784.00 784.00 0.00 0.00 784.00
—y"ysyCITME KEY4T0 DOCUMENSECURITY N EATAC—VA T Dy HUN8 PRINTEADDITIONALTSECURILYyFEATURES INCLUDEDi1j5EE BACK FOR DETAILS�+' IM
pS+d DE% Carmel Redevelopment Commission w REGIONS 003072
A,'^Lti 30 West Main Street 20-1421/740
([��,F-T Suite 220
p�=TAKt Carmel, IN 46032
3072
DATE AMOUNT
8/16/2012 784.00
PAY THE SUM OF SEVEN HUNDRED EIGHTY FOUR DOLLARS AND NO CENTS
TO THE
ORDER
OF Travelers
13607 Collections Center Drive
Chicago, IL 60693
M
ii'00307 21"' 1:0 740 14 2 1 31: 0087SOL L L
CARMEL REDEVELOPMENT COMMISSION 003072
Travelers Check: 3072
13607 Collections Center Drive Date: 8/16/2012
Chicago, IL 60693 Vendor: TRAVELE1
Prior
Invoice p.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
411449 784.00 784.00 0.00 0.00 784.00
Crider v Hagerman
784.00 784.00 0.00 0.00 784.00
X-11-52 COMPUTEREASE FORMS DIVISION(877)577-5791 T-71711 . fa
1 KAW tLttO J
DEDUCTIBLE / SELF- INSURED INVOICE
POLICY NUMBER t-.,,, ACCOUNT NUMBER.? BILL' DATE s. .1 BILL NUMBER ' PAYMENT ,DUE a .<'. TOTAL DUE
GP09315757 5216%7087 05/31/2012 000411449 06/15/2012 3,251 .50
MAIL PAYMENT T0: PAYER:
TRAVELERS CITY OF CARMEL. CARMEL CLAY PARKS BUILD
13607 COLLECTIONS CENTER DRIVE ONE CIVIC SQUARE
CHICAGO. IL 60693 CARMEL IN 46032
•
RETURN THIS PORTION WITH YOUR CHECK MADE PAYABLE TO TRAVELERS.
PLEASE WRITE THE POLICY 8 ACCOUNT NUMBER ON YOUR CHECK.
TRAVELERS J P� PAGE 1
THE TOTAL DUE INCLUDES PAST DUE CHARGES.
PLEASE REVIEW YOUR ACCOUNT IMMEDIATELY.
P.OLICY.NUMBER ACCOUNT NUMBER, BILL. DATE _,-. BILL NUMBER.;'-.,•..P.AYMENT. AWE •, ,:.. 'TOTAL DUE
GP09315757 5216%7087 05/31/2012 000411449 06/15/2012 3,251 .50
CURRENT
CLAIM#: CES9583 DATE OF LOSS: 10/17/2011
DESCRIPTION: C - CRIDER 8 CRIDER INC. V HAGERMAN CONST, CITY OF
CARMEL, REDEVELOPME
CLAIMANT: CRIDER AND CRIDER
^ � EXPENSE 784.00
f l)toa.. ( ç• ,! CLAIM TOTAL 784.00
)
CLAIM#: EPS2377 DATE OF L J"'4
DESCRIPTION: C-PARK,GREG VS CITY OF CAR �7\ l 5� F1 •l
COMPLAINT FILED ALAI
rtS r" -5x\0-1\',
CLAIMANT: GREG PARK /�C 5 ! EXPENSE 1 , 113.90
CLAIM TOTAL 1, 113.90
J9 J11 co_
:LAI Mt/: EQR4757 DATE OF I � ni _
DESCRIPTION: C - MYERS, TERRY ALLEGATIC Ccui\ vti'E— v11� S
AGE. EEOC COMPLAI
:LAIMANT: TERRY D MYERS
EXPENSE 465.30
CLAIM TOTAL 465.30
C?1 - Z4S :URRENT CHARGES $2,363.20
1KAVtLtKbJ
DEDUCTIBLE / SELF — INSURED INVOICE
POLICY NUMBER:: ,ACCOUNT NUMBER', BILL, DATE'. BILL NUMBER PAYMENT- DUEL >3. a >. '; TOTAL DUE
GP09315757 5216X7087 05/31/2012 000411449 06/15/2012 3,251 .50
ACCOUNT SUMMARY
CURRENT CHARGES 2,363.20 INSURED NAME: CITY OF CARMEL,CARMEL CLAY PARKS BUILDIN
PAST DUE CHARGES 888.30 AGENT NAME: HYLANT GROUP INC
UNAPPLIED PAYMENTS 0.00 AGENT PHONE: (317) 817-5000
TOTAL DUE 3,251 .50
DISPUTED ITEMS 0.00
ACCOUNT BALANCE 3,251 .50
CONTACT YOUR AGENT LISTED ABOVE IF YOU HAVE QUESTIONS RELATED TO YOUR POLICY OR COVERAGE.
FOR BILLING QUESTIONS, PLEASE EMAIL DEDUCTIBLE-HELPDESK @TRAVELERS.COM OR
CONTACT THE FOLLOWING ACCOUNTING SPECIALIST AT 1-800-356-4098 EXT. 08900: ANTONIO CONTRERAS
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.
/ 3 6o 7 c0/4%.,,,,, ('r-y74,- Terms
(4?'a.fra /z 606 93 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5/3///2 1///R/U 9 (r t c%.. ✓. f�vy �x�. 7,RICO CI
Total 7811.0c
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
f�IJ , 20 (Z.
Treasurer