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Home My WebLink AboutHYLANT GROUP- 003093- 8/16/2012 CARMEL REDEVELOPMENT COMMISSION 0 0 3 0 9 3 Hylant Group Check: 3093 P.O. Box 40925 Date: 8/16/2012 Indianapolis, IN 46280-0925 Vendor: HYLANT10 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 799687 2,222.00 2,222.00 0.00 0.00 2,222.00 Adding party event& rental bl 799709 1,343.00 1,343.00 0.00 0.00 1,343.00 Added black box theater 3,565.00 3,565.00 0.00 0.00 3,565.00 Vif 4THE KEY TO DOCUMENTYSECURITY.0 H AT CVQTEDTHU B T ADDITIONALICURITYFEATURES'INCIUUED SEEI ACK'FORIDETAILS PP,4g&DES,c, Carmel Redevelopment Commission A LEGIONS 003093 30 West Main Street A '` Suite 220 2o•ta2lnao cARmE` u Carmel, IN 46032 a7STRIL� 3093 DATE AMOUNT 8/16/2012 ***********3,565.00 PAY THE SUM OF THREE THOUSAND FIVE HUNDRED SIXTY FIVE DOLLARS AND NO CENTS ********** TO THE ORDER OF Hylant Group P.O. Box 40925 Indianapolis, IN 46280-0925 f'sEs' i-...-....»-..-�_._...._.__.�_.......__.�-...._._�.�.-............._.r ...._..._....... .._ __..._...«....._.._»._.»........._.._..._..-....__....v._.._.._..,.....-..�..__._.-.._�-...�._._............-_..._.�.».....»..�..._........__...��...._...._..�_..._..-......_-._,_....OFS INS._... ill 00 309 311' 1:0 7 4 0 1,4 2 / 3 1: 0 0 8 7 5 0 4 / L ' CARMEL REDEVELOPMENT COMMISSION 003093 Hylant Group Check: 3093 P.O. Box 40925 Date: 8/16/2012 Indianapolis, IN 46280-0925 Vendor: HYLANT10 Prior Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid 799687 2,222.00 2,222.00 0.00 0.00 2,222.00 Adding party event & rental bl 799709 1,343.00 1,343.00 0.00 0.00 1,343.00 Added black box theater 3,565.00 3,565.00 0.00 0.00 3,565.00 ,X-11-52 COMPUTEREASE FORMS DIVISION(877)577-5791 T-71771 +,� HYLANT P.O.Box Indianapolis,I 46280-0925 Local: 317-817-5000 n-� i d CJROUP INVOICE # 799709 P VI p 1CCOUNT r,OO- .4,_ CSR '4fi C.4''*U 67 E.,.,11 ° N .a a ikliti f..x `3 : CARME80 79 07/26/12 �op 1;1,1f mm erc►�tl1 M a o� iq 630581 M4076 W. Michael Wells t'EFFECTI%e` ,c. . E\P,IR`TNi'ra ': a, r• ' RA LA CE`IUEONi_;%e ,,, �y' , '- City of Carmel 01/01/11 01/01/12 07/26/12 �� :� ��. ,,..'>1MOUNT,L''di 3 F�: _455 ,211 i n .&'AMOUN I DUE�u..._ ., .. i..., ,= Steve Engelking $ 1,343.00 One Civic Square ' Carmel,IN 46032 if��r� >�EffeDate`�T�n�T `e Polic�# ,` `��,� �� '+� °�' : �`"� a;^� I� �� 'i� '' `��",P ��- ,, K: Ypo Y - Desc=71-1 �� t t � � A �- � Amounts '. ': a.. ...- .�^ .�4uw. -; ...'3;,. �°.`:. ,� ...., _...;.. ".' ,?i .. .�„ ;. it ,d.st�� . . � i 7, ..,a re ,'� ,a v `k nFsg. i!'_Ai INVOICE 0 799709 01/01/11 MEM PROP 63058IM4076 CORRECTED PREM Travelers Insurance Companies $ 1,343.00 PREMIUM CORRECTED FOR ADDING STUDIO/BLACK BOX THEATRE ORIGINAL PREM CHARGED$6,770. REVISED PREM$8,113 DIFF OF$1,343DUE ALLOCATE PREM:CCCDC Invoice Balance: $ 1,343.00 4 v _s [jj wirA. #000i1 ' Fr r a 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•Risk Management Insurance.. 401(k) _Investrrients Benefits ' . CHANGE EFFECTIVE DATE: 02-21-12 • CHANGE ENDORSEMENT NUMBER: 0003 TRAVELERS J One Tower Square, Hartford, Connecticut 06183 CHANGE ENDORSEMENT 4:11 Named Insured: CITY OF CARMEL , CARMEL CLAY PARKS BUILDING CORPORATION Policy Number : H-630-581M4076-TIL-12 Policy Effective Date: 01 /01 /12 Issue Date: 06/20/12 Additional Premium $ 2,222 INSURING COMPANY: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA Effective from 02/21 /12 at the time of day the policy becomes effective. THIS INSURANCE IS AMENDED AS FOLLOWS : THE COMMON POLICY DECLARATIONS IS AMENDED AS FOLLOWS : AMENDING IL TO 03 04 96 - LOCATION SCHEDULE AS FOLLOWS : ADDING LOCATION 166, BUILDING 166 OCCUPIED AS PARTY CITY RENTAL LOCATED AT: 1212 SOUTH RANGELINE ROAD, CARMEL, IN 46032 . THE DELUXE PROPERTY COVERAGE PART IS AMENDED AS FOLLOWS : AMENDING DELUXE BUSINESS INCOME COVERAGE FORM (AND EXTRA EXPENSE ) TO ADD LOCATION 166, BUILDING 166. ® AMENDING DX 00 03 07 94 - DELUXE PROPERTY COVERAGE PART SCHEDULE - SPECIFIC LIMITS AS FOLLOWS : ADDING BUILDING COVERAGE AT LOCATION 166, BUILDING 166 SUBJECT TO A aaa LIMIT OF $5,233,719. aaa 0= 0■ EEE MEM ttt0= NAME AND ADDRESS OF AGENT OR BROKER : RSIGNED BY: HYLANT GROUP INC (G8433) N— PO BOX 40925 EEE 0= INDIANAPOLIS, IN 462800925 Authorized Representative MEE 0= DATE: IL TO 07 09 87 PAGE 1 OF 1 OFFICE : SAN ANTONIO-EAST 002724 P.O.Box 40925 HYLANT Indianapolis,IN 46280-0925 .. Local:317-817-5000 I N V O IC E # 799687 tPa;g t A GROUP : Oig NO a_TREa$ " . iR TP z'x ) LE _ IE CARM E80 79 07/26/12 Package�Co mine rclal� �}�� y, , .;".�. .,,..„. ,., .,,,... H630581 M4076TIL12 W. Michael Wells City of Carmel 01/01/12 01/01/13 02/21/12 �uw3il'” „d��,An70lfN IUUE t� Steve Engelking S 2,222.00 One Civic Square Carmel,IN 46032 ?: 'd' +;: 7 w�� `IsxyI` r '�✓'�r.� ' tiI."d , s�fs" '�Y . �z �i' ,. ¢ � -:�� Eff Date Trri Type: Policy#< Description �; Amount r, . INVOICE# 799687 01/01/12 +EN PCKG H630581M4076TIL12 ADD PARTY RENTAL Travelers Insurance Companies $ 2,222.00 ALLOCATE PREMIUM: CRC (ADDING PARTY EVENT&RENTAL BUILDING) Invoice Balance: $ 2,222.00 �4u 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'•'401-(k) Investments • Benefits. . 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 y ,-0,10 Purchase Order No. O ox LD 2s Terms Vhe//yrxrpn6'7 //z 4/b.2e-G- 092 S Date Due Invoice Invoice Description Amount Date Number ((�� (or note attached invoice(s) or bill(s)) 7997e') /J/�sc�� Bak /«Nq/ /�15�'✓4,f P I j ( ✓�. 792'6,3`7 /47 ,/ .f,'o,>4/ / 5vs�r,!,r 2(2 2.G29 Total 3/5-6 54U I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I ha • same in accor- dance with IC 5-11-10-1.6. S1(e , 20iZ - reasurer VOUCHER NO. WARRANT NO. ALLOWED 20 Y� tir Giov�4 IN SUM OF $ 4{O S //v ( o /,`55 /it/ i7/6,261- Oils • $ 3/ 5-6S.06 ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), 9 2 927 4 t'7 l 3Y3. 2 or bill(s) is (are) true and correct and that 799687 17/107 222240 the materials or services itemized thereon for which charge is made were ordered and received except e 20/2 Signature Executive Director Title Cost distribution ledger classification if Carmel Redevelopment Commission claim paid motor vehicle highway fund