HomeMy WebLinkAboutHYLANT GROUP- 002616- 1/18/2012 CARMEN REDEVELOPMENT COMMISSION 0 02616
r
Hylant Group Check: 2616
P.O. Box 40925 Date: 1/18/2012
Indianapolis, IN 46280-0925 Vendor: HYLANT10
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
776556 125.00 125.00 0.00 0.00 125.00
Bond for Anker
776557 125.00 125.00 0.00 0.00 125.00
Bond for Worrell
250.00 ' ' .250.00;: 0.00 0.00 250.00
i
N.
THE KEY TO DOCUMENT SECURITY FHEATIACTIVATED,THUMB PRINT ADDITIONAL SECURITY FEATURES�INCLUDED SEE BACKFOR DETAILS
Pass&° s% Carmel,. edevelopment Commission
4i ' 30 West Main Street ►REGIONS 00261'6
�• is "L zo-ta2 Sao . .
Suite 220 ';'
't'CARMEL'"' l' i - - -
:rr�� Carmel' IN 46032
DATE
26.16:
AMOUNT.
' 1/18/2012 *************250:00
PAY THE SUM OF TWO+HUNDRED FIFTY DOLLARS AND NO CENTS*•****************************'***********
TO THE
ORDER I
OF
Hylant Group
P.O. Box 40925 p sES
Indianapolis,:IN 46280-0925, „ e
art
°s wm`QJ 1
1 1'0 0 2 6 1 6 1 1' a:0 7 4 0 L 4 2 L 3 l: 0 0 B 7 5011 L L L u'
CARMEL REDEVELOPMENT COMMISSION 0 0 2 61';;,
Hylant Group Check: 2616
P.O. Box 40925 Date: 1/18/2012
Indianapolis, IN 46280-0925 Vendor: HYLANT10
Prior
Invoice P.O. Num. Invoice Amt Balance Retention Discount Amt. Paid
776556 125.00 125.00 0.00 0.00 125.00
Bond for Anker
776557 125.00 125.00 0.00 0.00 125.00
Bond for Worrell
250.00 250.00 0.00 0.00- 250.00
:11.52 COMPUTEREASE FORMS DIVISION(877)577.5791 T-37228Pagl
yr HYLANT P.O.Box 40925
Indianapolis,IN 46280-0925 INVOICE # 776556 Page: l
ZIA GROUP Local: 317-817-5000 �. w.
;n�CCOUNTNO .-�_d,��.. �.�GSii.�..,s,....,...�_,_�. .�DXTE'° .,.r..d...m:�._�mi�..:.,°,
CARMEI3 79 11/11/11
BOND.
'L..
105700678 _. "`_._��...
W. Michael Wells
12/31/11 12/31/12 12/31/11
Carmel Redevelopment Comm ,�ouxr'rrc�
Les Olds s 125.00
30 West Main St. Ste.220
Carmel,IN 46032
N Eff Date Tm: Type Policy'# ; �Descnptlon 't'" x Amourit ";
__:3a d.+x'. •
INVOICE# 776556
12/31/11 REN BOND 105700678 POB-CAROLYN ANKER Travelers Cas&Surety of Amer $ 125.00
Invoice Balance: $ 125.00
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
Risk Management • Insurance • 401(k) • Investments • Benefits
HYLANT P.O. Box 40925
® _ Indianapolis,IN 46280-0925 INVOICE # 776557 Pa'geµ1 f„ f>
AidGROUP Local:317-817-5000
ACCOUNT NO . zCSR: , DATE
CARMEI3 79 11/I1/ll _..
Y,.7- BOND
105700672
�;PRODUCERS_....._..,_._..`_.:.�_.__' _``_ _._ _k __ E;.___ ___ _..___ ._
W. Michael Wells
EFFECTIVE_a.::.r._.. _..ESPLRATIO`L .<.s_B\LANCE-DUE0N..,P"S.:_ .,E,_.__..._.?4,-
12/31/11 12/31/12 12/31/11
Carmel Redevelopment Comm
ci.i °. i.-„._,_ _ .AMOUNT DUE.ai,; _:�
Les Olds $ 125.00
30 West Main St. Ste.220
Carmel,IN 46032
' _ __- ,7 t
' ," Eff Date Trn IType . Pollcy# , r 1.Descrl �Lion y a l , Amountl�
.4:,# : -. : _ e , ft _ r �' _
____1 _ .' ::
INVOICE# 776557
12/31/11 REN BOND 105700672 POB-JEFF WORRELL Travelers Cas&Surety of Amer $ 125.00
Invoice Balance: $ 125.00
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
•
Risk Management • Insurance • 401(k) • Investments • Benefits
Prescribes'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
01 /W171- 'f-v<;-X' Purchase Order No.
7) ex 2/o Terms
/n '�//7 g/ /, �, 7i ;-/b2 �<- 4 7i.S Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
//AO/ 7 76 53-7 ..57- "-L3
6 j
•
Total .z SG-C7o:--
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have . . r- in accordance -
with IC 5-11-10-1.6.
t—t$ , 20
���! reasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
r 7042/
d �/O, IN SUM OF $
� 2? 5' •
, /rt./ //2flG-0925'
2S(-o6
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT hereby certify invoice(s),
DEPT.# I hereb certif that the attached invoices , or
i� 76.55-7 Y7 coo )2546 bill(s) is (are) true and correct and that the
7 76 53-6 3g 75DO 145:0o materials or services itemized thereon for
which charge is made were ordered and
received except
/—// 20 /Z
Execu ve Putrector
Title
Cost distribution ledger classification if
Carmel Redevelopment Commission
claim paid motor vehicle highway fund