HomeMy WebLinkAbout225851 11/05/2013 „wf CITY OF CARMEL, INDIANA VENDOR: 00352999 Page 1 of 1
ONE CIVIC SQUARE HYLANT GROUP
CARMEL, INDIANA 46032 301 PENNSYLVANIA PKWY,SUITE 201 CHECK AMOUNT: $200.00
INDIANAPOLIS IN 46280 CHECK NUMBER: 225851
CHECK DATE: 11/5/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1801 4347500 26202 100 . 00 GENERAL INSURANCE
1801 4347500 26203 100 . 00 GENERAL INSURANCE
turn Top with Remittance To: 301 Pennsylvania Pkwy,Ste 201,Indianapolis,IN 462800925
BOND'Other(Spocify) Policy# 104574087 Effective: 111/14 ' 12/31114
125781 1/1/2014 1/1/2014 REN8 PO8 BOND-WILLIAM HAMMER 100.00
Total Invoice Balance: $100.00
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��zzrLAunT xxlant'muianupn|is un1 Pennsylvania Pkwy,Ste oo1 Indianapolis IN 46280
Insured Carmel Redevelopment Comm Loan# Invoice# 26202 UBAIVIAI Page 1 of 1
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Please Return Top with Remittance To: 301 Pennsylvania Pkwy,.Ste 201,Indianapolis,IN 462800925
Item# :Trans.EfFDate:- :Due:Date: Trans/ pDescri ti on Amount
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BOND-Other(Specify) Policy# 105580255 Effective: 12/31/13 - 12/31/14
125782 12/31/2013 12/31/2013 RENB POB BOND BRADLEY F MEYER 100.00
Total Invoice Balance: $100.00
II►HYLANT Hylant-Indianapolis 301 Pennsylvania Pkwy,Ste 201 Indianapolis IN 46280
Insured Carmel Redevelopment Comm Loan# Invoice# 26203 UBAMA1 Page 1 of 1
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.
�J Payee
17��IQq� Purchase Order No.
3wi, a 201 Terms
-I.
� �I�Iclhd�o�ls�.1—� �628D Date'Due
Invoice Invoice Description. Amount
Date Number (or note attached invoice(s) or bill(s))
10-9-13 2 62 OZ U (o a t- 1001 110
IU-9-13 2 6 3 9OR A Ve r o r rtjte tle /00-01
Total
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
VOUCHER NO. WARRANT NO.
u ALLOWED 20
'1 IN SUM OF $
3�l PrnnSV�ven��( Pkwtr. Sure 2U/
I n d i anAhLi s 111 X 6280
ON ACCOUNT OF APPROPRIATION FOR
I Fol/4317506
Board Members
Po#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
2 2 43475 0.(v bill(s) is (are) true and correct and that the
Q U2,03 —42+7560 materials or services itemized thereon for
which charge is made were ordered and
received except
lu-29' 2013
Sign a ure
Cost distribution ledger classification if itle
claim paid motor vehicle highway fund