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Home My WebLink About226735 12/03/2013 CITY OF CARMEL, INDIANA VENDOR: 366179 Page 1 of 1 ONE CIVIC SQUARE LIBERTY MUTUAL INSURANCE CO € 0 CHECK AMOUNT: $975.00 CARMEL, INDIANA 46032 25762 NETWORK PLACE CHICAGO IL 60673-1257 CHECK NUMBER: 226735 CHECK DATE: 12/3/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1701 4347500 LSF022774 975 . 00 CORDRAY Someday is Today,LLC i ibcr t< 11ti�sI, 7116E 71ST S-C INDIANAPOLIS,IN 46256-1997 Liberty Mutual Surety Bond Invoice SECOND NOTICE 3497 1 MB 0.402 ****AUTO**MIXED AADC 290 Statement Date: 11/27/2013 111'11"1111 '�1'��I11�1'II'I-III III1"I1I""1'1'llll�l�lll�l�l Premium: 975.00 CORDRAY, DIANA L. 003497 Applicable Taxes: 0.00 CITY OF CARMEL 3497 PP 1 CIVIC SQ 16 Applicable Fees: 0.00 CARMEL IN 46032-7569 Amount Due: 975.00 Payment Due Date: 11/22/2013 Make checks payable to: Liberty_Mutual _ _Bond Number:__ —LSE0227-74-_5067093 Your Liberty Mutual Surety Bond Activity Summary ***If you ha-,te already sent in your payment,please clisregard dais second notice*** Effective Date: 1/01/2014 Bond Description: Renewal -New Bond Official Treasurer Obligee: CITY OF CARMEL Issuing Company: Ohio Casualty Insurance Company Billing is automatic until the bond is cancelled. If your bond is no longer needed or required, please notify your agent for cancellation.Thank you! Fbr billing questions or to pay by credit card,please call the Liberty Nfutual Surety Billing Center at 1-800-773-3312 PLEASE DO NOT SEND ANY CORRESPONDENCE WITH YOUR PAYMENT; THIS MAY DELAY THE PROCESSING OF YOUR PAYMENT. Help Us To Serve You Better: Please remember to include the bottom portion of this invoice ,xgtln your payment. This will assist us in properly crediting your account. Please do not send any correspondence N-,pith your remittance;this inay delay the processing of your payment. In addition,please assist us by indicating your bond number on your check,making check payable to Liberty Mutual,and using the return envelope provided for your convenience. Premium: Total annount due after applying all payments, credits, or additional charges since the last billung. Applicable Taxes Where applicable, these fees are assessed by your stage and local government and &Fees: are sent from Liberty Mutual to the appropriate govermnent agency. Al/here applicable, these fees are assessed by your agent and sent from Liberty iMutuatl to your agent of record. Mailing Instructions: Please mail at least fifteen days prior to the payment due date. Payments not received in a timely manner are subject to cancellation Credit Card Payments: You can pay, this invoice by using your Visa®R, Mastercard(R), or American Etpressn card. To pay by credit card, please call our billing center at 1-800-773-3312. Billing Questions or Issues: Liberty Mutual 1333 1\laun Street,Suite 600 Columbia,SC 29301 1-800-773-3312 Please Note: To dispute the premium annount owed, please send a written notification to die address shown above. This written notification tnust be received prior to the payment due date. The following information should be included: 1) Naine appearing on bond 2) Bond number 3) Any, supporting documentation which may offer further explanation of the amount in dispute Upon receipt of the written notification we suspend billing of the amount in question until a resolution to your dispute can be made. I-lowever, you v-,ill still be required to pay in full the undisputed amount by the payment due date shown on this billing notice. Bond Questions or Issues: Contact your local agent. (See activity summary for agent contact information.) Address Changes: 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 /t�UA4 M W_ t Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) _ 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. ALLOWED 20 IN SUM OF $ $ ON ACCOUNT OF APPROPRIATION FOR �oS Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), or I L6P ZZ: _O bill(s) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund