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HomeMy WebLinkAbout227393 12/17/2013 gtiF CITY OF CARMEL, INDIANA VENDOR: 00352999 Page 1 of 1 ONE CIVIC SQUARE HYLANT GROP WY,SUITE 201 CHECK AMOUNT: $200.00 CARMEL, INDIANA 46032 O PENNSYLVANIA oy(oH,co. INDIANAPOLIS IN 46280 CHECK NUMBER: 227393 CHECK DATE: 12/17/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1801 4347500 32144 100 . 00 GENERAL INSURANCE 1801 4347500 32145 100 . 00 GENERAL INSURANCE Please Return Top with Remittance To: 301 Pennsylvania Pkwy,Ste 201,Indianapolis,IN 462800925 Item# Trans Eff Date z Due Date Trans a Description Amount __.. BOND-Other(Specify) Policy# 105580260 Effective: 12/31113 - 12/31/14 Issuing Company Travelers Cas&Surety of Amer 165374 12/3112013 12/31/2013 RENB POB BOND-DAVID C. BOWERS 100.00 Total Invoice Balance: $100.00 &HYLANT Hylant-Indianapolis 301 Pennsylvania Pkwy,Ste 201 Indianapolis IN 46280 Insured Carmel Redevelopment Comm Loan# Invoice# 32144 UBAMA1 Page 1 of 1 Please Return Top with Remittance To: 301 Pennsylvania Pkwy,Ste 201,Indianapolis,IN 462800925 Item # " Trans Eff Date Due Date Trans gescr�ption Amount BOND-Other(Specify) Policy# 105700672 Effective: 12/31/13 - 12131114 Issuing Company Travelers Cas&Surety of Amer 165375 12/31/2013 12/31/2013 RENB POB BOND-JEFF WORRELL 100.00 Total Invoice Balance: $100.00 At HY'LANT Hylant-Indianapolis 301 Pennsylvania Pkwy,Ste 201 Indianapolis IN 46280 Insured Carmel Redevelopment Comm Loan# Invoice# 32145 UBAMAI Page 1 of 1 Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995) 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 16 I la� 16h� Purchase Order No. 30I Pen OvIVCIAi 'k�U Su%r� 2�1 Terms l�►t� ICt11� pCIS,_ �/ � ���(� Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) IZ 13 32 4 'zviq for rk e -For- pave Bc;yers 10vcr Jz-1(}-ij 3z) �i5 014 �over&t c for h/ort�e I ►U/a 1 / '1 r /� 1H3 3 2d b Lt;�'•t ("Over4)- �G� (&r-�I n An N/-.- f r, be hen tW; h ti 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. NALLOWED 20 \' �n IN SUM OF $ 301 YQ�nsvlu�t►�i� �kwy, Sf,,�.�.�, 20/ ON ACCOUNT OF APPROPRIATION FOR Board Members PO#or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I hereby certify that the attached invoice(s), or i bill(s) is (are) true and correct and that the i, 3z► 5 �3 ) 161 P0" materials or services itemized thereon for which charge is made were ordered and received except 12.- 20� ;�r'i na r Cost distribution ledger classification if /d Title claim paid motor vehicle highway fund