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 /�
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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