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r�11 <br />4 <br />AssuredPartners <br />Wiring Instructions: <br />Aaount Name: AssureoPadnere of Inalana, LLC <br />Remittance Address: <br />Bank Name: JP Morgan chase New York, NY <br />AssuredPartners of Indiana, LLC <br />021R01 Routing: W4000010; Wire Routing! <br />Dept 78797 <br />Account#: 919484154; SWIFT code: CHASU33 <br />PO BOX 78000 <br />Email apin.accounlingCassuredpanrrl ea <br />Detroit, MI 48278-0797 <br />prior to payment <br />To make an ONLINE payment, go b: <br />hdpsJ/assureoindlana.epaypolicy,com <br />Milestone Contractors North Inc. <br />Invoice Date <br />09/25/24 <br />24358 SR 23 <br />Invoice No. <br />117537 <br />South Bend, IN 46614-2999 <br />Bill -To Code <br />MILESCONT1 <br />Client Code <br />MILESCONT <br />Inv Order No. <br />2 720 * 156339 <br />Named Insured: Milestone Contractors North, Inc. <br />Amount Remitted: $ <br />Please return this porton w,th your payment <br />Make checks payable to: AssuredPartners of Indiana LLC <br />tttective pate roucy Period coverage Description Transaction Amount <br />09/25/24 09/25/24 Continental Casualty Company <br />to Policy No. MNT30189973 <br />09/25/27 *New - Surety Contract Bond 1,506.00 <br />igee Name: City of South Bend <br />d Desc: Project No. 122-013R; LaSall <br />nue Streetscape <br />d Amt: $602,515.53 <br />Number: 117537 Amount Due: 1,506.00 <br />lv J <br />,COL l <br />&KIAI <br />on <br />ARILE Page: 1 INVOICE COPY <br />