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302795 09/08/16 Cqq CITY OF CARMEL, INDIANA VENDOR: 371102 ONE CIVIC SQUARE INDIANA DEPARTMENT OF LABOR CHECK AMOUNT: $*****2,450.00* x. ?4 CARMEL, INDIANA 46032 ATTN:DOL-YOUTH FUND CHECK NUMBER: 302795 9nq�TON..�` 402 W WASHINGTON ST.,ROOM W195 CHECK DATE: 09/08/16 INDIANAPOLIS IN 46204 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1082 4358400 1540902 1,200.00 REFUNDS AWARDS & INDE 1091 4358400 1540902 1,250.00 REFUNDS AWARDS & INDE Voucher No. Warrant No. Indiana Department of Labor Allowed 20 ATTN: DOL-Youth Fund/Inspection# 154090-2 402 W Washington St., Room W195 Indianapolis, In 46204 In Sum of$ $ 2,450.00 ON ACCOUNT OF APPROPRIATION FOR 108 ESE/109 Monon Center PO#or INVOICE NO. ACCT#/FITC AMOUNT Board Members Dept# 1091 1540902 4358400 $ 1,250.00 1 hereby certify that the attached invoice(s), or 1082-99 1540902 4358400 $ 1,200.00 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 September 6, 2016 Signature $ 2,450.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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 Purchase Order No. Indiana Department of Labor Terms ATTN: DOL-Youth Fund/Inspection # 154090-2 402 W Washington St., Room W195 Indianapolis, In 46204 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO# Amount 6/7/16 1540902 Department of Labor Penalties $ 1,250.00 6/7/16 1540902 Department of Labor Penalties $ 1,200.00 Total $ 2,450.00 1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 120 Clerk-Treasurer MICHAEL R. PENCE, GOVERNOR 0AdVaj1,-ftt9 D+� �' $nt of Labor Rkk J. Ruble, Commissioner 402 West Washington Street,Room W195 the safety.heatrh and pr*spaMY o1 Hdasiers fn the workpraca Indianapolis, Indiana 46204-2751 Phone: (317)232-2655 Fax: (317)233-3790 June 13,2016 Carmel Clay Parks&Recreation 1411 E. 116th St Carmel, Indiana 46032 RE: Child Labor Inspection#: 154090-2 In�speitti' Dafeine7e�201�y Dear Carmel Clay Parks &Recreation Representative: An agent of the Bureau of Child Labor conducted an inspection of Carmel Clay Parks&Recreation on June 7, 2016 and found violations of Indiana's Child Labor laws.At the conclusion of the inspection,the agent reviewed the results with Administrative Assistant Lynn Russell. Indiana Code §20-33-3 provides for civil monetary penalties for violation of Indiana's Child Labor laws.First- time violations result in a letter of warning.Monetary penalties may be issued for each recurring violation. The enclosed Report of Investigation of Child Labor Compliance explains the cited violations and any associated penalties. If you have documentary evidence showing that a violation was cited in error,you may submit a written Petition for Review to the Commissioner of Labor not later than thirty(30)days from the date you received this letter. If neither full payment nor a Petition for Review are rendered within thirty(30) days of your receipt of this letter, the Report of Investigation of Child Labor Compliance becomes an effective final order and any monetary penalties shall be immediately due and payable. Outstanding penalties will be forwarded to the Office of the Attorney General.for collections. ' �-„y:y� i�4"""�Y,° ter- �.�s.1nr..;e .�* �y°" �-.z... IPay �,ti or etntton for�zl2e�iewmaybc mailedto' t't�djaua Department ofyLabor,. +tau„ �. T +�1;?DOL �Yot�tFu ►d nspecytionj � p4002 WestaWashington Stre�et,�>�2oom Indiana olisT)lndiana 46204 xa For more information about Indiana's Child Labor laws, or to inquire about free Child Labor training,please visit www.in.gov/dol/childlabor.htm .If you have any questions or concerns,you may also contact us by phone at(317)232-2655 or by e-mail at childlabor@.dol.in.gov. Sinc el is ae ers Direct ureau of Child Labor -Over- An:Equal Opportunity Employer TT'Noice: '1 (800)743-3333: www.in.aovldol Report of Investigation of Child Labor Compliance Instructions: This report is provided to the employer as explanation of the violations found during an Investigation of compliance with Indiana's Child Labor laws. ALL VIOLATIONS MUST BE CORRECTED IMMEDIATELY. Re Carmel Clay Parks&Recreation • 6/7/2016 00:00 . . 1411 E. 116th St -• TD Carmel, Indiana 46032 • Other (, Administrative Assistant Lynn Russell .` ®- .- 1 1-6+ Hours Without Docu. Break 5/31/2016 Mitchell Adzema 17 1 Under 30 Minutes $100 2 1-6+Hours Without Docu. Break 6/1/2016 Mitchell Adzema 17 Under 30 Minutes $100 3 1-6+ Hours Without Docu. Break 6/2/2016 Mitchell Adzema 17 Under 30 Minutes $100 4 1-6+ Hours Without Docu. Break. 5/30/2016 Anika Antony 15 6+ Hours W/o Doc. Break $100 s 1-6+ Hours Without Docu. Break 5/21/2016 Lexi Boehnlein 15 Under 30 Minutes $100 6 1-6+Hours Without Docu. Break 5/5!2016 Katiana Breland 17 6+Hours W/o Doc. Break $100 7 E-31+Mins. Past Allowable Hrs. 5/30/2016 Thomas Dziwlik 15 Worked Beyond Permissible Hour $100 8 1-6+Hours Without Docu. Break 5/21/2016 Marion Gala" 15 Under 30 Minutes $100 9 D-1 to 30 Mins. Past Allowable Hrs. 5/21/2016 Christopher Herezeg 17 Worked Beyond Permissible Hour $50 10 1-6+ Hours Without Docu. Break 5/15/2016 Courtney Hester 17 1 Under 30 Minutes $100 ii D-1 to 30 Mins. Past Allowable Hrs. 5/21/2016 Tyler Hohner 17 lWorked Beyond Permissible Hour $50 12 1-6+ Hours Without Docu. Break 5/22/2016 Peter Kryjanovski 16 6+ Hours W/o Doc. Break $100 13 1-6+ Hours Without Docu. Break 5/21/2016 Kevin Leblanc 15 6+ Hours W/o Doc. Break $100 14 1-6+ Hours Without Docu. Break 5/21/2016 Kelsey Lovitt 17 6+ Hours W/o Doc. Break $100- 5 D-1 to 30 Mins. Past Allowable Hrs. 6/3/2016 Kelsey Lovitt 17 Shift Exceeded Permissible Length $50 16 E-31+ Mins. Past Allowable Hrs. 5/31/2016 Nolan Mccullough 15 Worked Beyond Permissible Hour $100 17 E-31+ Mins. Past Allowable Hrs. 5/30/2016 Nolan Mccullough 15 Worked Beyond Permissible Hour $100 18 1-6+ Hours Without Docu. Break 6/3/2016 Grace Moyer 16 6+ Hours W/o Doc. Break $100 19 1-6+ Hours Without Docu. Break 5/26/2016 Sam Philleo 17 Under 30 Minutes $100 20 1-6+ Hours Without Docu. Break 5/22/2016 Katie Roebuck 17 6+ Hours W/o Doc. Break $100 21 1-6+ Hours Without Docu. Break 5/26/2016 Gabby Seal 16 6+ Hours W/o Doc. Break $100 22 1-6+ Hours Without Docu. Break 6/1/2016 Gabby Seal 16 Under 30-Minutes $100 23 1-6+ Hours Without Docu. Break 5/11/2016 Katelynn Summitt 17 Under 30 Minutes $100 24 1-6+ Hours Without Docu. Break 5/17/2016 Katelynn Summitt 17 6+ Hours W/o Doc. Break $100 25 1-6+ Hours Without Docu. Break 6/1/2016 Katelynn Summitt 17 Under 30 Minutes $100 26 1-6+ Hours Without Docu. Break 6/2/2016 Katelynn Summitt 17 Under 30 Minutes $100 27 28 29 30 31 32 33 34 35 36 37 38 39 40 41 42 43 44 45 46 7 .Ci S+ �.r�' ..� ..r:,... :, .,.,. ,. ...5..2 i-- - ..s�iFt� r,., ' -t :�� ���ry •V,� Penalties may be paid via credit card online at dol.IN.gov/epay. If paying online, please reference Account#201540902. Payments via check or money order should be made payable to the"DOL-Youth Fund"and refer to Inspection#154090-2 .