HomeMy WebLinkAbout181839 02/03/2010 _77•, CITY OF CARMEL, INDIANA VENDOR: L2367 Page 1 of 1
q t1. ONE CIVIC SQUARE CARMEL CLAY PARKS -MONON CENTER
k; A CARMEL, INDIANA 46032 C/O AUDREY KOSTRZEWA CHECK AMOUNT: $219.87
1.40. CHECK NUMBER: 181839
CHECK DATE: 2/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4341980 01292010 219.87 WELLNESS PROGRAM
The
non er
AT CENTRAL PARK
Date: January 29, 2009
City of Carmel
One Civic Square
Carmel, IN 46032
317.571.5850
INVOICE 01292010
'valance Ain
01 29 10 01/09!10
.01122/10 Mernber§hip'DUes;
$1'52016
check., payable k) Carmel Clay Park and Re,...) eation •Semd r E w Tilettt to
Cal inel Clay Park:, aticl ictation
Atm: Tara I.Vocilery
1 11 110 St
Carmel, IN 46032
Thank you for your business!
FEB 01 2010
By
Name Payroll Membership Employee City Total Due
Effective Date Type
Beck, Micah 10723/2009 Adult 11.08 1.85 112.93
Blanchard, Jim 6/8/2007 Household 30.00 5.08 135.08
Brant, Kenneth 2/12/2010 I Household 30.00 5.08 35.08
Buhmann, Kevin 7/6/2007 1Household 30.00 5.08 35.08
Butts, Renee 1/15/2010 lAdult/Adult 22.16 3.70 25.86
Campbell, R. Scott 6/8,2007 1 Household 30.00 5.08 35.08
Carter, Ron 4/11/2008 !Senior /Adult 18.00 3.43 21.43
Collins, Larry 1!212009 1Household 130.00 5.08 35.08
Cox, Justin 10/9/2009 Adult 11.08 1.85 12.93
Coy, Sue 6/8/2007 Household 30.00 5.08 35.08
Daley, Penny 5/9/2008 Household 30.00 5.08 135.08
Dietz, Aaron 6/6/2008 Household 30.00 5.08 135.08
Drake, Carl 15/9/2008 (Adult 11.08 1.85 12.93
Edwards, Dan 3/14/2008 I Household 30.00 5.08 35.08
Edwards, Steve 2/12/2010 Adult 11.08 1.85 12.93
Fagin, Timothy 7/6/2007 Household 30.00 5.08 35.08
Gilbert, William 3/14/2008 Adult 11.08 11.85 12.93
Griffin, Tim 9/14/2007 Adult/Adult 22.16 13.70 25.86
Griffiths, Pam 6/8/2007 Household 30.00 15.08 35.08
Hicks, Jeffrey 1/2/2009 Adult/Adult 22.16 13.70 25.86
Hollander, Greg 2/12/2007 Adult Youth 18.00 3.43 21.43
Hollibaugh, Michael 7/6/2007 Household 30.00 5.08 35.08
Hughes, Deborah 1/1/2009 Household 30.00 15.08 35.08
Insenberger, Anthony 14/11/2008 Adult 11.08 11.85 12.93
Krcmery, Michelle 7/6/2007 Household 30.00 5.08 35.08
Lafollette, Gary 16/8/2007 Adult Adult 22.16 3.70 25.86
Lamb, Barb 111/9/2007 Adult/Adult 22.16 3.70 25.86
Locke, Robert 16/8/2007 Household 30.00 5.08 35.08
Luper, Michael 13/14/2008 Adult 11.08 1.85 12.93
Martin, Candy 13/1/2009 Adult 11.08 1.85 112.93
Mascari, John 10/12/2007 Adult 11.08 1.85 112.93
Massingill, Randy 9/12/2008 Adult 11.08 1.85 112.93
Mast, Darren 7/6/2007 Adult 11.08 11.85 112.93
McNab, John 1/2/2009 Adult 11.08 1.85 12.93
McNulty, Matt 11/20/2009 Household 30.00 5.08 35.08
Meyer, Amanda 6/8/2007 Adult/Adult 22.16 13.70 125.86
Miller, Adam 7/6/2007 Adult 111.08 11.85 12.93
Mishler, Nicholas 9/28/2009 Household 130.00 15.08 35.08
Morgan, Trent 1/15/2010 Adult 111.08 11.85 12.93
Myers, Brady 12/1/2008 Household 30.00 15.08 35.08
Neville, Katie 1/15/2010 1Adult 11.08 11.85 12.93
Nicely, Wes 12/5/2008 Adult 11.08 1.85 12.93
Orange, Doug 10/10/2008 Adult 11.08 1.85 12.93
Pattyn, Dawn 6/8/2007 Household 30.00 5.08 35.08
Phillips, Kerry 8/1/2008 Adult 11.08 1.85 12.93
Platt, Jace 6/8/2007 'Adult 11.08 1.85 12.93
Price, Joe 12/18/2009 Household 30.00 5.08 35.08
Rhodes, Kenneth 6/8/2007 Adult/Adult 22.16 3.70 25.86
Rider, Kevin 2/1/2008 Adult/Adult 22.16 3.70 25.86
Schriner, Adam 11/2/2009 Adult/Adult 22.16 3.70 25.86
Sharp, Rick 10/10/2008 Household 30.00 5.08 35.08
Smith, Jerry 2/1/2008 Household 30.00 5.08 35.08
Smiley, Landry 1/15/2010 Household 30.00 5.08 35.08
Steury, Kent 13/1/2009 Adult 11.08 1.85 12.93
Thomas, John 7/3/2008 Adult/Adult 22.16 3.7 25.86
Tierney, Scott 6/8/2007 Household 30.00 5.08 35.08
Utzig, Chad 6/8/2007 Household 30.00 5.08 35.08
Vanderbeck, David 4/11/2008 (Household 30.00 5.08 35.08
White, Robert 5/9/2008 1Household 30.00 5.08 35.08
Whitlow, Sean 5/22/2009 1Adult 11.08 1.85 12.93
1
1
1 1300.28 1219.87 1520.15
CITY OF CARMEL
Last Name First Name Pass Type Bi- Weekly Pymt
Beck Micah Adult $12.93
Blanchard James Household $35.08
Brant Kenneth Adult, Adult $35.08
Buhmann Kevin Household $35.08
Butts Renee Adult/Adult $25.86
Campbell R. Scott Household $35.08
Carter Ron Senior /Adult $21.43
Collins Larry Household $35.08
Cox Justin Adult $12.93
Coy Susan Household $35.08
Daley Penny Household $35.08
Dietz Aaron Household $35.08
Drake Carl Adult $12.93
Edwards Dan Household $35.08
Edwards Steven Adult $12.93
Fagin Timothy Household $35.08
Gilbert William Adult $12.93
Griffin Tim Adult, Adult $25.86
Griffiths Pamela Household $35.08
Hicks Jeff Adult, Adult $25.86
Hollander Greg Adult, Youth $21.43
Hoilibaugh Michael Household $35.08
Hughes Deborah Household $35.08
Isenberger Anthony Adult $12.93
Krcmery Michelle Household $35.08
LaFollette Gary Adult, Adult $25.86
Lamb Barbara Adult! Adult $25.86
Locke Robert Household $35.08
Luger II Michael Adult $12.93
Martin Candy Adult $12.93
Mascari John Adult $12.93
Massingill Randy Adult $12.93
Mast Darren Adult $12.93
McNab John Adult $12.93
McNutty Matthew Household $35.08
Meyer Amanda Adult, Adult $25.86
Miller Adam Adult $12.93
Mishler Nicholas Household $35.08
Morgan Trent Adult $12.93
Myers Brady Household $35.08
Neville Katie Adult $12.93
Nicley Wes Adult $12.93
Orange Doug Adult $12.93
Pattyn Dawn Household $35.08
Phillips Kerry Adult $12.93
Platt Jace Adult $12.93
Price Joseph Household $35.08
Rhodes Kenneth Adult, Adult $25.86
Rider Kevin A dult, Adult $25.86
Rouse=De -Vore; Laura i Adult $0.00
Schriner Adam Adult, Adult $25.86
Sharp Rick Household $35.08
Smiley Landry Household $35.08
Smith Jerry Household $35.08
Steury Kent Adult $12.93
Thomas John Adult, Adult $25.86
Tierney Scott Household $35.08
Utziq Chad Household $35.08
Vanderbeck David Household $35.08
White Robert Household $35.08
Whitlow Sean Adult $12.93
Total Monthly Bill :.$.1,520:1&'''..'::
VOUCHER NO. WARRANT NO.
ALLOWED 20
Carmel Clay Parks and Recreation Monon Ce
c/o Audrey Kostrzewa IN SUM OF
1411 E. 116th St.
Carmel, IN 46032
$219.87
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Members
1201 I 01292010 I 43- 419.80 $219.87 I hereby certify that the attached invoice(s), or
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
Friday, January 29, 2010
Director, HR
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
01/29/09 01292010 $219.87
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