The URL can be used to link to this page

Home My WebLink About185606 05/25/2010 CITY OF CARMEL, INDIANA VENDOR: 146500 Page 1 of 1 ONE CIVIC SQUARE INDIANA DEPT OF WORKFORCE 11 1 1 CHECK AMOUNT: $6,898.81 CARMEL, INDIANA 46032 DEVELOPMENT ATTN: ACCT RECV 101 N SENATE AVE CHECK NUMBER: 185606 INDIANAPOLIS IN 46206 -0847 CHECK DATE: 5/25/2010 DEPARTMENT ACCOUNT PO NUMB INVOIC NUMBER AMOUNT DESCRIPTION 1125 4110000 366.31 FULL TIME REGULAR 1160 4110000 1,560.00 FULL TIME REGULAR 1192 4110000 3,510.00 FULL TIME REGULAR 1207 4111000 292.50 PART -TIME 601 5023990 1,170.00 OTHER EXPENSES 133438 -1 INDIANA DEPARTMENT OF WORKFORCE DEVELOPMENT BENEFIT ADMINISTRATION, 10 NORTH SENATE AVENUE, INDIANAPOLIS, IN 46204 -2277 Toll tree 1- 800.891 -6499 Marion County 232 -7436 STATEMENT OF BENEFIT CHARGES (FORM 535) CONFIDENTIAL RECORD PURSUANT TO IC 22- 4.19 -6, IC 4.1 -66 Page 1 CITY OF CARMEL ACCOUNT ATTN CLERK TREASURER LOCATION NUMBER 133438 -000 ONE CIVIC SQ REPORTING MONTH APR, 2010 CARMEL IN 46032-2584 NET CHARGES $6 ,898.81 POSTING DATE MAY-09, 2010 The receipt of this statement (Form 535) does not reopen the question of the claimant's eligibility for unemployment insurance since, before any payments were made the employer had the opportunity and the responsibility to report any information which could disqualify the claimant. SOCIAL BENEFIT AID FOR SECURITY YEAR END CLAIM TRANSACTION WEEK AMOUNT NUMBER EMPLOYEE'S NAME DATE LEVEL DATE ENDING ACO CHARGED THIS IS NOT A BILL OR A REQUEST FOR MONEY DUE TO THIS DEPARTMENT. It is a statement of benefit charges made to your account during the "reporting" month. At the end of the "posting" month, you will receive a Reimbursable Bill (Form 1067) for these charges and any previous liability still outstanding. NEW (NARGES FOR THE REPORTING MONTH 04/10 E 0 EDEDUWA 07/25/09 EB 04/11/10 04/10/10 i�l 97.50 E 0 EDEDUWA 07/25/09 EB 04/19/10 04/17/10';1� 97.50 f E 0 E DEDUWA 07/25/09 EB 04/26/10 04/24/10 97.50 1 D D NORRIS 617158711 REG 04/06710 04703/10 390.00 D D NORRIS 01/08/11 REG 04/11/10 04/10/10 390.00 D D NORRIS 01/08/11 REG 04/19/10 04/17/10 390.00 D D N ORRIS 0 1/08/11 REG 04/25/10 04/24/10 3 90.00 072E 11 REG 04 20110 04/10 10 390.00 ..._.i R 0 LOVELL 03/26/11 REG 04/20/10 04/17/10 390.00 '110 R 0 LOVELL 03/26/11 REG 04/26/10 04/24/10 390 .00 l K NE 0210 RE G 0 4/26/10 0 4/24 /1 0 8_2.31 B ROUSE— DEVORE 12 /25/10 REG 04 /04/10 03/27/10 39C.00 L B ROUSE— DEVORE 12/25/10 REG 04/09110 04/03/10 390.00 L B ROUSE DEVORE 12/25/10 REG 04/16/10 04/10/10 1 SL' 390.00 L B ROUSE DEVORE 12/25/10 REG 04/23/10 04/17/10 1� 390.00 C L B RO_US_ _E— DEVORE 12/ 25/10 _RE 04/27/10 04/24/1 390.0 J M PENN 10/16/10 REG 04/06/10 04/03/10 t� 172.00 J M PENH 10/16/10 REG 0 04/1 �r 1 112.00 a W POH.G._ 12 /ZSTO REG D4�5/10 04/03/10 390.00 B W POHL 12/18/10 REG 04/11/10 04/10/10 1 390.00 B W POHL 12/18/10 REG 04/18/10 04/17/10 390.00 I i B W POHL 12/18/10 REG 04/25/10 04/24/10 390.00 TOTAL NEW CHARGES FOR THE REPORTING MONTH 04/10 6,898.81 TOTAL AMOUNT OF NET CHARGES 6,898.81 a An in the ACO column denfit6sF-y8h AA.RWUti6V6f another business. ,,VOUCHER 101705 WARRANT ALLOWED t `146500 IN SUM OF IN DEPT OF WORKFORCE DEVEL. 10 N. Senate Avenue, Ste 106 Indianapolis, IN 46204 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 0410 01- 4080 -12 $1,170.00 Voucher Total $1,170.00 Cost distribution ledger classification if claim paid under 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 146500 IN DEPT OF WORKFORCE DEVEL. Purchase Order No. 10 N. Senate Avenue, Ste 106 Terms Indianapolis, IN 46204 Due Date 5/20/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/20/2010 0410 $1,170.00 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 Date Officer VOUCHER NO. WARRANT NO. ALLOWED 20 Indiana Department of Workforce Development IN SUM OF Benefit Administration, 10 N. Senate Ave Indianapolis, IN 462042277 $1,560.00 ON ACCOUNT OF APPROPRIATION FOR Mayor's Office PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1160 133438 -000 41- 100.00 $1,560.00 1 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 Thursday, May 20, 2010 Mayor 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 N umber (or note attached invoice(s) or bill(s)) 05/09/10 133438 -000 $1,560.00 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 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. 146500 Indiana Dept. of Workforce Development Terms 10 North Senate Ave., SE106 Date Due Indianapolis, IN 46204 -2277 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 5/9/10 133438 Benefit charge A r'10 366.31 .PAY ALL OUT OF 10,1;' ,er 11!20/08 Total 366.31 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 20 Clerk- Treasurer Voucher No. Warrant No. 146500 Indiana Dept. of Workforce Development Allowed 20 10 North Senate Ave., SE106 Indianapolis, IN 46204 -2277 In Sum of 366.31 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO# or INVOICE NO. ACCT AMOUNT Board Members Dept TITLE 1125 133438 4110000 366.31 1 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 20 -May 2010 Signature 366.31 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund VOUCHER NO. WARRANT NO. ALLOWED 20 IN Department of Workforce Development Benefit Administration IN SUM OF 10 North Senate Avenue Indianapolis, IN 46204 -2277 $292.50 ON ACCOUNT OF APPROPRIATION FOR Brookshire Golf Club PO Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1207 133438- 41- 110.00 $292.50 1 hereby certify that the attached invoice(s), or anAppin 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 Wednesday, May 19, 2010 D 441 Director, Brockthire Golf Club Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No 201 (Rev. 199: 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)) 05/19/10 133438- OOAPR10 Unemployment $292.4 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. ALLOWED 20 Indiana Department of Workforce Development IN SUM OF Benefit Administration 10 North Senate Avenue Indianapolis, IN 46204 -2277 $3,510.00 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS Department PO# l Dept. INVOICE NO. ACCT #ITITLE AMOUNT Board Members 1192 41- 100.00 $3,510.00 1 hereby certify that the attached invoice(s), or T 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 Monday, May 24, 2010 a i D S 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 k. 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)) 04/30/10 Unemployment Bryan pohl and Laura Rouse Devore $3,510.00 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