HomeMy WebLinkAbout188268 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: L2367 Page 1 of 1
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ONE CIVIC SQUARE CARMEL CLAY PARKS -MONON CENTE
0 CHECK AMOUNT: $260.24
CARMEL, INDIANA 46032 C/O AUDREY KOSTRZEWA
CHECK NUMBER: 188268
CHECK DATE: 8/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 R4341980 19344 260.24 WELLNESS PROGRAM
l
Carmel e C lay Invoi
Parks &Re creation Date Invoice
1411 E 116th Street 7/27/2010 2010 -106
Carmel, IN 46032
Bill To
City of Carmel
One Civic Square
Carmel, IN 46032
Quantity Description Rate Amount
3 Youth or Senior Pass (City of Carmel) 8.50 25.50
35 Household Pass (City of Carmel) 35.08 1,227.80
42 Adult Pass (City of Carmel) 12.93 543.06
Remit to:
Carmel Clay Parks Recreation Total ®Ll�
1411 E. 116th St. $1,796.36
Carmel, IN 46032
Questions? 317 -.573 -4025 Payment due 30 days from invoice date.
corppass @carmelclayparks.com Please return one copy with payment.
CITY OF CARMEL E_
Last Name First Flame Pass Type gi- Weekly Pymt I Adult Youth/senior j HH
Alve Rick _H ous e hold $35.08
Blan chard jJames j Household $35.0 1
Brant IKenneth _I H ous e hold $35.08
Bucksot William j_ Adult, Adult $25.86 2
Buhmann Kevin j Household $35.08
Burke Raphael Household I $35.08 1
Campbell R. Scott Household $35.08
Carter jRon ----r- Senior/ A dult $2143 1 1
Collins j Larry Ho $35.
Coo per j Jeffrey j Househo i $35.08
Cox Justin Adult j $12 lj_ 1
Coy Susan Household $35.08 _j 1
Dale Penny Household j $35.08 j 1
Deitsch Marc Household $35.08 1
Dietz Aaron j Household $35.08
Drake lCarl Adult $12.93
Duqy John Household 1 $35.08
Ed wards Dan 1 Household $35.08
Edwards Steven Household 1 $35.08
Essex I Cory Adult, Ault $25.86 2
Fag Timothy j Household $35.08 j�
Force Jason_ Household j $35.08
Gilbe William Adult $12.93 1 1 I
Griffin jTim Household I $35.08 jl
Griffiths Pamela Household $35.08
Hicks Jeff 1 Adult, Adult 1 $25.86 '1
I 1 i
Hollander Gre Adult, Adult j $25.86 11 2
Hollibaugh 1 Michael f Household j 35.08 i_
Hu ghes 1 Debora H ousehold $35.08 1
Krcme (Michelle Household $35.08
LaFollette Gary Adult, Adult $25.86 2_I
Lamb IBarbara Adult/ Adult j $25. j 2
Locke j Robert �i Household $35.08 �ll j _�9
Luper II j Michael Adult j $12.93 l 1
Martin lichard Househo andy Adult $12.93 1
Martin 35.08 1
i
Mascari John Adult 1 12.93 1
Massin ill Randy Adult _1 1 2 .93 I
Mast Darren �j Adult j $12.93 j 1
McNab John Adult $12.93 1
Meyer Amanda Adult, Adult $25.86
Miller i Adam Adult/Youth j $21. 1 1 1 1
Miller
Mor Senior/Adult _$2_1 (j' 1 1_
9 an Trent Adult $12.93
Myers Brad i Ho usehold_ $35.0
Neville Katie Adu $12.93 li
Nicle Wes j Adul
Orange Dou Adult
9 g $1 2.93 II -I-
Paddock Ronald j Adult 12. 93 1 -1
Patt Dawn Household 1 $3 5_08
Pitman Michael I Household 1 $35.08
CITY OF CARMEL
Last Name First Name Pass Type Bi- Weekly Pymt Adult vouthiSenior HH
Platt f Jace Adult 1 I
Price l Jose ph Household j $35.08
Re ynolds Shawn Household $35.08
Rhodes lKenneth Adult, Adult $25.86 2
Rider l Kevin Adu Adult $25 j 2 I
Schriner Adam Adult, Adult _j_ $25.86 2
Sharp Rick Household $35.08
Smile —Landry Household j $35.08
Smith Jer Household $35.08
Steu Kent Adult $12.93
Thomas John I Adult, Adult $25.86 2__
Tierne Scott Household $35.08
Utzi Chad Household j $35.08
White Robert Household $35.08
Whitlow Sean Adult $12.93 1 1
j
Total Monthly Bill $1,796.36
1I 42 1 3 1 35
SUNGARD PENTAMATION, INC. PAGE NUMBER: 236
DATE: 07/27/2010 CITY OF CARMEL MODULE NUM: PAYCHK43
TIME: 13:08:51 DEDUCTION REGISTER CHECK DATE 07/30/2010
PAY RUN 15 PR1015
361 MONON CENTER PAYROLL DED
EMPLOYEE EMPLOYER
EMPLOYEE EMPLOYEE NAME---- SUBJECT WAGES ACCOUNT DEPARTMENT DEDUCTION CONTRIBUTION ARREARS
1120 30.00 .00 .00
SUNGARD PENTAMATION, INC. PAGE NUMBER: 237
DATE: 07/27/2010 CITY OF CARMEL MODULE NUM: PAYCHK43
TIME: 13:08:51 DEDUCTION REGISTER CHECK DATE 07/30/2010
PAY RUN 15 PR1015
361 MONON CENTER PAYROLL DED
EMPLOYEE EMPLOYER
EMPLOYEE EMPLOYEE NAME---- SUBJECT WAGES ACCOUNT DEPARTMENT DEDUCTION CONTRIBUTION ARREARS
1,536.12 .00 .00
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))
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.
,p COWED 20
IN SUM OF
C /6 a &a�
i yll
c2�o.ay
ON ACCOUNT OF APPROPRIATION FOR
A/R
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
0710 413 -zl/q. 80 a &0 a y 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
ul
r
ignature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund