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Home My WebLink About188268 08/03/2010 CITY OF CARMEL, INDIANA VENDOR: L2367 Page 1 of 1 R 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