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HomeMy WebLinkAbout190211 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: L2367 Page 1 of 1 ONE CIVIC SQUARE CARMEL CLAY PARKS -MONON CENTER CARMEL, INDIANA 46032 C/O AUDREY KOSTRZEWA CHECK AMOUNT: $250.82 CHECK NUMBER: 190211 CHECK DATE: 9/29/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 R4341980 19344 2010 -126 250.82 WELLNESS PROGRAM carme� C) 022 lnvo® ce Parks &Recreation Date Invoice 1411 E 116th Street 9f2212010 2010 -126 Carmel, IN 46032 Bill To City of Carmel One Civic Square Carmel, IN 46032 Quantity Description Rate Amount 46 Adult Pass (City of Carmel) 12.93 594.78 2 Youth or Senior Pass (City of Carmel) 8.50 17.00 32 Household Pass (City of Carmel) 35.08 1,122.56 Remit to: Carmel Clay Parks Recreation T€�$�� �uar 1411 E. 116th St. $1 ,734.34 Carmel, IN 46032 Questions? 317- 573 -4 025 Payment due 30 days from invoice date. corppass @carmelclayparks.com Please return one copy with payment. Name Payroll Membership Employee City Total Due I Monon Listing enecuve vale Type I J Alvey, Rick 7/2/2010 Household 30.00 1 5.08 135.08 I IAlvey Rick Household $35.08 0.00 Blanchard, Jim 6/812007 Household 30.00 15.08 35.08 I� Blanchard James Household $35.08 0.00 Brant, Kenneth 211212010 Household 30.00 15.08 35.08 !Brant Kenneth Household $35.08 1 0.00 Bucksot, William S. 7130/2010 Adult/Adult 122.16 13.70 125.86 Bucksot William Adult, Adult $25.86 L 0.00 Buhmann, Kevin 7/6/2007 Household 130.00 15.08 135.08 1 Buhmann Kevin Household $35.08 0.00 Burke, Raphael 5/26/2010 Household 30.00 5.08 35.08 Burke Raphael Household $35.08 0.00 Campbell, R. Scott 61812007 1Household 130.00 15,08 35.08 !Campbell R. Scott I Household $35.08 0.00 Carter, Ron 411 1 126 0 8 Senior/Adult 118.00 13.43 121.43 1 ICarter Ron I Senior/Adult $21.43 0.00 Cooper, Jeffery 61412010 Household 130.00 15.08 35.08 1 (Collins Larry Household $35.08 0.00 Collins, Lar ry 17272009 Household 130,00 15.08 35.08 (Cooper Jeffrey Household $35.08 0.00 Cox, Justin 1079(1009 Adult 111.08 1 1.85 12.93 /Cox Justin I Adult $12.93 0.00 Coy, Sue 161 8/2007 Household 1 30.00 15.08 35.08 ICoy Susan I Household 1 $35.08 1- 0.00 Deitsch, Marc 121 1212010 Household 30.00 15.08 1 35.08 IDeitsch Marc Household $35.08 1 0.00 Dietz, Aaron 16 16/2008 Household 111.08 11.85 12.93 1 !Dietz Aaron Household $12.93 0.00 Drake, Carl 151912008 Adult 111.08 11.85 12.93 1 rake Carl Adult $12.93 0.00 Duffy, John 12T 1 2 12 01 0 Household 130.00 15.08 135.08 1 1Duffy John Household $35.08 0.00 Edwards, Dan 13/14/2008 IHou sehold 30.00 15.08 35.08 Edwards Dan Household $35.08 1 0.00 Edwards, Steve 2112!2010 Adult 30.D0 15.08 35.08 Edwards Steven Household $35.08 0.00 Essex, Cory 212612010 lAdultiAdult 122.16 13.70 125.86 I Essex Cory Adult, Ault $25.86 0.00 Fa gin, Timothy 7/6/2007 Household 130,00 15.08 77135.08 I Fagin Timothy Household $35.08 0.00 Faucett, Joseph 8/27/2010 Household 30.00 15.08 135.08 I 1 Faucett iJoseph Household $35.08 0.00 Gilbert, William (31141 008 IAdult 111.08 11.85 12.93 Gilbert (William I Adult 1 $12.93 0.00 Griffin, Tim 19/1412007 Household 130.00 15.08 35.08 1 Griffin ITim 1 Household $35.08 0.00 Griffiths, Pam 161812007 Household 30.00 15.08 135.08 1 (Griffiths IP@mela Household $35.08 0.00 Grimes, Jeff 819/2010 1 Adult 11.08 11.85 12.93 1 (Grimes Jeff Adult 1 $12.93 0.00 Hicks, Jeffrey 112/2009 Adult/Adult 22.16 3.70 25.86 1 I Hicks Jeff Adult, Adult $25.86 0.00 Hollander, Greg 211212010 Household 22.16 3.70 25.86 1 (Hollander Greg Adult, Adult $25.86 0.00 Hollibaugh, Michael 702007 Household 30.00 5.08 35.08 1 Hollibaugh iMichael Household 1 $35.08 0.00 Krcmery, Michelle 7/612007 Household 30.00 5.08 35.08 Krcmery (Michelle Household 1 $35.08 0.00 Lafollette, Gary 618!2007 Adult 1 Adult 22.16 3.70 25.86 La Follette I Gary Adult, Adult $25.86 1 1 0.00 Lamb, Barb 111912007 Adult/Ad ult 22.16 13.70 25.86 1 Lamb [Barbara Adult/ Adult $25.86 I I 0.00 Locke, Robert 618/2007 Household 30.00 15.08 35.08 (Locke RRobert Household $35.08 I 1 0.00 Luper, Michael 311 412 0 0 8 Adult 11.08 1.85 12.93 Luper II Michael Adult $12.93 I 0.00 Martin, Candy 131112009 Adult 11.D8 1.85 12.93 Martin Cand Adult $12.93 1 0.00 Martin, Richard 16/21/2010 Household 30.00 5.08 35.08 Martin Richard Household $35.08 1 0.00 Mascari, John 1011212007 Adult 11.08 1.85 12.93 Mascari John I Adult $12.93 I 0.00 Massingill, Randy 9/12/2008 Adult 11.08 1.65 12.93 Massin Randy Adult $12.93 1 0.00 Mast, Darren 7/6/2007 Adult 11.08 1.85 12.93 IMast Darren Adult $12.93 1 0.00 McNab, John 112/2009 Adult 11.08 1.85 12.93 IMcNab John 1 Adult I $12.93 0.00 Me yer, Amanda 6/812007 Adult/Adult 22.16 3.70 25.86 Me Amanda Adult, Adult I $25.86 0.00 Miller, Adam 716/2007 Adult 111.08 1.85 12.93 Miller Adult I $12.93 0.00 Miller, Ken 4/23/2010 Senior/Adult 18.00 3.43 21.43 Miller Ken SeniorlAdultI $21.43 0.00 Mishler, Nick 9/3/2010 Adult 11.08 1.85 12.93 Mishler Nick Adult $12.93 1 0.00 Morgan, Trent 1 /1 512 01 0 Adult 11.08 1.85 112.93 Morg Trent Adult $12.93 0.00 Myers, Brady 12/112008 Household 30.00 5.08 35.08 M yers Brady Household 1 $35.08 0.00 Neville, Katie 1115/2010 Adult 11.08 1.85 112.93 Neville IKatie Adult I $12.93 0.00 Nicely, Wes 12/5/2008 Adult 11.08 1.85 112.93 Nicley Wes Adult 1 $12.93 0.00 Orang Dou 1 10/10/2008 Adult 11.08 11.85 12.93 Oran Doug Adult $12.93 0.00 Paddock, Ronald 512612010 Adult 11.08 1.85 12.93 Paddock Ronald Adult $12.93 0.00 Pattyn,Dawn 618!2007 (Household 130.00 5.08 35.08 Pattyn Dawn Household $35.08 0.00 Pitman, Michael 21l2/2010 IHousehold 130.00 15.08 35.08 Pitman Michael I Household $35.08 0.00 Platt, Jace 6/812007 Adult 11.08 1.85 12.93 Platt Jace Adult $12.93 0.00 Price, Joe 12/1812009 Household 30.00 15.08 35.08 Price Jose Household $35.08 0.00 Reynolds, Shawn 6/2812010 Household 30.OD 5.08 35.08 Re ynolds Shawn Household $35.08 0.00 Rhodes, Kenneth 6/8/2007 AdultlAdult 22.16 3.70 25.86 Rhodes Kenneth Adult, Adult $25.86 0.00 Rider, Kevin 21112008 IAdult/Adult 22.16 3.70 125.86 I Rider Kevin I Adult, Adult 1 $25.86 0.00 Schriner, Adam 1/2/2009 Adult/Adult 22.16 3.70 25.86 Schriner Adam Adult, Adult $25.86 0.00 Sharp, Rick 10/10/2008 Household 30.00 5.08 35.08 1 Sharp Rick Household $35.08 0.00 Smith, Jer ry 12/1/2008 1 Household 30.00 5.08 35.08 ISmile Land I Household $35.08 0.00 Smiley, Land 11/15/2010 1Household 30.00 5.08 35.08 Smith Jerry I Household $35.08 0A0 Steu ry, Kent 3!112009 (Adult 11.08 1.85 12.93 ISteury Kent Adult $12.93 0.00 Thomas, John 713/2008 Adult/Adult 122.16 3.7 25.86 1 Thomas John Adult, Adult $25.86 0.00 Tierney, Scott 618/2 1 30.00 5.08 135.08 1 (Tierney Scott Household $35.08 0.00 Utzig, Chad 618/2 1 30.00 15.08 135.08 1 IUtzig Chad Household $35.08 0.00 Weng er, Gary 813/2010 Adult 11.08 1.85 112.93 I (Weng Garry Adult I $12.93 0.00 White, Robert 15/9/2008 1 Household 30.00 5.08 35.08 I White Robert Household I $35.08 I 0.00 Whitlow, Sean 5/22/2009 lAdult _1 11.08 1.85 12.93 1 (Whitlow Sean Adult $12.93 0.00 I�I I Total Monthly Bill $1,73434 1483.52 1250.82 1734.34 1 1 SUNGARD PENTAMATION, INC. PAGE NUMBER: 224 DATE: 09/21/2010 CITY OF CARMEL MODULE NUM: PAYCHK43 TIME: 15:56:14 DEDUCTION REGISTER CHECK DATE 09/24/2010 PAY RUN 19 PR1019 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: 225 DATE: 09/21/2010 CITY OF CARMEL MODULE NUM: PAYCHK43 TIME: 15:56:14 DEDUCTION REGISTER CHECK DATE 09/24/2010 PAY RUN 19 PR1019 361 MONON CENTER PAYROLL DED EMPLOYEE EMPLOYER EMPLOYEE EMPLOYEE NAME---- SUBJECT WAGES ACCOUNT DEPARTMENT DEDUCTION CONTRIBUTION ARREARS 1,483.52 -00 .00 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 $250.82 ON ACCOUNT OF APPROPRIATION FOR Carmel HR Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 19344 I 2010 -126 43- 419.80 I $250.82 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 Monday, September 27, 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)) 09/22/10 2010 -126 $250.82 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