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Home My WebLink About190694 10/13/2010 a CITY OF CARMEL, INDIANA VENDOR: L2367 Page 1 of 1 ONE CIVIC SQUARE CARMEL CLAY PARKS -MONON CENTER CHECK AMOUNT: $252.67 CARMEL, INDIANA 46032 C/0 AUDREY KOSTRZEWA CHECK NUMBER: 190694 CHECK DATE: 10/13/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 R4341980 19344 2010 -210 252.67 WELLNESS PROGRAM Carmel Clay Invoice Parks &Recreati ®n Date Invoice 1411 E 116th Street 10/7/2010 2010 -210 Carmel, IN 46032 Bill To City of Carmel One Civic Square X30 Carmel, IN 46032 Quantity Description Rate Amount 47 Adult Pass (City of Carmel) 12.93 607.71 2 Youth or Senior Pass (City of Carmel) 8.50 17.00 32 Household Pass (City of Carmel) 35.08 1,122.56 D Q OCT 1 1 2010 By Remit to: Carmel Clay Parks Recreation Total Due 1,747.27 1411 E. 116th St. Carmel, IN 46032 Questions? 317 573 -4025 Payment due 30 days from invoice date. corppass@carmelclayparks.com Please return one copy with payment. Name Payroll M embership Emplo Due Mo non Listin t Tective irte a Type Alvey, Rick 7/2/2010 Household 30.00 '.0' '0' Alvey Rick Household $35.08 Blanchard, Jim 6/8/2007 Household 30.00 5.08 35.08 Blanchard James Household $35.08 Brant, K enneth 2/12/2010 Household 30.00 5.08 35.08 Brant Kenneth Household $35.08 Bucksot, William B. 7/30/2010 Adult/Adult 22.16 3.70 25.86 Bucksot William Adult, Adult $25.86 Buhmann, Kevin 716/2007 Household 30.00 5.08 35.08 Buhmann Kevin Household $35.08 Burke, Raphael 5/26/2010 Household 30.00 5.08 135.08 Burke Raphael Household $35.08 Campbell, R. Scott 6/8/2007 Household 30.00 5.08 35.08 Campbell R. Scott Household $35.08 Carter, Ron 411172008 Senior /Adult 18.00 3.43_ 21.43 Carter Ron Senior /Adult $21.43 Cooper, Jeffery 6/41ZO 0 Household 30.00 5.08 135.08 Collins Larry Household $35.08 Collins, Larry 11212009 Household 30.00 5.08 35.08 Cooper Jeffrey Household $35.08 Cox, Justin 101912009 Adult 11.08 1.85 12.93 4ox Justin Adult $12.93 Coy, Sue _6/8_/2007 Household 3000 5.08 35.08 oy Susan Household $35.08 Deitsch, Marc Y102010 Household 30.00 5.08 35.08 eitsch Marc Household $35.08 Dietz, Aaron 6/6/2008 Household 11.08 1.85 12.93 Diet Aaron Adult $12.93 Drake, Carl 56/2008 Adult 11.08 1.85 T2 2.93 Drake Carl Adult $12.93 Duffy, John 2/ 2/2010 Household 30.00 5.08 35.08 Duffy John Household $35.08 Edwards, Dan 3/14/2008 Househ 30.00 5.08 35.08 E dwards Dan Household $35.08 Edwards, Steve 2/12/2010 Adult 30.00 5.08 35.08 1 Edwards Steven Household $35.08 Essex, Cory 2/26/2010 Adult/Adult 22.16 3. 70 25.86 Essex Cory Adult, Ault $25.86 Fag in, Timoth 7/6/2007 Household 30.00 5.08 35.08 Fa Timoth Household $35.08 Faucett, Joseph 8/27/2010 Household 30.00 5.08 35.08 Faucett Jose Household $35.08 Gilbert, William 3/14/2008 Adult 11.08 1.85 12.93 Gilbert William Adult $12.93 Griffin, Tim 9/14/2007 Household 30.00 5.08_ 35.08 Gri ffin Tim Household $35.08 Griffiths, Pam 6/8/2007 Household 30.00 5.08 35.08 Griffiths Pamela Household $35.08 Grimes, Jeff 8/9/2010 Adult 11.08 1.85 12.93 Grimes Jeff Adult $12.93 Hicks, Jeffrey 1/2/2009 Adult/Adult 22.16__ 3.7 25.86 Hicks Jeff Ad ult, Adult $25.86 Hollander, Greg 2/12/2010 Household 22.16 3.70 25.86 Hollander Greg Adult, Adult $25.86 Hollibaugh, Michael 7/6/2007 Household 30.00 5.08 35.08 Hollibaugh Michael Household $35.08 Krcmery, Michelle 7/6/2007 Household 30.00 5.08 3 5.08 Krcmery Michelle Househol $35.08 Lafollette, Gary 6/8/2007 Adult Adult 22.16 3.70 25.86 LaFollette Gary Adult, Adult $25.86 Lamb, Barb 11/9/2007 Adult/Adult 22.16 3.70 25.86 Lamb Barbara Adult/ Adult $25.86 Locke, Robert 6/8/2007 Household 30.00 5.08 35.08 Locke Robert Hous ehold $35.08 Luper, Michael 3/14/2008 Adult 11.08 1.85 12.93 Luper II Michael Adult $12.93 Martin, Candy 3/1/2009 Adult 11.08 112.93 Martin Candy Adult $12.93 Martin, Richard 6/21/2010 Household 30.00 5.08 13 _l Martin Richar $35.08 Mascari, John 10/12/2007 Adult 11.08 1.85 12.93 Mascari John Adult $12.93 Massingill, Randy 9/12/2008 Adult 11.08 1.85 112.93 Massingill Randy Adult $12.93 Mast, Darren 7/6/2007 Ad 11.08 1.85 12.93 Mast Darre Adult $12.93 McNab, John 1/2/2009 Adult 11.08 1.85 12.93 McNab John Adult $12.93 Meyer, Amanda 6/8/2007 Adult/Adult 122.16 3.70 25.86 Meyer Amanda Adult, Adult $25.86 Miller, Adam 7 /6/2007 Adult 111. 1.85 12.93 Miller Adam Adult $12.93 Miller, Ken 4/23/2010 Senior /Adult 118.00 3.43 21.43 Miller Ken Senior /Adult $21.43 Mishler, Nick 9/3/2010 Adult 111.08 1.85 12.93 Mishler Nick Adult $12.93 Morg Trent 1/15/2010 Adult 11.08 1 12.93 Morga T rent Adult $12.93 Myers, Brady 12/1/2008 Household 30.00 5.08 35.08 Myers Brady Hous ehold $35.08 Neville, Katie 1/15/2010 Adult 11.08 1.85 12.93 Neville Katie Adult $12.93 Nicely, Wes 12/5/2008 Adult 1 1.08 1.85 1 Nicley W es Adult $12.93 Orang Doug 10/10/2008 Adult 11.08 1.85 12.93 Orange Dou Adult $12.93 Paddock, Ro nald 5/26/2010 Adult 11.08 1.85 12.93 Paddock Ronald Adult $12.93 Patt Dawn 6/8/2007 Household 3 0.00 15.08 35. Patty Dawn Household $35.08 Pitman, Michael 2/12/2010 Household 30.00 5.08 35.08 Pitman Michael Household $35.08 Platt, Jace 6/8/2007 Adult 11.08 1.85 12.93 Platt Jace Adult $12.93 Price, Joe 12/18/2009 Household 3 5.08 35.08 Pri Jose Household $35.08 Reynolds, Shawn 6/28/2010 Household 30.00 5.08 35.08 Re Shawn Household $35.08 Rhodes, Kenneth 6/8/2007 AdulUAdult 22.16 3.70 25.86 Rhodes Kenneth Adult, Adult $25.86 Rider, Kevin 2/1/2008 A dult/Adult 22.16 3. 70 25.86 Rider Kevin Adult, Adult $25.86 Schriner, Adam 1/2/2009 Adult/Adult 22.16 3.70 25.86 Schriner Adam Adult, Adult $25.86 Sharp, Rick 10/10/ Household 30.00 5.08 35.08 Sharp Rick Household $35.08 Smith, Jer 2/1/2008 Househol 30.00 5.08 35.0 Smi Land $35.08 Smiley, Landry 1/1512010 Household 30.00 5.08 35.08 Smith Jerry Household $35.08 Steury, Kent 3/1/2009 Adult 11.08 1.85 112.93 Steury Kent Adult $12.93 Thomas, John 7/3/2008 Adult/Adul 22.16 25. T Jo Adult, Adult $25.8 Tierney, Scott 6/8/2007 Household 30.00 5.08 35.08 Tierne Scott Household $35.08 Tolan, Brian 9/29/2010 Adult 11.08 1.85 12.93 _I Tolan Brian Adult $12.93 Utzig Chad 618/2007 _H ousehold 3 0.0 0 5 .08 35.08 __I Utzig Chad_ Household $35.08 Wenger, Gary 8/3/2010 Adult 11.08 1.85 12.93 Wen g er Garry Adult $12.93 W hite, Robert 5/9/2008 Household 30.00 5.08 35.08 White Robert Household $35.08 Whitlow, Sean 5/22/2009 Adult 11.08 1.85 12.93 Whitlo Sea Adult $12.93 Total Monthly Bill $1,747.2 11494.60 252.67 N 1 47.27 SUNGARD PENTAMATION, INC. PAGE NUMBER: 243 DATE: 10/05/2010 CITY OF CARMEL MODULE NUM: PAYCHK43 TIME: 13:14:03 DEDUCTION REGISTER CHECK DATE 10/08/2010 PAY RUN 20 PR1020 361 MONON CENTER PAYROLL DED EMPLOYEE EMPLOYER EMPLOYEE EMPLOYEE NAME---- SUBJECT WAGES ACCOUNT DEPARTMENT DEDUCTION CONTRIBUTION ARREARS 1602 22.16 .00 .00 SUNGARD PENTAMATION, INC. PAGE NUMBER: 244 DATE: 10/05/2010 CITY OF CARMEL MODULE NUM: PAYCHK43 TIME: 13:14:03 DEDUCTION REGISTER CHECK DATE 10/08/2010 PAY RUN 20 PR1020 361 MONON CENTER PAYROLL DED EMPLOYEE EMPLOYER EMPLOYEE EMPLOYEE NAME---- SUBJECT WAGES ACCOUNT DEPARTMENT DEDUCTION CONTRIBUTION ARREARS 1,453.52 .00 .00 SUNGARD PENTAMATION, INC. PAGE NUMBER: 26 DATE: 10/07/2010 CITY OF CARMEL MODULE NUM: PAYCHK43 TIME: 10:34:01 DEDUCTION REGISTER CHECK DATE 10/08/2010 PAY RUN 20A PR1020A 361 MONON CENTER PAYROLL DED EMPLOYEE EMPLOYER EMPLOYEE EMPLOYEE NAME---- SUBJECT WAGES ACCOUNT DEPARTMENT DEDUCTION CONTRIBUTION ARREARS 41.08 .00 .00 VOLtCHER 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 $252.67 ON ACCOUNT OF APPROPRIATION FOR Carmel HR Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 19344 I 2010 -210 I 43-419.801 $252.67 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, October 11, 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 attache in o r b ill( s)) 10/07/10 2010 -210 $252.67 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