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193057 12/22/2010 CITY OF CARMEL, INDIANA VENDOR: L2367 Page 1 of 1 ONE CIVIC SQUARE CARMEL CLAY PARKS MONON CENTEf HECK AMOUNT: $228.65 CARMEL, INDIANA 46032 C/O AUDREY KOSTRZEWA s.. CHECK NUMBER: 193057 CHECK DATE: 12/22/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 101 2367 .00 DED:361 MONON CNTR 1201 R4341980 19344 2010 -239 228.65 WELLNESS PROGRAM c arme� 0ay Dnvo® cc Darks &Recreation Date Invoice A 1411 E 116th Street 12/17/2010 2010 -239 Carmel, IN 46032 Bill To City of Carmel One Civic Square Carmel, IN 46032 Due Date 1/17/2011 Quantity Description Rate Amount 45 Adult Pass (City of Carmel) 12.93 581.85 2 Youth or Senior Pass (City of Carmel) 8.50 17.00 28 Household Pass (City of Carmel) 35.08 982.24 Remit to: Carmel Clay Parks Recreation Total Due 1411 E. 116th St. $1,581.09 Carmel, IN 46032 Questions? 317- 573 -4025 Payment due 30 days from invoice date. corppass @carmelclayparks.com Please return one copy with payment. Name Pa yroll Membership Employee City Total Due Morton Listing Effect Date Type Alvey, Rick 702010 Household 30.00 5.08 35.08 Alvey Rick Household $35.08 0.00 Amone, Janet 1 112912 01 0 Adult 11.08 1.85 12.93 Aruone Janet Adult $1193 0.00 Blanchard, Jim 6/6/2007 Household 30.00 5.08 35.08 B lanchard James Household $35.08 0.00 Brant, Kenneth 2/12/2010 Household 30.00 5.08 35.08 Brant Kenneth Household $35.08 0.00 Buhmann, Kevin 7/6!2007 Household 30.00 5.08 35.08 Buhruann Kevin Household $35.08 0.00 Burke, Raphael 5126/2010 Household 30.00 5.06 35.08 Burke Raphael Household $35.08 0.00 Campbell, R. Scott 6/8/2007 Household 30.00 5.08 35.06 Campbell R. Scott Household $35.08 0,00 Carter, Ron 4111/2008 Senior/Adult 18.00 3.43 21.43 Carter Ron Senior /Adult $21.43 0.00 Cooper, Jeffery 614/2010 Household 30.00 5.08 35.08 -Collins Larry Household $35.08 0.00 Collins, Larry 112!2029 Household 30.00 1 5.08 35.08 Cooper Jeffrey Household $35.08 0.00 Cox, Justin 10 912009 Adult 11.08 1.85 1293 Cox Justin Adult $12.93 0.00 Coy, Sue 6/812 Household 30.00 5.06 35.06 Coy Susan Household $35.08 0.00 Dailey, Penny TM 0 Adult 11,08 1.85 12.93 Daley Penny Adult $12.93 0.00 Deitsch, Marc 2112/201a Household 30.00 5.08 35.08 Deitsch Marc Household $3508 0.00 Dietz, Aaron 6/612008 Household 11.08 1.85 12.93 Dietz Aaron Adult $12.93 0.00 Drake, Carl 519! Adult 11.08 1.85 12.93 Drake Carl Adult $12.93 0.00 Duffy, John 21212010 Household 30.06 5,08 35.08 Duffy J01111 Household $35.08 0.00 Edwards, Steve 2/12/2010 Adult 30.00 5.08 35.08 Edwards Steven Household $35.08 0.00 Essex, Cory 2/2612010 AdulVAdult 22.15 170 25.86 Essex Cor Adult, Ault $25.86 0,00 Faucett, Joseph 8/27/2010 Household 30.00 5.08 35.08 Fawcett Joseph Household $35.08 0.00 Gilbert, William 3/1412008 Adult 11.08 1.85 12.93 Gilbert William I Adult $12.93 0.00 Griffin, Tim 9/14/2007 Household 30.00 5.08 35.06 Griffin Tim Household $35.08 0.00 Griffiths, Pam 6/8/2007 Household 30.00 5.08 35.08 Griffiths Pamela Household $35.08 0.00 Grimes, Jeff 8/9/2010 Adult 11.08 1.65 12. Grimes Jeff Adult $12.93 0.00 Hicks, Jeffrey 1/2/2009 Adult/Adult 22.16 3.70 2 5. 86 Hicks Jeff Adult, Adult $25.86 0.00 Hollander, Greg 2/12/2010 Household 22.16 3.70 25.86 Hollander Greg Adult, Adult $25.86 0.00 Hollibaugh, Michael 7/6/2007 Household 3 0.00 5.08 35.08 H011ibaugh Michael Household $35.08 0.00 Krcmery, Michelle 7/6/2007 Household 30.00 5.08 35.08 Krcmery Michelle Household $35.08 0.00 Lafollette, Gary 6/8/2007 Adult Adult 22.16 3.70 25.66 LaFollette Gary Adult, Adult $25.86 0.00 Locke, Robert 6/6/200 Household 30.00 5.08 _35.0 Locke R ober t Household $35.08 0.00 Luper, Michael 3/14/2 Adult 11.08 1.85 12.93 Luper I] Michael Adult $12.93 0.00 Martin, Candy 3/1/2009 Adult 11.08 1.85 12.93 Martin Candy Adult $12.93 0.00 Martin, Richard 6/21/20 Household 30.00 5. 08 35.08 M artin Richard Household $35.08 0.00 Mascari, John 10/12!2007 Adult 11.08 7.65 12.93 Mascari John Adult $12.93 0.00 Massin Rand 9/12/2008 Adult 11.08 1,85 12.93 Massing Rand Adult $12.93 0.00 Mast, Darren 7/6/2007 Adult 11.08 1,85 12.93 Mast Darren Adult $12.93 0.00 McNab, John 1/2/2009 Adult 11.08 L85 12.93 McNab John Adult $12.93 0.00 Me yer, Amanda 61812007 Adult/Adult 22.16 3.70 25.86 Meyer Amanda Adult, Adult $25.86 0.00 Miller, Adam 7/6/2007 Adult 11.08 1.85 12.93 _M iller Adaut Adult $12.93 0.00 Miller, Ken 4/2312010 Senior /Adult 18.00 3.43 21.43 Miller Ken Senior /Adult $21,43 0.00 Mishler, Nick 9/3/2010 Adult 11.06 1.85 12.93 Mishler Nick Adult $12.93 0.00 Morgan, Trent 1 /1 512 01 0 Adult 11.06 1.85 12.93 Mor Trent Adult $12.93 0.00 M Brad 12/1/2008 Household 30.00 5.08 35.08 Myers Brady Household $35.08 0.00 Neville, Katie 1/1 5/2010 Adult 11.08 1.85 12.93 lNevilte Katie Adult $1293 0.00 Orang Dou 1 011 01200 8 Adult 11.08 1.85 12.9 �Orauge�� Doug Adult $12.93 0.00 Pattyn, Dawn 6/8/2007 Household 30.00 5.08 35.08 Pattyu Dawn Household $35.08 0.00 ha Pitman, Micel 2/1 2120 1 0 Household 130.00 5.08 35.08 Piuna Michael Household $35.08 0.00 Platt, Jace 618/2007 Adult 11.08 1.85 12.93 Platt .face Adult $12.93 0.0 00 Price, Joe 12/18/29 Household 30.00 5.08 35.08 Price Joseph Household $35.08 0.00 Rhodes, Kenneth 6/8/2007 Adult/Adult 22.16 3.70 25.66 Rhodes Kenneth Adult, Adult $25.86 0.00 Rider, Kevin 2/1/200 Aduit/Adult 2216 3.70 25.8 Rider Kevin Adult, Adult $25.86 0.00 Schriner, Adam 1/2/2009 Adult/Adult 22.16 3.70 25.86 Schriner Adam Adult, Adull $25.86 0.00 Sharp, Rick 1 011 0/20 08 Household 30.00 5.08 35.08 Sltar Rick Household $35 .08 0.00 S Jer 2/1/2008 Household 30, 00 5.08 35.08 S mile y L andry Household 535.08 0.00 Smiley, Landry 1115/2010 Household 30.0 5.08 35.08 Smith Jerry Household $35.08 0.00 Steu ry, Kent 3/1/2009 Adult 11.08 1.85 12.93 Steury Kent Adult $12.93 0.00 Thomas, John 7/3/2008 Adult/Adult 2216 37 25.86 Thomas John Adult, Adult $25.86 0.00 Tierne Scott 6/8/2007 Household 30.00 5.08 35.08 Tierne Scott Household $35.08 0.00 Tolan, Brian 9129/2010 Adult 11.08 1.85 12,93 Tolan Brian Adult 512.93 0.00 Utzig Chad 6/8/2007 Household 30.00 5.08 35.08 Utzi Chad Household $35.08 0.00 Wenger, Gary 8/3/2010 Adult 11.08 1.65 12.93 Wenger Garry Adult $12.93 0.00 Whitlow, Sean 512212009 Adult 11.08 1.85 12.93 Whitlow Sean Adult $12.93 0.00 Williams, Paula 111812010 Adult/Adult 22.16 3.70 _2 5.86 Williams Paula Adult, Adult $25.86 0.00 Total Monthly Bdl Sl 5$f 09 1352.44t 228.65 581.09 .rt r C �?�a, 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 $228.65 ON ACCOUNT OF APPROPRIATION FOR Carmel HR Department PO# Dept. MOICE NO. ACCT /TITLE AMOUNT Board Members 19344 2010 -239 I 43- 419.80 I $228.65 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, December 20, 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)) 12/17/10 2010 -239 I I $228.65 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