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Home My WebLink About193641 01/19/2011 CITY OF CARMEL, INDIANA VENDOR: 358813 Page 1 of 1 ONE CIVIC SQUARE ANGIE'S LIST CHECK AMOUNT: $106.00 CARMEL, INDIANA 46032 1030 E WASHINGTON STREET INDIANAPOLIS IN 46202 CHECK NUMBER: 193641 CHECK DATE: 1/19/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4355200 MEMBERSHIP 106.00 SUBSCRIPTIONS Ang I EFINA:IL NOTICE 1030 E. Washington St. Indianapolis, IN 46202 memberservices @angieslist.com Hurry! Your membership expires January 14, 2011. Save 10% when you renew online at AngiesList.com Use promo code WEB1011X. AUDREY KOSTRZEWA /Annual memberships only. Not valid with other offers./ Carmel Clay Parks Recreation 1411 E 116th St Carmel, IN 46032 -7611 I L13�� B- PO- Ti -B1 -S2 DON'T WASTE G -000 MONEY ON BAD REPAIRS. Experience counts when hiring service and O 30397 health care professionals. Angie's List can help. JAN 0 4 201 40,000 new reviews every month in more than 500 service categories, lava including doctors! Exclusive discounts from highly rated Average cost of a botched plumbing job: companies and health care professionals. 0 Help from our Complaint Resolution D Team for issues with service and health D care providers. 'According to 2009 T "F" rated reports on Angie's List AngiiErS IISt HEALTHCARE SERVICE PROVIDER REPORT FORM Provider Name Provider Phone Provider Address City State Zip Did the provider perform an evaluation of treatment? (more weight is given to a report where an evaluation has been completed) OY O N Approx. out of pocket cost S Date(s) Category (Pediatrician, Pharmacy, Dentist, etc. if unsure, leave blank) Please provide a description of your experience. (as much information as possible) Member Comments: (example: Dr. Smith was punctual, very polite and knowledgeable) 1. Overall Experience: OA OB OC OD OF ON /A 6. Bedside Manner: OA OB OC OD OF ON /A 2. Availability: OA OB OC OD OF ON /A 7. Communication: OA OB OC OD OF ON /A 3. Environment: OA OB OC OD OF ON /A 8. Quality of Treatment: OA OB OC OD OF ON /A 4. Punctuality: OA OB OC OD OF ON /A 9. Effectiveness of Treatment: OA OB OC OD OF ON /A 5. Friendliness of Staff: OA OB OC OD OF ON /A 10. Billing and Admin: OA OB OC OD OF ON /A Would you use this provider again? OY ON If you weren't satisfied would you like help from Angie's List? OY ON Your Name Phone E -mail Please remember that this report information will be available to the medical service provider being rated. I confirm that the information contained in this Service Evaluation Form (i) is true and accurate and (ii) represents my actual first -hand experience. I acknowledge and understand that Angie's List is relying upon the accuracy of the information in order to serve other members. I confirm that I do not work for, am not in competition with, or am not in any way related to the service provider in this report. Signature Date X IL AAF list® 1030 E. Washington St, Indianapolis, IN 46202 Meniberse rvices@angieslist c om W. Murry! Your membership expires January 14, 2011. If Itl il f�f�l f a!° I if�Ifrlirl��fnfrf��rfll Iltfifrf.�f�.l ar ��i,I� online 0 a t Angie st corn AUDREY KOSTRZEWA Use promo code WEB1o17X. Carmel Clay Parks &Recreation Annn a /men7brrsh,psonly. Not validwithuthoraffers./ 1411 E 116th St Carmel, IN 46032 -7611 r �L, 1DONE 'T'.WAS- TE_G0 -0.0- _ONE OlVI -_OAD REPAIRS. °2� t�� f Experience counts when hiring service and health care professionals. Angie's List can help. a v 40,000 new reviews every month in JAN more than 500 service categories, including doctors! BY Exclusive discounts from highly rated c ompanies and health care professionals. ro Tea Help from our Complaint Resolution I I Team for issues with service and heal care providers. lth+ Accorditt to 2009 I7a nd "F f fi t' l -*x died reports on An glr's Li a d �s e �Z•�" t�;, a M C hoose a membership option: 3 easy ways to renew: O year for $5g ON—UN PHO E 2 years for $106 You save 1D WWWAngiesust.com 1- 888 944 -LfS7 (5478) O 3 $150 y years for (ou save 15%) MAIL O 4 years for 189 (Yo save 20/0) O (0 (Please make Credit Card (Includes ovrCor�inuobus f p Angle's List) Service Membership-) Visa MasterCard Discover $6,50 of yourannual membership fee Is applied towards a American Express subscription to Angle's List Magazine and is not deductible Card Number. Ex from yoicr membership fee. piration Date: Signature: 'c r ,a Service deride ridn t o cancel. please v sit asemhershlps will renew by rfedlt card on an annual basis and continue until you t wvvw.Angiest.ist,ron7 for complele membership terms and conditions. ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 358813 Angie's List Terms 1030 E Washington St Indianapolis, IN 46202 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 1114111 Membership Membership 106.00 Total! 106.00 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. 358813 Angie's List Allowed 20 1030 E Washington St Indianapolis, IN 46202 In Sum of 106.00 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 Membership 4355200 106.00 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. 13 -Jan 2011 Signature 106.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund