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Home My WebLink About194116 02/03/2011 CITY OF CARMEL, INDIANA VENDOR: 364990 Page 1 of 1 0 ONE CIVIC SQUARE C H C WELLNESS CARMEL, INDIANA 46032 5440 N CUMBERLAND AVE #225 CHECK AMOUNT: $21,850.00 t CHICAGO 1L 60656 <,oa CHECK NUMBER: 194116 CHECK DATE: 2/312011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 R4341980 19344 WP0119 18,440.00 WELLNESS PROGRAM 1125 R4341980 28028 WP0119 3,410.00 WELLNESS PROGRAM Last Name First Name Department Higgins Robert Administration /BGC Smith Wes Administration /BGC Coy Sue Administration /HR Lamb Barbara Administration /HR Spelbring Jim Administration /HR Krueskam late Teresa Administration /IS o Shana da late Kurt Administration /IS Borowicz Paul Administration /IS Chen Jun Administration /IS cr Chike Rebecca Administration /IS g o Crockett Terry Administration /IS McCoy David Administration /IS Page James Administration /IS Case Darcy CCCC Gordon Peggy CCCC Wenger Garry CCCC Smith late Brian Communications Baker Pamela Court Biggs Kathryn Court Klin erman Reta Court Rott Kimberly Court Blanchard James DOCS Boone Rachel DOCS Conn Angie DOGS Donahue -Wold Alexia DOCS Druley Elizabeth DOCS Hancock Ramona DOCS Hohlt William DOCS Hollibau h Michael DOCS Keeling Adrienne DOCS j Uggett Brent DOCS Littlejohn David DOCS Martin Candy DOCS Mast late Darren DOCS Mindham Daren DOCS Passineau Nichole DOGS Schriner Adam DOCS Stewart Lisa DOCS Tingley Connie DOCS Barnes David Engineerin Dykstra late Robert Engineerin Glaser late Fred Engineerin McBride late Michael Engineerin Neville late Katie Engineerin Pickett late Libby En ineerin Bailey Mark Fire Page 1 of 5 Bondurant Jeff Fire Bowles Orbie Fire Brandt Gary Fire Brisco late Mike Fire Butts Renee Fire Carter Gary Fire Condra late Kyle Fire Contino David Fire Crane Barry Fire Cummins Frank Fire Ellison late Christopher Fire Force Jason Fire Frye Steve Fire Fuchs Jeff Fire Gu el Mark Fire Haboush late David Fire Haus late Joshua Fire Holden Adam Fire Howard Wendell Fire Junker Jean Fire Kinney Jared Fire Knott Bruce Fire LaFollette Sally Fire Lenze Ted Fire Lux Michael Fire Maners Jeremy Fire Maroon Ernie Fire Mead David Fire Mitchell James Fire Moriarty John Fire Nicely Wes Fire Patt n Dawn Fire Ray Lucas Fire Reecer Jason Fire Reeves Stephen Fire Reynolds Shawn Fire Schooler Dustin Fire Smith Keith Fire Starr late Gregory Fire Thordarson Erik Fire Tierney Scott Fire Toney James Fire Utzig Todd Fire Newcomer Carla Law Perkins Thomas Law Heck Nancy Mayor Kibbe Sharon Mayor Alvarez Richard Police Anderson Teresa lPolice Page 2of5 Barlow James Police Bickel Joseph Police Bodenhorn Wendy Police Brady Sean Police Bricker Kristy Police Broadnax Matthew Police Carey Luckie Police Cavanaugh Julie Police Clark Todd Police Collins Larry Police Dietz Aaron Police Dixon Micheal Police Doan Marie Police Flaming Anna Police Foster Johnathan Police Gauthier late Edward Police Gerdt Andy Police Goodman Leland Police Graham Bruce Police Green Timothy Police Harris Robert Police Harris Sarah Police Harting Charlie Police Hedrick Brad Police Horner Jeffrey Police Howard Lana Police Jable Pat Police Klein Marc Police Leach Aaron Police Loveall Gregory Police Lovitt late Richard Police Lytle Blake Police Mabie Michael Police Malloy Katherine Police Mates Louann Police McAllister John Police Meyer Ran Police Miller Adam Police Miller Mike Police Mulligan Laura Police Myers Brady Police Pilkin ton Scott Police Rickard late Teressa Police Ross Linda Police Schalburg Randy Police Schoeff Donald Police Semester James Police Smith Troy Police Stein Amy I Police Page 3 of 5 Strong David Police White Kari Police Wiegman Chad Police Younci Patricia Police Zellers Nancy Police Arnone Paul Sewer Bell late Darryl Sewer Brennan late Pete Sewer Buhmann Kevin Sewer Carter Ernest Sewer Cooper Jeff Sewer Cooper Jr. Calvin Sewer Eidson Larry Sewer Epp Greg Sewer Faucett Joseph Sewer Hoover Aaron Sewer Kinkead Robbie Sewer LaFollette Gary Sewer Lewis Theresa Sewer Mallaber Blaine Sewer Massin ill Randy Sewer Oliver Brad Harold Sewer Osborn Jon Sewer Robinson Eric Sewer Russ Dennis Sewer Schimmel Larry Sewer Stewart Jason Sewer Turner David Sewer Washington Tara Sewer Wolfe William Sewer Alden Richard Street Browning Tim Street Burke Raphael Street Callahan Bonnie Street Carter late Mark Street Clark Mike Street Clark Snyder Kristi Street Coffey Tim Street Edmondson Crystal Street Henderson Brad Street Hicks Jeffrey Street Hobbs Jim Street Huffman David Street Johnson late Randall Street Killen Terry Street Lunn Amy Street Pifer Parks Street Russell Eric ISt reet Stapleton Nathan Istreet Page 4 of 5 Stewart Jeff Street Townsend late Scott Street VanWinkle Jeffrey Street Williams Ron Street Williamson Mike Street Alford James Water Bell William Water Bucksot Bruce Water Callahan Steven Water Carpenter Jeffery Water Daley Penny Water Diallo Amadou Water Eads Jeff Water Frolick Jeff Water Hollander Greg Water Isenber er Anthony Water Kem a Lisa Water Maki Suzanne Water Mascari John Water McGuire Deborah Water McManama Carol Water Moran Wanda Water Ransford late Brett Water Ri don late Patrick Water Simpson Donald Water Sinn Bryon Water Smith Jerry Water Spearman Ted Water Spears Jack Water Sy Rebecca Water Tolan Brian Water Vander riff Tim Water Williams Paula Water Za f late Chad Water Page 5 of 5 t o CHC Wellness Inc. City of Carmel Roster Last Name First Name SSNLastFour DOB Date of Service Billed Amount Dept 52 Borowicz Paul 11/18/2010 $150 Fire CHC Wellness Inc. City of Carmel Roster 54 Brisco Michael 11/18/2010 $150 Law CHC Wellness Inc. City of Carmel Roster 195 Heck Nancy 11/17/2010 $150 Police CHC Wellness Inc. City of Carmel Roster 283 Schoeff Donald 11/16/2010 $150 Street CHC Wellness Inc. City of Carmel Roster 279 Pifer Parks CHC Wellness Inc. City of Carmel Roster Acosta Linda Parks Allen Crystal Parks Atkinson Lindsay Parks Baldauf late Amy Parks Ballinger Helen Parks Ballinger late Jessica Parks Baumgartner Kurtis Parks Beaurain Susan Parks Berry Lisa Parks Brown Jennifer Parks ID Canada C ndi Parks Compton Michelle Parks Davis Jessica Parks 'I C5 Decker Mea an Parks u Garske Serra Parks Hammons Jen Parks Holder Jennifer Parks Holton Shavonne Parks Johnson Benjamin Parks Keaveney Carrie Parks Klitzing Michael Parks Kostrzewa Audrey Parks Labas Lindsay Parks Leber Matthew Parks Livingston Ashley Parks Love late Natalie Parks Mehl Eric Parks Miller Kelsey Parks Moore Jacob Parks Myers Terry Parks Owens Tara Parks Pittman Nikeesha Parks Powell Tamara Parks Ransford James Parks Russell Lynn Parks Schlae el Courtney Parks Schlemmer Paula Parks Schmiesing Rebecca Parks Solazzo Dene se Parks Taflin er Brooke Parks Taylor Josh Parks Willard Lindsay Parks Page 1 of 1 41 Acosta Linda 11/17/2010 $150 Parks CHC Wellness Inc. City of Carmel Roster 5440 Noah Cumberland Avenue Invoice Suite 225 Chicago, Illi 60656 Date Invoice# 1/20/2011 WP0119 Bill To Ship To City of Carmel Attn: Sue Coy I Civic Square Carmel, IN, 46032 P.O. Number Terms Rep Ship Via F.O.B. Project Net 30 Ron 1/20/2011 Quantity Item Code Description Price Each Amount 302 WLKSF Walking Program Set -up Fee 10.00 3,020.00 269 Walk Walking Program Participant Fee 70.00 18,830.00 F�3 44 Z] T otal $21,850.00 VOUCHER NO. WARRANT NO. ALLOWED 20 CHC Wellness IN SUM OF 5440 North Cumberland Avenue, Suite 225 Chicago, IL 60656 $21,850.00 ON ACCOUNT OF APPROPRIATION FOR Carmel HR Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 28028 I WP0119 I 43- 419.80 $3,410-00 1 hereby certify that the attached invoice(s), or 19344 I WP0119 I 43- 419.80 I $18,440.00 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, January 31, 2011 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)) 01/20/11 Wi'o119 I $3,410.00 01/20/11 WPol19 $18,440.00 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 1 20 Clerk- Treasurer