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Home My WebLink About166609 12/10/2008 i CITY OF CARMEL, INDIANA VENDOR: 357888 Page 1 of 1 ONE CIVIC SQUARE CARMEL CLAY PARKS RECREATION CHECK AMOUNT: $66.84 CARMEL, INDIANA 46032 1411 E 116TH ST ATTN TARA WOOLERY CHECK NUMBER: 166609 o CARMEL IN 46032 CHECK DATE: 12/10/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 4341980 66.84 WELLNESS PROGRAM 1 r i ne MononlvCenter AT CENTRAL PARK Date: December 5, 2008 City of Carmel One Civic Square Carmel, IN 46032 317.571.5850 t �E sG rF ,.2 rsix9 t t tp y.4z, R x'�"t n`^• s ill Y.�. 1- `b $1,505.16 $1,505.16 12/05/08 November 17- 28 Membership Dues daft �v- �tt s a, Y $1,505.16 $1,505.16 Make all checks payable to Carmel Clay Parks and Recreation. Send payment to: Carmel Clav Parks and Recreation Attn: Tara Woolery 1411 E. 116th St. Carmel, IN 46032 Thank you for your business! i Name ayroll Start M ers ip T otal Due Effective Date Date Type Locke, Robert 6/8/2007 06/01/07 Household 30.00 12.12 32.12 Lovitt, Richard 2/1/2008 02/01/08 Household 30.00 12.12 32.12 Luper, Michae 3/14/2008 3/1/2008 Adult 11.08 10.74 11.82 Mascari, John 10/12/2007 1 10/01/07 Adult 11 0.74 11.82 Massingill, Randy 9/12/2008 09/01/08 Adult 11.08 0.74 11.82 Mast, Darren 7/6/2007 07/01/07 Adult 11.08 0.74 11.82 Meyer, Amanda 6/8/2007 06/01/07 Adult/Adult 22.16 1.48 123.64 Miller, Adam 7/6/2007 07/01/07 Adult 11.08 0.74 11.82 Miller, Ken 9/12/2008 09/01/08 Adult/Adult 22.16 1.48 23.64 Myers, Brady 12/1/2008 12/05/08 Household 30.00 2.12 32.12 Nicely, Wes 12/5/2008 12/01/08 Adult 11.08 0.74 1 Orange, Doug 10/10/2008 10/01/08 Adult 11.08 0.74 Ti 82 V 182 J Pattyn, Dawn 6/8/2007 06/01/07 H ousehold 30.00 2.12 32.12 Phillips, Kerry 8/1/2008 08/01/08 Adult 11.08 0.74 11.82 Platt, Jace 6/8/2007 06/01/0 Adult 1 1.08 0.74 11.82 Pohl, Bryan 12/5/2008 12/01/08 Adult 11.08 0 .74 11.82 Pratt, Kimberly 6/8/2007 06/01/07 Household 30.00 2.12 32.12 Reeves, Steve 6/6/2008 6/1/2008 Adult/Adult 22.16 1.48 23.64 Rhodes, Kenneth 6/8/2007 06/0 Adult/Adult 22.16 1.48 23.64 Rider, Kevin 2/1/2008 02/01/08 Adult/Adult 22.16 1.48 23.64 Rouse- DeVore, Laura 3/14/2008 0 3/01/08 Adult 11.08 0. 11.82 Sharp, Adam 12/7/2007 12/01/07 Household 11.08 0.74 11.82 Sharp, Rick 10/10/2008 10/01/08 Adult 30.00 2.12 32.12 Shriner, Adam 12/5/2008 12/01/08 Adult 11.08 0.74 11.82 Smith, Jerry 2/1/2008 02/01/08 Household 30.00 2.12 32.12 Strong, David 6/8/2007 06/01/07 Household 30.00 2.12 32.12 Sutton, Karen 12/7/2007 12/01/07 Adult 11.08 0.74 11.82 Sutton, Sean 12/7/2007 12/01/07 Adult 11.08 0.74 11.82 Thomas, John 7/3/2008 7/1/2008 Adult/Adult 22.16 1.48 23.64 Tierney, Scott 6/8/2007 06/01/07 Household 30. 2.12 32.12 Tolan, Brian 7/6/2007 07/01/07 Household 30.00 2.12 32.12 Towle, John 7/6/2007 07/01/07 Household 30.00 2.12 32.12 Utzig, Chad 6/8/2007 06/01/07 Househ 30.00 2.12 32.12 VanBruaene,Dave 9/12/2008 09/01/08 Senior /Adult 18.00 1.20 19.20 Vanderbeck, David 4/11/2008 4/1/2008 Household 30.00 2.12 32.12 White, Robert 5/9/2008 5/1/2008 Household 30.00 2.12 32 Wenger, Garry 12/5 /2008 12/1/2008 Adult 1 1.08 0.74 11.8 Wiegman, Chad 6/8/2007 06/01/07 Adult/Adult 22.16 1.48 23.64 N ame ayro a rt Membership mp oyee juny I I ot uue Effective Date Date Type 11408.32 196.84 1505.16 SUNGARD PENTAMATION, INC. HUMAN RESOURCES MANAGER PAGE NUMBER: '208 DATE: 12/02/08 CITY OF CARMEL MODULE NUM: PAYCHK43 TIME: 10:56:49 DEDUCTION REGISTER CHECK DATE 12/05/2008 PAY RUN 825 PAYROLL #0825 361 MONON CENTER PAYROLL DED EMPLOYEE EMPLOYER EMPLOYEE SOC SEC NO EMPLOYEE NAME-- ACCOUNT DEPARTMENT DEDUCTION CONTRIBUTION ARREARS 120 ADAM SCHRINER 1192 11.08 .00 .00 N ame Payroll Sta e m ers ip Emp loyee City Total Due E ffective Date Date Blanchard, Jim 6/8/2007 06/01/07 Household 30.00 2.12 32.12 Brant, Kenneth 3/14/2008 3/1/2008 Adult/Adult 22.1 1.48 23.64 Buhmann, Kevin 7/6/2007 07/01/07 Household 30.00 2.12 32.12 Campbell, R. Scott 6/8/2007 06/01/07 Household 30.0 2. 12 32.12 Carter, Ron 4 /11/2 00 8 4/1/2008 Senior /Adult 18.00 1.20 19.20 Condra, Kyle 6/6/2008 6/1%2008 AdulUAdult 22.16 1.48 23.64 Coy, Sue 6/ 80007 06/01/07 Adult/Adult 22.16 1.48 23.64 Daley, Penny 5/9/2008 5/1/20 Adult/Adult 22.16 1.48 23.64 Dietz, Aaron 6/6/ 2008 6/1/200 Household 30.00 2.12 32.12 Drake, Carl 5/9/2008 5/1/2008 Adult 11.08 0.74 11.82 Edwards, Dan 3/14/2008 3/1/2008 Household 30.00 2.12 32.12 Fagin, Timothy 7/6/2007 07/01/07 Household 30.00 2.12 32.12 Felix, Paul 1 /4/2008 01/01/08 Adult/Adult 22.16 1.48 2 3.64 Frost, Dwight 6/8/2007 06/01/07 Household 11.08 0.74 11.82 Gilbert, William 3/14/2008 03/01/08 Adult/ 22.16 1.48 23.64 Green, Tim 7/6/2007 07/01/07 Household 30.00 2.12 32.1 Griffin, Tim 9/14/2007 09/01/07 Adult/Adult 22.16 1.48 23.6 Griffiths, Pam 6/8/2007 06/01/07 Household 30.00 2.12 32.12 Heck, Nancy 7/6/2007 07/01/07 Household 30.00 2.12 32.12 Hines, Glenn 10/12/2007 10/01/07 Adult 11.08 0.74 11.82 Hollander, Greg 7/6/2007 07/01/07 Adult/Youth 18.00 1.20 19.20 Hollibaugh, Michael 7/6/2007 07/01/07 Household 30.00 2.12 32.12 Hover, Aaron 10/10/2008 10/01/08 Adult 11. 0.74 11.82 Hughes, Deborah 2/1/2008 02/01/08 Adult/ Youth/Youth 24.92 1 .66 26.58 Insenberger, Anthony 4/11/2008 04/01/08 Adult 11.08 0.74 11.82 Krcmery, Michelle 7/6/2007 07/01/07 Adult/A 22.16 1.48 23.64 Lafollette, Gary 6/8/2007 06/01/07 Adult 11.08 0.74 11.82 Lafollette, Sally 6/8/2007 06/01/07 Adult 11.08 0.74 11.82 Lamb, Barb 11/9/2007 11/01/07 Adult/Adult 22.16 148 23.64 o• o o o o s o o o o• o 111'11!'1 III. II IIV III II, ;v• f p .I�APP.ROVED BY'THE STATE BOARD OF ACCOUNTS F -CITY OF CARMEL 2002 ,,tl 1 1 tlp I •IGI7;r,'Illb!VShl�l o hV1161�IGlli IIIVJII�, �I�v�l' �41��NIII;� 1; �il��` kyw.l�pl�l�!�u' rti�Gnllll,.s��llk'r�t 7 A 85 17,1 AA f 6 IPII1I h I FIFTHITHIRD BANK'jhk ,lnn .IIIIII I,, ,I „III II IIL ;I�` 6 V,V�FY '.E -F r �I I II II �INDIANAP,OIrIS, INDIANA I I�I III I i I�L`, II•It 1 11,11 1,.1 II M.altlo- WGI�6• DATiE. !W1� IIIYI� p�III.II�II II �r I p I III u I CARMEL ;INDIANA'a6032• n�IIII "IIII GENERAL ACCOUNT,wyI�� I'Iqullg�l!I eG9711. �IIVVIU�,II'' �a!I�!II� py 1111k 6'IP @.G4 lbl14 gul l �I tii t 4 I IIyy �I IpllH '1,�11 ;1 }.Iillll �'•.p 1� rl� I. ;I I N �i� �'�!I�,o�,.I'�jM,l' pP,,1” II, Ill; t �911dtl11 RMOUNT' II I�SJh' &I .lGll!91,1 r lal 1 1 $1 438 32� PAY�P 114 I �N� 3 >�Il, r�� I�IiIIIPi�L.I��,I�II li+'I�I it I I�I III 11 1 1'I�I �II� _I'lll V' flUr Q" i cTS �I '1�III!�IIIlI�; �IIIIQUVI1�G�o�M� :I it I I I �I 1 THIS WARRANT'IS VOID TWO (2) YEARS AFTER I,m II I IIPIIIIIIIII�III III ,:161'1 i tlr;lllr. ,qlh 11 JI,I DECEMBER 31 OF THE YEAR OF ISSUE. I, 111 ,14 'AF �'ll l II I� 1 I IIL� 1:4,i'N III pllf l i II G 11!. �,I�� CARMEL C c —s I�1114� �INI�III. �II dW'I�r'P ��!,V"!u<i� II Iw asap: 7 r`*'4 I I �'I 9 I I�� s PARKS -MONON CENTER n n„ I f^I CLERK TREASURER,1 The c w hl:dr ll III. r1V�l l7i liPl�, :Illi�l. Illlli� tllll Illlhltl ryll;�iln IIIIII IIC ll- ili'1 III( IIIIIgIIII IHm4:'I �!u l v� C %O_AUDREY KOSTRZEWA,P.,;, If! 1 ��II ..I��L I ,1x. I�111. IIIIS �I !II.IIII {III I l i4 l ilt :IIL. IIII. I 1 'I I!IIV;II f r:Ill 'III. 1 .4 1 !I I lrll l 1 �,..I I��I I!.Ily. Illlklll. I ll„ Pla, ,ala1 �VI 4N,1 ,1�II4 I I�� Ijl a II d Ofdef :r.p: flItl P.I "II I L ,1 L:fI !,L .�II II,�:IIr O'II,. VIII IIIII:I-d,; A. pp '16 1 1 ,7 I It..,II1'i'llll Ir I'Ihy�l.l,17 uhllillll I�I�I VIII,y,� I'� I(� II I�I�I. �IIIIIIII IIII,IIII F ,I,T�,I n; Il,�l hll II I� uH'W,,e IL Q I L,I6 IIItl 1,11 i I rIaIIJu VIIIM „n I lllllllp!tl I Iuw�l�6i r,„ Of I I ,4, h I,, f1,I, x,.111 e I7w G 1:1 dI ,111E VIII,1 9r:. At,I �u II 4 64:nc p �'i ;a II rhl I'I Itl I -G. I 1I, ''..t I .I�1 IIII h yp �;11�6 .6111 �.II::6 Po1.p1�l4lbll,l f1 ILI I, Il� 1'IfIiY:U 611'111!; l 061116 V4IG, In .Iwtll!I d Vd l!I ral ll ,�JvA w:l; �I III P.1?:nal `,:II'�q I 1 6' dl .ol r l l• a 11 b664 ?411' 100 ?490859410 999-9342?”' 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. Carmel Clay ParkgaAffd Recreation Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 12/05/08 Nov 17 28 Membership Dues $66.84 Total 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 VOUCHER _WARRANT NO. j Carmel ay Parks and Recreation ALLOWED 20 Attn: Tara Woolery IN SUM OF 14 11 F 116.th St riagi r r� ri I I He I I /14n $66.84 ON ACCOUNT OF APPROPRIATION FOR General Fund 1201 Human Resources Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 66.84 materials or services itemized thereon for which charge is made were ordered and received except 20 Slit re Cost distribution ledger classification if Title claim paid motor vehicle highway fund