160713 06/24/2008 CITY OF CARMEL, INDIANA VENDOR: 357888 Page 1 of 1
ONE CIVIC SQUARE CARMEL CLAY PARKS RECREATION
CHECK AMOUNT: $202.44
CARMEL, INDIANA 46032 1235 CENTRAL PARK DR EAST
CARMEL IN 46032 CHECK NUMBER: 160713
CHECK DATE: 6/24/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4341980 202.44 WELLNESS PROGRAM
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ATCENTRALPARK
]Date: May 20, 2008
City of Carmel
One Civic Square
Carmel, IN 46032
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Name Payroll Start erm IMembership Employee City Total
Effective Date bate Date I Type 1st pay 2nd pay 1st pay/ 2nd pay Due
April
Carter on 4/11/2008 4/1/2008 Senior /Adult 18.00 18.00 1.20 1.20 38.40
R
Insenberger, Anthony 4/11720 4/ 1/2008 Adult 111.08 11.08 0.741 0.74 23.64
Pace, Paul 4/11/2008 4/1/2008 Adult 111.08 111.08 0.741 0.74 23.64
Vanderbeck, David 4/11 /2008 4/1/2008 Household 30.00 1 30.00 2.12 2.12 64.24
March
Brant, Kenneth 3/14/2008 3/1/2008 jAdult 111.08 111.08 0.74 0.74 23.64
Edwards, Dan 13/14/2008 3/1/2008 Household 130.00 30.00 2.12 2.12 1 64.24
Gilbert, William 3/14/2008 3/1/2008 Adult/Adult 122.16 22.16 1.481 1.481 47.28
Luper, Michael 3/14/2008 3/1/2008 Adult 111.08 111.08 0.74 0.74 23.64
Snyder, Kristi 3/14/2008 3/1/2008 Adult 111.08 11.08 0.74 0.74 23.64
February
Hughes, Deborah 2/1/ �AdultNouthNouth 24.92 24.92 1.66 1.66 53.16
%2008
Lovitt, Richard 2/1/2008 02/01/08 1 Household 30.00 30.00 2.12 2.12 64.24
Rider, Kevin 2/1 %2008 02%01/08 jAdult/Adult 22.16 22.16 1.48 1.48 47.28
Smith, Jerry 2/1%2008 02/01/08 Household 30.00 30.00 2.12 2.12 64.24
Felix, Paul 1/4/2008 01/01/08 1Adult/Adult 22.161 22.16 1.48 1.481 47.28
Gipson, Bruce 11/4/2008 01/01/08 Adult 11.08 11.08 0.74 0.74 23.64
Pace, Rebecca 2/1/2008 02/01 1 Household 30.00 30.00 2.12 2.121 1 64.24
2ot)7 1
Decem'ber
Sharp, Adam 12/7/2007 12/01/07 Household 30.00 30.00 2.12 2.12 64.24
Sutton, Karen 12/7/2007 12/01/07 Adult 11.08 11.08 0.74 0.74 23.64
'Sutton, Sean 12/7/2007 12/01/07 Adult 11.08 11.08 0.74 0.74 23.64
Name ayro ar erm Membership Emp oyee City T otal
wive Date Date ate Type 1st pay 2nd pay 1 st pay 2nd pay Due
Condra, Kyle 11/9/20 11/01!07 Adult 11.08 11.08 0.74 0.74 23.64
Lamb, Barb 11/9/2007 11/01/07 I Adult/Adult 22.16 22.16 1.48 1.48 47.28
Ocfober
Mascari, John 10/12/2007 10/01/07 (Adult 11.08 11.08 0.74 0.741 23.64
Sepfember fit
Griffin, Tim 9/14/2007 09/01/07 Adult/Adult 22.16 22.16 1.48 1.48 47.28
siv ii
I
Lannan, Becky 8/3/2007 08/01/07 I Adult 11.081 11.081 0.74 0.741 1 23.64
Name ayroll a Term IMembership Employee City Total
Effective Date Date Date I Type 1st pay 2nd pay 1st pay 2nd pay Due
Buhmann, Kevin 17/6/2007 07/01/07 Household 30.00 30.00 2.12 2.121 64.24
Fagin, .Timothy 7/6/2007 07/01/07 1 Household 30.00 30.00 2.121 2.12 64.24
Gallagher, Ann 716!2007 07/01/07 I Household 1 30.00 30.00 2.121 2.12 64.24
Green, Tim 7/6/2007 07/01/07 1 Household 1 30.001 30.00 2.12 2.12 64.24
Heck, Nancy 7/6/2007 07/01/07 I Household 1 30.00 30.00 2.12 2.121 64.24
Hollander, Greg 7/6/2007 07/01/07 Adult/Youth 18.00 18.00 1.20 1.20 38.40
Hollibaugh, Michael 7/6/2007 07/01/07 Household 30.00 30.00 2.12 2.12 64.24
Killen, Terry 7/6/2007 07/01/07 Household 30.00 30.00 2.12 2.12 1 64.24
Krcmery, Michelle 7/6/2007 07/01/07 Adult/Adult 22.161 22.16 1.4 1.48 1 47.28
Mast, Darren 7/6/2007 07/01/07 Adult 11.081 11.08 0.74 0.74 1 23.64
Miller, Adam 7/6/2007 07/01/07 Household 30.00 30.00 2.12 2.12 64.24
Rouse- DeVore, Laura 3/14/2008 03/01/08 Adult 1 11.08 11.081 074 0.74 23.64
Tolan, Brian 7/6/2007 07/01/07 Household 1 30,001 30.001 2.12 2.12 1 64.24
Towle, John 17/6/2007 07/01/07 Household 1 30.00 30.00 2.121 2.121 1 64.24
Blanchard, Jim 6/8/2007 06/01/07 1 Household 1 30.00 30.00 212 2.12 1 64.24
Boone, Rachel 6/8/2007 06/01/07 Adult 1 11.08 11.08 0.74 0.741 23.64
Buttice, Jennifer 6/8/2007 06/01/07 Adult 1 11.08 11.08 0.74 0.741 23.64
Campbell, R. Scott 6/8/2007 06/01/07 1 Household 30.00 30.00 2.12 2.121 64.24
Cooper, Jeff 6/8/2007 106/01/07 1 Household 30.00 30.00 2.12 2.121 64.24
Coy, Sue 16/8/2007 06/01/07 1 Household 30.00 30.00 2.121 2.121 64.24
Faucett, Joseph 6/8/2007 06/01/07 Household 30.00 30.00 2.12 2.121 64.24
Foster, Johnathan 6/8/2007 06/01/07 Adult/Youth 18.00 18.00 1.20 1,201 38.40
Frost, Dwight 6/8/2007 06/01/07 Household 30.00 30.00 2.12 2.121 64.24
Griffiths, Pam 6/8/2007 06/01/07 Household 30.00 30.00 2.12 2.12 64.24
Hines, Glenn 10/12/2007 10/01/07 Adult 11.08 11.081 0.741 0.74 23.64
Lafollette, Gary 6/8/2007 06/01/07 Adult 11.08 11.08 0.741 0.74 23.64
Lafol €ette, Sally 6/8/2007 06/01/07 Adult 11.08 11.08 0.741 0.74 23.64
Locke, Robert 6/8/2007 06/01/07 Household 30.00 30.00 2.12 2.12 64.24
l.oveall, David 6/8/2007 06/01/07 Household 30.00 30.00 2.12 2.121 64.24
Medlen, Michael 6/8/2007 06/01/07 1 Household 1 30.00 30.00 2.121 2.12 1 64.24
Name IP 5 art Term IMembership Employee City I Total
Effective ate Date Date IType 1st pay 2nd pay 1st pay 2nd pays Due
Meyer, Amanda 6/8/2007 06/01/07 Adult/Adult 22.16 222.16 1.48 1.48 47.28
Pattyn, Dawn 6/8/2007 06/01/07 H ousehold 30.001 3o.00j 2.121 2.12 F 64.24
Platt, Jace 6/8/2007 06/01/07 Adult 11.081 11.08 0.741 0.74 1 23.64
Pratt, Kimberly 6/8/2007 06/01/07 1 Household 1 30.001 30.00 2.121 2.121 1 64.24
Rhodes, Kenneth 6/8/2007 06/01/07 Adult/Adult 22.161 22.16 1.48 1.48 47.28
Sharp, Rick 6/8/2007 06/01/07 Household 30.00 30.00 2.12 2.12 64.24
Strong, David }6/8/2007 06/01/07 Household 1 30.001 30.00 2.12 2.12 64.24
Tierney, Scott 6/8/2007 06/01/07 Household 30.001 30.00 2.12 2.121 64.24
Toney, James 11/9/2007 11/01/07 Adult 11.08 11.08 0.74 0.741 23.64
Utzig, Chad 1 6/8/2007 06/01/07 l Household 30.00 30.00 2.12 2.121 64.24
Wiegman, Chad 6/8/2007 06/01/07 lAdult/Adult 22.16 22.16 1.481 1.481 47.28
Employees Owes 1 12919.92 ICity oweS1202.44 I Total due 1 3122.36
I I �,m a; -.r: ti f p uyp 'g I "n I ql 1 I 17
alp I'I Ill APPROVED BY T,NE STATE BOARD OFACCO NTS FORTHE�CITY OF CARMEL 2002, �tN rd r y�i ,7 lul., !q Ij�'a�' I }ll'd1` Idl,' .•il N�'
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_ONE =CIUIG SQUARE_ gII II :�I �III�j�, I I��� G, +�iyl!r :1:yyltlV °�tlllj�A!� ,II,I�!I` jih +�9'I' ��Ilh.:. y
1 �:r��lula� �I', ��I,l �I�:,�Ilq��� u �x:N�,p�1 .�II!1 G q,,, r�ti,�DA f E� 4/23/2008
J, CARME; INDIANA 46032. I'A`N IN
Illu
GENERAL ACCOUNT u +IUt� +I, ,n.,
h'ppjlp I w'P,q�Ip71N p I I ti' u u n jl h' IISII, IyPI 4, ryrq fi' "7 "I,I
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'llulli,y'd�'4r,d 'AMOUNT
t !p !tip h` 1 ��llhty ry,. lhqu�la aNIgIgiWyG!uN 9j �1ih rN ��I I II I II Ir $1,448.88
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PAY I� I III tl1
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THIS WARRANT IS VOID TWO (2) YEARS AFTER
I I i: n '�M "I l N!I'll q" �I'J �nry 1 rNi'1� %o �t I ryN DECEMBER 31 OF THE YEAR OF ISSUE
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CARMEL CLAY P ARKS =MONON CENTER
CLERK TREASURER,
I:tl 4 :ri!, 'Iil�lhrl', @:•I ,•j s�� G alu':1' �::rj�N I Iry pi uu 1
The C/O A UDREY KbSTRZEWA ,b,'rc
Jell
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Order__ y! ti hlrl VN ,yklll
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l n {t„ piN .kIA ^n hi 11 r! {i,ry ..I,I1 ,b' ll p 'f p 'u i, "1P,N. 9 'I( d,l`6I'�:I' 'I "'I II,i'II
r 1:,�1 4g11!� ,I t @I 1 1� ��pl'4 �II 1� ,yp�l.!I, �ll!,I IJ �Ig F. l�n�,�!1
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wall I;�!I�hd:���Nl�':k�t�ld�� .11��96 fi- IVV,�,,,V���.� .d�� >,I.d� .I:d4� �•N�i:.y �,V,:IrI J.�u� d��h:� �,i.r tl��'Gol9 y�IVl1, 7�L�
I' 158 ?2311' 1:0 ?49085941: 9991119342 115
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�APPROVED'BY {THE STATE BOARD OF ACCOUNTS FOR'TME' =CITY OF CARMEL 2002 "+g4p� n l k' a !;rf Ilj,j y!!' t rr y N yHl l
�I a. tea- `,uMwn h +i''N,60 tidNI. 1 nol 3u!ka rp�hgCu�� CHECK N
1,!1:4�NIfm�'' f •ILLp:L ��'N�u�
PAYABLE AT;gad'etl, pY.',,yf ld m', �V rl7l1 859ra,,, Ip
s �!I'I 11 alh'..I� 'I� "�r�l, FIFTHI,THIROBANK�1�''{ �:I� i,G r'i'd �r hC �'I������'
C -ITY �F CARMEL INDIA QQ a. 1
1, �4' 11 ''I INDIANAPOLIS, INDIAN �'I! k YI��� .i1;1�,; hq,N. .11 7,49 Ii I �:I�14;N4p�
�ll�. Ilgr Full h4PI Ij'I ,till ll'. �l ��.�.�:�,!I I�. .,:N.: �,,It JI:
f O IGNVICSQUARE �ll•G�ul 111. ,:�1,1 1 �n!I' L q Wl r Wl p,.14 I�pl�,,�, �I ,I'h, ,!,.I,� �'�d��l,� 1 I'I� P�'TE,� I
46032 GENERAL �A000IJNT 'VU��W'�'I wh�tV&dN��N6�r •i,l�, 4/9%2008
ARMEL iNDIANA
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c� �jl �!�1111 �c I,�l hmll'dl I ;'h��!� 1 N P p1'y, �II'Ji'I��i' G N 1� r �lM' I�I
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AMOUNT
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nr' 9! k�1i �P d����h $1,4 8.89
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�I: I�,OVWINy�'or+eir FouR vaua elan 1(I�i4;pi�
THIS WARRANT ISVOID TWO (2) YEARS AFTER
DECEMBER 31 OF THE YEAR OF ISSUE
III I�``II' 7777 II' dd I! I� ,�1
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�'T� n CARMEL CLAY PARKS -MONON CENTER
"S ,i1l:p ,1 d� I'r:pl'u. m ijlji la 'h1!I�i �rvM, CLERK TREASURER N iI'w
Order
The r �I !•11,' l q� dy ill.h I h d�lr Ipl'.) G gll•LI i�I' �l N91 IU 7` tM !�II
C /O• KOS I:, ,I,�I�I �I���'r'.; dpill I,a l 4 41L�!�III n:,. q9'� ;9,� L,I' ,6. Vl�,
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11' L58 20811' 1:0 ?4908594 999j11934 2 ?11'
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 ParkE Recreation
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
05/20/08 April 2008 Monthly Membership Dues $202.44
Total
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in acco
with IC 5- 11- 10 -1.6. d
d'
20
VOUCHER 08 2Vo- 8___ WARRANT NO.
el Clay P and R ecreation ALLOWED 20
Att E mil y R andell IN SUM OF
1235 Central Park Drive Fas�—
e
$202.44
ON ACCOUNT OF APPROPRIATION FOR
General Fund
1201 Human Resources
Board Members
PO# or
DEPT INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or
:129q 4119-80 bill(s) is (are) true and correct and that the
44 materials or services itemized thereon fort
which charge is made were ordered and,
received except
/J It i
VJ I gn
Tits'
Cost distribution ledger classification if
claim paid motor vehicle highway fund