The URL can be used to link to this page

Home My WebLink About179569 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 358813 Page 1 of 1 ONE CIVIC SQUARE ANGIE'S LIST CARMEL, INDIANA 46032 1030 E WASHINGTON STREET CHECK AMOUNT: $59.00 INDIANAPOLIS IN 46202 CHECK NUMBER: 179569 CHECK DATE: 11124/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUM AM OUNT DESCRIPTION 1125 4355200 1007330 59.00 SUBSCRIPTIONS lis YOUR MEMBERSHIP EXPIRES SOON! 1030 E. Washington St. Indianapolis, IN 46202 Save $5 when you renew online at AngiesList.com. memberservices @angieslist.com Use promo code WEB12110V. (Annual memberships only. Not valid with other offers.) illrli�ui�lilnlu��llll�iluli�rll��il�ilililill AUDREY KOSTRZEWA Carmel Clay Parks Recreation 1411 E 116th St NO Ji Carmel, IN 46032 -7611 PO- Tt -B1 -S5 750,000 NEIGHBORS CAN'T BE WRONG. Experience counts when hiring service �3 S-5- [S companies. Angie's List can help. Mark A. 40,000 new reviews every monti n,— 5i Woodbury, MN more than 400 service categorief�) including doctors! t E l+ d o lil�t� NO 2009 N's Uke Exclusive discounts from highly rated �1 companies. �Ys .......................Gave �Il msaimds @9 Vila ids and Help from our Complaint Resolution Team �1 if a project doesn't go according to plan. 1[`1� �g I�, I��,, irs 2@O as TOM uo(:O)� �)a "Q[Fgp Angie liSt 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 ON 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. Duality 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 1 Ang ie& ,a, l ist YOUR MEMBERSHIP EXPIRES a SOOPI. 1030 E. Washington St. Save $5 when you renew Indianapolis, IN 46202 online at AngiesList.com. memberservices @angieslist.com Use promo code WE11312110V. (Annual memberships only. Not valid with other offers.) AUDREY KOSTRZEWA t Carmel Clay Parks Recreation 1411 E 116th St Carmel, IN 46032 -7611 PO- T1 -81•S5 750,000 NEIGHBORS CAN'T BE !WRONG. F#3 w s Experience counts when hiring service 5 S (0) 0 companies. Angie's List can help. Mark A. 40,000 new reviews every mont Woodbury, MN more than 400 service categorie l a including doctors! ae i lk NO 2009 Exclusive discounts from highly rated By. have thousands companies. ®f friends and Help from our Complaint Resolution Team if a project doesn't go according to plan. neighbors to ask for hekp o ®o eJ ,_....._�_�..��W_.�.._ >~`�•.t s� .�.�3'c �s'�.t� r ..cw A Choose a membership option: 3 easy ways to renew: 1 year for $59 O NLINE PHONE www.AngiesList.com 888 944 -LIST O 2 years for $106 (You save 10 MAIL O 3 years for $150 (You save 15 Check (Please make checks payable to Angie's List) O 4 years for $189 (You save 20 O Credit Card (Includes our Continuous Service Membership') O Visa O MasterCard O Discover O American Express $9 of your annual membership fee is applied towards a Card Number: subscription to Angie's List Magazine and is not deductible Expiration Date: from your membership fee. Signature: 'Continuous Service Memberships will renew by credit card on an annual basis and continue until you decide to cancel. Please visit www.AngiesList.com for complete membership terms and conditions. Angie liSt 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 ON 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: Or. Smith was punctual, very polite and knowledgeable) 1. overafl Uperfenm 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 B. 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 Ust? 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 Let us know which healthcare providers are great and which ones are lousy! Include this report when you renew by mail. Or submit a report online or by phone today. i AUDREY KOSTRZEWA Please correct your contact information (if necessary). 1411 E 116th St Carmel, IN Name: 46032 -7611 Address: City: State: Zip: audreyk @carmelclayparks.com 73 Phone: 7 1 J Ext. E -mail: 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 1114109 1007330 Membership 2010 59.00 Total 59.00 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 No. Warrant No. 358813 Angie's List Allowed 20 1030 E Washington St Indianapolis, IN 46202 In Sum of 59.00 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO# or INVOICE NO. ACCT #1TITLE AMOUNT Board Members Dept 1125 1007330 4355200 59.00 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 19 -Nov 2009 i_ Signature 59.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund