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203391 11/09/2011 CITY OF CARMEL, INDIANA VENDOR: L2367 Page 1 of 1 ONE CIVIC SQUARE CARMEL CLAY PARKS -MONON CENTER ro CARMEL, INDIANA 46032 C/O AUDREY KOSTRZEWA CHECK AMOUNT: $407.29 CHECK NUMBER: 203391 CHECK DATE: 11/9/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 R4341980 21668 2011 -390 338.29 WELLNESS PROGRAM 210 4357000 745035 69.00 TRAINING SEMINARS Carmel v Ci =o Invoice Parks&Recreation Date Invoice 1411 E 116th Street 11/4/2011 2011 -390 Carmel, IN 46032 Bill To City of Carmel One Civic Square Carmel, IN 46032 Due Date 12/4/2011 Quantity Description Rate Amount For Nov. 4, 2011 pay date 42 Adult Pass (City of Carmel) 12.93 543.06 3 Youth or Senior Pass (City of Carmel) 8.50 25.50 32 Household Pass (City of Carmel) 35.08 1,122.56 D Q NOV 7 2011 By Remit to: Carmel Clay Parks Recreation T ot a l Du 1411 E. 116th St. $1 ,691.12 Carmel, IN 46032 Questions? 317 573 -4025 Payment due 30 days from invoice date. corppass @carmelclayparks.com Please return one copy with payment. 09.23.11 (PR1119) Monon Center Reconcilliation Last First Moron ume --rn aty dty Peu Center Puy and Moron Pau Name Payroll Membership c Employee City Total Due Name Name Pass Type cea�r 81-Weekly Pymt count Effective Date Type A M HH I A vR Hit A yrs HH Alvey, Rick 712/2010 Household i 28.06 7.02 35.08 Alvey Rick Hous ehold 1 35.08 $0.00 0 0 0 Arnone, Janet 3/11 /2011 Adult I Youth 1 y 17.14 4.29 $21.43 Arnone Ja Adult, Youth 1 1 $21.43 $0.00 0 0 0 Beck, Micah 211412011 Adult 7 10.34 2.59 $12.93 Beck Micah Adult i $12.93 $0.00 0 0 0 Blanchard, Jim 618/2007 Household 1 28.06 7.02 $35.08 Blanchard James Household 1 $35.08 $0.00 0 0 0 Bowman, Ga ry 8/23/2011 Household 1 28.06 7.02 $35.08 Bowman Gary Household 1 35.08 $0.00 0 0 0 Brant, Kenneth 2/1212010 Household 11 28.06 7.02 $35.08 Brant Kenneth Household 1 $35.0 $0.00 0 0 0 Breedlove, K. Michelle 8/17/2011 Household 1 28.06 7.02 $35.08 Breedlove K Michelle Household 1 $35.08 $0.00 0 0 0 Buhmann, Kevin 7/6/2007 Household 1 28.06 7.02 $35.08 Buhmann Kevin Household 1 $35.08 $0.00 0 0 0 Callahan, Mark 1121/2011 Househ 1 28.06 7.02 $35.08 Callahan M ark Household 1 35.08 $0.00 0 0 0 Carter, Ro n 4111)2008 Senior /Adult 1 1 17.14 4.29 $21.43 Carter Ron Senior /Adult 1 1 $35.08 $0.00 0 0 0 Cooper, Jeffe 614/2010 Household •1 28.06 7.02 $35.08 Cooper Jeffrey Household 1 $21.43 $0.00 0 0 0 Cox, Justin 10/972009 Household 1 28.06 7.02 $35.08 Cox J ustin Household 1 $35.08 $0.00 0 0 0 Coy, Sue 6/812007 Adult 1 10.34 2.59 $12.93 Coy Susan Household 1 $35.08 $0.00 0 0 0 Dailey Penn 12117/2010 Adult/Adult 2 20.69 5.17 $25.86 Daley Penny Adult, Adult 2 $12.93 $0.00 0 0 0 Davis, William 3/14/2011 Adult 1 10.34 2.59 $12.93 Davis William I Adult 1 $25.86 $0.00 o 1 o 1 0 Deitsch, Marc 2/1212010 Household 1 28.06 7.02 $35.08 Deitsch Marc Household 1 $12.93 $0.00 o o Dietz, Aaron 6/612008 Adult 1 10.34 2.59 $12.93 Dietz A aron Adult 1 $35.08 $0.00 0 o I o Drake, Cad 5/9/2008 Adult 1 10.34 2.59 $12.93 Drake Ca Adult 1 $12. Duff John 271272010 Household 1 28.06 7.02 535.08 Duffy J ohn Household 1 $12. 93 $0.00 a o 0 Fag Timoth T/281261 1 Adult 1 10.34 2.59 512.93 Fagin Timothy Adult 1 $35.08 $0.00 0 1 a o Faucett, Jose 8/27/2010 Household 1 28.06 7.02 $35.08 Faucett Josep Household 1 $35.08 $0.00 0 0 0 Gilbert, William 3/14 12008 Adult l Adult 2 20.69 5.17 $25.86 Gilbert William Adult 2 $12.93 $0.00 0 0 0 Gipson, Bruce 6/7/2011 Household 1 28.06 7.02 $35.08 Gi pson Bruce Household 1 $35.08 $0.00 0 0 0 Green, Tim 6/9/2011 Household 1 28.06 7.02 $35.08 Green Tim Household 1 $25.86 $0.00 0 0 0 Griffin, Tim 9/1412007 Household 1 28.06 7.02 $35.08 Griffi Tim Household 1 1 35.08 $0.00 0 0 0 Griffiths, Pam 6/8/2007 Household 1 28.06 7.02 $35.08 Griffiths Pamela Household 1 35.08 $0.00 1 0 0 0 Grimes, Jeff 819/2010 Adult 1 10.34 2.59 $12.93 Grimes J eff Adult 1 35.08 $0.00 0 0 0 Harring Michelle 13/14/2011 Household 1 28.06 7.02 $35.08 Harrington Michelle Household 1 $35.08 $0.00 0 0 0 Heck, Nanc 212412011 Ho usehold 1 28.06 7.02 $35.08 Heck Nan Household 1 12.93 $0.00 0 0 0 Hicks, Jeffre 1/ 2/2009 Adult/Adult 2 20.69 5.17 $25.86 Hicks Jeff Adult, Adult 2 $35.08 $0.00 0 0 0 Hollander, Gre 211212010 Adult/Adult 2 20.69 5.17 $25.86 Hollander Greg Adult, Adult 2 $35.08 $0.00 0 0 0 Hollibaugh, Michael 716/2007 Household 1 28.06 7.02 $35.08 Hollibaug Michael Household 1 25.86 $0.00 0 0 0 Keeling, Adriene 7/13/2011 Adult 1 10.34 2.59 $12.93 Keeling A drienne A dult 1 $25.86 $0.00 0 0 0 Lafollette, Sall 6/812007 Household 1 28.06 7.02 $35.08 LaF011ette Gary Household 1 35.08 $0.00 0 o c Locke. Robert 618 12007 Household 1 28.06 7.02 $35.08 Locke Robert Household 1 $12.93 $0.00 0 0 0 Luper, Michael 3/l4f2008 Adult 1 10.34 2.59 $12.93 Luper II Michael Adult i $35.0 $0.00 o 1 0 0 Marsh, Michael 10/25/2011 Adult 1 10.34 2.59 $12.93 Marsh Michael Adult 1 35.08 $0.00 o 0 0 Martin, Richard 6121/2010 Household 1 28.06 7.02 $35.08 Martin Richard Household 1 __$12.93 $0.00 0 0 0 Mascan, John 10/12%2007 Adult 1 10.34 2.59 $12.93 Mascari John Adult _1 $35.08 $0.00 0 0 0 Massing Rand 9112/2008 jAdult 1 10034 2.59 $12.93 Massin Randy_ Adult 1 $12.93 $0.00 0 0 0 Mast, Darien 7/6/2007 Adult 1 10.34 2.59 $12.93 Mast Darren Adult 1 $12.93 $0.00 o 0 0 McNab, John lAdult 1 10.34 2.59 $12.93 MCNab John Adult 1 $12.93 $0.00 0 0 0 Miller, Adam 7/6/2007 Adult 1 10.34 2.59 $12.93 Miller Adam Adult 1 $12. Miller, Ken 4/23/2010 Senior /Adult 1 1 17.14 4.29 $21.43 Miller Ken Senior /Adult 1 1 $12.93 93 $0.00 0 0 0 $0.00 0 0 0 Mishler. Nick 9/3/2010 Household 1 28.06 7.02 $35.08 Mishler Nick Household 1 $21.43 $0.00 0 0 o Morgan, Trent 1115/2010 lAd.11 1 10.34 2.59 $12.93 Morgan Trent Adult 1 $35.08 $0.00 o 0 1 0 My ers, Brad 121112008 Household 1 28.06 7.02 $35.08 Myers Brady Household 1 $12.93 $0.00 !I- 0 0 t 0 Neville, Katie 111512010 lAdult 1 10.34 2.59 $12.93 Neville Katie Adult 1 $35.08 $0.00 0 0 0 Orange, Doug 1011012008 Adult 1 10.34 2.59 $12.93 Orange Doug_ Adult 1 $12.93 $0.00 l 0 0 0 Patty Dawn 6/8/2007 Household 1 28.06 7.02 $35.08 Pattyn Dawn Household 1 $12.93 $0.00 o o o Pickett, Libb 6/23/2011 Adult 1 10.34 2.59 $12.93 Pickett Libby Adult 1 $35.08 $0.00 0 0 0 Pitman, Michael 2/12/2010 Household 1 28.06 7.02 $35.08 Pitman Michael Household 1 $12.93 $0.00 0 0 0 Platt, Jace 6/8/2007 Adult 1 10.34 2.59 $12.93 Platt Jace Adult 1 $35.08 $0.00 0 0 0 Rhodes, Kenneth 6/8/2007 Adult/Adult 2 20.69 5.17 $25.86 Rhodes Kenneth Adult, Adult 2 $12.93 $0.00 0 0 0 Rider, Kevin 2/1/2008 Adult/Adult 2 20.69 5.17 $25.86 Rider Kevin Adult, Adult 2 $25.86 $0.00 c o 0 Schnner, Adam 1/2/2009 Adult/Adult 2 20.69 5.17 $25.86 Schriner Adam Adult, Adult 2 $25.86 $0.00 0 0 0 Sharp, Rick 10/10/2008 Household 1 28.06 7.02 $35.08 Sharp (Rick Household 1 $25.86 $0.00 0 0 0 Smith, Jer ry 2!1!2008 Household 1 28.06 7.02 $35.08 Smiley_ Landry 1 $35.08 $0.00 0 0 0 Smiley Land 11115/2010 Household 1 28.06 7.02 $35.08 Smith Jerry Household 1 $35.08 $0.00 0 0 0 Steury, Kent 3/1 /2009 Adult 1 10.34 2.59 $12.93 Steury Kent Adult 1 $35.08 $0.00 0 0 1 0 Thom John 7/312008 Household 1 28.06 7.02 $35.08 Thomas John Household 1 $12.93 $0.00 o 0 0 Thordarson, Eric 1 012 5/2 01 1 Adult I Adult 2 20.69 5.17 $25.86 Thordarson Erik Adult, Adult 2 $35.08_ $0.00 0 0 0 Tierney Scott 61812007 Household 1 28.06 7.02 $35.08 Tierne Scott Household 1 $35.08 _$0.00 0 0 0 Tolen, Brian 912912010 Adult 1 10.34 2.59 $12.93 ITolan Brian Adult 1 $12.93 $0.00 0 0 0 Utzig, Chad 61812007 Household 1 28.06 7.02 $35.08 Utzig Chad Household 1 $35.08 $0.00 o o 0 Whitlow, Sean 512 212 0 0 9 Adult 1 10.34 2.59 $12.93 Whitlow Sean Adult 1 $12.93 $0.00 a o 0 42 3 32 Total Monthly LE 1� 69112 42 3 32 _57,691,12_ i $0.00 1352.83 i33829 1691.12 Devenpod I SUNGARD PENTAMATION, INC. PAGE NUMBER: 187 DATE: 11/01/2011 CITY OF CARMEL MODULE NUM: PAYCHK43 TIME: 16:03:43 DEDUCTION REGISTER CHECK DATE 11/04/2011 PAY RUN 122 PR 1122 361 MONON CENTER PAYROLL DED EMPLOYEE EMPLOYER EMPLOYEE EMPLOYEE NAME---- SUBJECT WAGES ACCOUNT DEPARTMENT DEDUCTION CONTRIBUTION ARREARS 765 ALVEY RICHARD 2,090.63 1602 28.06 .00 .00 250 ARNONE JANET 1,963.36 1115 17.14 .00 .00 1026 BECK MICAH 1,677.72 1601 10.34 .00 .00 120 BLANCHARD JAMES 3,112.07 1192 28.06 .00 .00 282 BOWMAN GARY 2,540.92 1110 28.06 .00 .00 730 BRANT KENNETH 2,545.00 1120 28.06 .00 .00 2603 BREEDLOVE KAREN 1,780.18 1602 28.06 .00 .00 557 BUHMANN KEVIN 2,484.12 651 28.06 .00 .00 75 CALLAHAN MARK 3,145.62 1120 28.06 .00 .00 610 CARTER RONALD 620.00 1401 17.14 .00 .00 456 COOPER JEFFREY 2,486.73 651 28.06 .00 .00 2336 COX JUSTIN 3,089.61 1120 28.06 .00 .00 809 COY SUSAN 2,129.92 1201 10.34 .00 .00 1046 DALEY PENNY 2,279.98 1602 20.68 .00 .00 2638 DAVIS WILLIAM 1,582.03 2201 10.34 .00 .00 954 DEITSCH MARC 2,822.74 1120 28.06 .00 .00 316 DIETZ AARON 3,119.49 1110 10.34 .00 .00 413 DRAKE CARL 2,895.85 1120 10.34 .00 .00 479 DUFFY JOHN 4,032.73 601 28.06 .00 .00 2164 FAGIN TIMOTHY 2,371.23 1120 10.34 .00 .00 278 FAUCETT JOSEPH 2,534.84 651 28.06 .00 .00 2354 GILBERT WILLIAM 2,764.48 1110 20.68 .00 .00 870 GIPSON BRUCE 2,913.59 1120 28.06 .00 .00 39 GREEN TIMOTHY 4,084.11 1110 28.06 .00 .00 2167 GRIFFIN TIMOTHY 2,209.38 1120 28.06 .00 .00 2177 GRIFFITHS PAMELA 2,273.52 1202 28.06 .00 .00 566 GRIMES JEFFREY 2,566.54 1120 10.34 .00 .00 4766 HARRINGTON MICHELLE 926.50 1120 28.06 .00 .00 822 HECK NANCY 3,676.69 1160 28.06 .00 .00 1020 HICKS JEFFREY 1,986.91 2201 20.69 .00 .00 657 HOLLANDER GREGORY 2,582.15 1602 20.69 .00 .00 371 HOLLIBAUGH MICHAEL 4,030.27 1192 28.06 .00 .00 1015 KEELING ADRIENNE 2,509.08 1192 10.34 .00 .00 69 LAFOLLETTE SALLY 1,847.72 1120 28.06 .00 .00 619 LOCKE ROBERT 3,613.55 1110 28.06 .00 .00 2265 LUPER II MICHAEL 2,698.00 1602 10.34 .00 .00 568 MARSH MICHAEL 3,499. 93 1120 10.34 .00 .00 338 MARTIN RICHARD 2,620.39 1120 28.06 .00 .00 2063 MASCARI JOHN 2,110.68 1602 10.34 .00 .00 841 MASSINGILL RANDY 1,992.80 1601 10.34 .00 .00 2286 MAST DARREN 2,325.16 1192 10.34 .00 .00 874 MCNAB JOHN 3,119.57 1120 10.34 .00 .00 575 MILLER ADAM 2,975.83 1110 11.08 .00 .00 3872 MILLER KEN 475.50 1207 17.14 .00 .00 3913 MISHLER NICHOLAS 1,582.04 1192 28.06 .00 .00 3846 MORGAN TRENT 1,334.88 1602 10.34 .00 .00 961 MYERS BRADY 3,471.40 1110 28.06 .00 .00 4326 NEVILLE KATHERINE 1,460.02 2200 10.34 .00 .00 2176 ORANGE DOUGLAS 2,329.38 1120 10.34 .00 .00 817 PATTYN DAWN 1,626.96 1120 28.06 .00 .00 2113 PICKETT ELIZABETH 1,935.12 2200 10.34 .00 .00 962 PITMAN MICHAEL 2,513.30 1110 28.06 .00 .00 94 PLATT JACE 3,087.92 1120 10.34 .00 .00 2369 RHODES KENNETH 2,841.54 1602 20.69 .00 .00 SUNGARD PENTAMATION, INC. PAGE NUMBER: 188 DATE: 11/01/2011 CITY OF CARMEL MODULE NUM: PAYCHK43 TIME: 16:03:43 DEDUCTION REGISTER CHECK DATE 11/04/2011 PAY RUN 122 PR 1122 361 MONON CENTER PAYROLL DED EMPLOYEE EMPLOYER EMPLOYEE EMPLOYEE NAME---- SUBJECT WAGES ACCOUNT DEPARTMENT DEDUCTION CONTRIBUTION ARREARS 3383 RIDER KEVIN 620.00 1401 20.69 .00 .00 1005 SCHRINER ADAM 2,234.76 1192 20.69 .00 .00 2140 SHARP RICHARD 620.00 1401 28.06 .00 .00 3450 SMILEY LANDRY 2,156.58 1110 28.06 .00 .00 2038 SMITH IV JERRY 2,123.16 1602 28.06 .00 .00 422 STEURY KENT 2,598.85 1120 10.34 .00 .00 2952 THOMAS JOHN 2,321.15 2200 28.06 .00 .00 4762 THORDARSON ERIK 2,474.93 1120 20.69 .00 .00 225 TIERNEY SCOTT 3,727.02 1120 28.06 .00 .00 2258 TOLAN BRIAN 2,744.68 1602 10.34 .00 .00 941 UTZIG CHAD 3,308.68 1120 28.06 .00 .00 979 WHITLOW SEAN 1,960.50 1602 10.34 .00 .00 TOTAL EMPLOYEES 66 160,179.99 1,353.40 .00 .00 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 D ate Number (or note attached invoice(s) or bill(s)) 11/04/11 2011 -390 $338.29 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. ALLOWED 20 Carmel Clay Parks and Recreation Monon Ce c/o Audrey Kostrzewa IN SUM OF 1411 E. 116th St. Carmel, IN 46032 $338.29 ON ACCOUNT OF APPROPRIATION FOR Carmel HR Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 21668 I 2011 -390 f 43- 419.80 I $338.29 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 Monday, November 07, 2011 Director, H Title Cost distribution ledger classification if claim paid motor vehicle highway fund ACTIVITY SALES RECEIPT 4 Reee� 745035 C arme l 0 I ay Payment Date: 11/02/11 Household 43021 t rks� R e c r eatio n Monon Community Center Shane Collins Carmel IN 46032 3 Civic Square Carmel IN 46032 Cell Ph: Phone: (317)848 -7275 Fed Tax ID #35- 6000972 Enrollment Details Enrollee Name: Shane Collins Fees Tax Discount Prev Paid Cur Paid Amount Due Activity Number: 217429 -01 Basic ASL 69.00 0.00 0.00 0.00 69.00 Enrollment Date: 11/02/2011 (Enrolled) Primary Instructor: CCPR Staff Class Location: Banquet Room C Class Dates: 11/02/2011 to 12/14/2011 Monon Community Cntr 7:00P to 8:30P W Carmel IN 46032 Scheduled Sessions: 7 (317)848 -7275 Processed on 11/02/11 19:03:53 by MJN FEES CHARGED ON NEW LINE ITEMS 69.00 NEW AMOUNTJDUE 69100 PREVIOUS NET HOUSEHOLD BALANCE 0.00 TOTALSDUE =;69:003 NEW FEES PAID ON THIS RECEIPT 0.00 TOTA0PAID w 1F1Q 0100 NEW NET HOUSEHOLD BALANCE 69.00 Volunteer with Us! Volunteers are the foundation of Carmel Clay Parks Recreation and we need your help! We are currently seeking volunteers for special events, adaptive programs, parks and greenways, and Extended School Enrichment. if interested, please call Dana at 317.843.3868 or register online at https: //2011 cprv. theregistrationsystem .com /en/1033! Page 1 of 1 CARMEL POLICE DEPARTMENT APPLICATION FOR SPECIALIZED TRAINING Today's Date: 10/27/2011 Employee: Shane Collins Name of School: Basic American Sign Language e V Cost: $69 I will pay for it myself if needed as long as I can go on duty. S Location of School: Carmel Monon Center State: IN Topic Subject Matter: American Sign Language ILEA Course Certification (if available): Dates of School: From: 11/2/2011 To: 12/14/2011 Contact Person: Carmel Clay Parks and Recreation Telephone Number: (317) 848 -7275 Instructor: Monon Center Staff ILEA Instructor #(if available): How will this School benefit you and the Department? I am the only officer on CPD that knows any sign language. I am used often to communicate with our deaf citizens. This training will help me keep my sign language skills sharp and learn how to communicate with the deaf even better. I have attached a word document I keep that records each time I am used for sign language and you can see it is often. The instructor is very good and spent several hours outside of class going over law enforcement related signs for me on her own time. Will you need a rental car? ❑Yes ❑No Will you need air transportation? Dyes ®No Will you need accommodations? ❑Yes ®No "OVERTIME COMPENSATION WIL OT B PAID IF YOU VOLUNTEER TO ATTEND A SCHOOL ONLY IF YO, ARE OR ERED TO ATTEND. Officer's Signature: l� w( rst✓'' Supervisor' Signature: Date. i 1 Division Commander: Date: O 2SS 1 Training Officer: Date: *OFFICE USE ONLY BELOW THIS LINE* 2011 -02 -222 TRADITIONAL GREEK COOKING FAMILY SPANISH COMBINATION Learn Traditional Greek Cuisine in this hands on class. You will learn This combination beginner and intermediate course is for those that to make an appetizer, main dish with side and dessert to enjoy at end have never studied Spanish or have only basic knowledge. We will of class. Along with having a great meal you will receive 2 -2'/2 hrs start with basic conjugation of verbs, build vocabulary and phrases, instruction, recipes to take home, drinks while you're there and have and ultimately be able to speak and understand full sentences. After a great time meeting new people. 60 minutes, we will have 30 minutes of dialogue at a higher level for students to participate in. The last class will be held at a Spanish Age: 18+ years restaurant where you will be asked to speak in Spanish for the meal. Min /max: 6/12 Participants will pay for the dinner on their own. No class on Nov 8. Instructor: Cooking Greek Location: Cooking Greek, 12955 Old Meridian St. Suite 104 Age: 18+ years Min /max: 5/20 Activity Dates Day Time Fee Instructor: Staff 217413 -01 Oct 21 F 6- 8:30pm $86 Location: MCC Meeting Room 3 Dec 16 F 6- 8:30pm $86 Activity Dates Day Time Fee 217402 -01 Sep 20 -Nov 15 Tu 6:30 -8pm $82 BASIC PET MANNERS INTRODUCTION TO ASL This class is for the dog with little to no previous training. Your dog This class will give you an excellent start on the basics of American will be taught the basic skills to be a good companion. The training Sign Language. Be prepared to embark on a journey that will sessions are sure to be fun for both ends of the leash! Families are transform the way you think. Whether your interest is a mild welcome. curiosity or a desire to become fluent, you are sure to come away with a deeper understanding and appreciation for the grace and Age: 18+ years beauty of this totally visual language. Min /max: 3/6 Age: 18+ years Instructor: Canines in Action Location: MCC Program Room C Min max: 4 Instructor: Staff Activity Dates Day Time Fee Location: MCC Meeting Room 217290 -01 Sep 6 -Oct 11 Tu 6:30- 7:30pm $182 Activity Dates Day Time Fee 217428 -01 Sep 14 -Oct 19 W 7- 8:30pm $69 BASIC ASL ADVANCED PET MANNERS This fun and interesting class opens up a whole new way of Develop the skills from Basic Pet Manners and teach your dog to expressing yourself. You may find this transformative journey a bit handle distractions and challenges. Can your dog come away from challenging as nonverbal communication is an intense activity that a friendly stranger offering food? Walk on a loose leash past another demands total attention, both expressively and receptively. You dog? At the end of this course, those who are interested may elect must have completed Introduction to American Sign Language or to test for the Canine Good Citizenship certificate. have a basic knowledge of ASL and know the manual alphabets and numbers. Age: 18+ years Min /max: 3/6 Age: 18+ years Instructor: Canines in Action Min /max: 4/12 Location: MCC Program Room C Instructor: Staff Location: MCC Banquet Room C Activity Dates Day Time Fee 217291 -01 Oct 25 -Nov 29 Tu 6:30- 7:30pm $182 Activity Dates Day Time Fee 217429 -01 Nov 2 -Dec 14 W 7- 8:30pm $69 42 carmelclayparks.com i i vuUXI .%,u wt.%.VUi/ Vv uwJam/ wBulla%—wJl./ wu3Ga11.11.11L1111: WUJ1 GVGGU'Y7U 1 JG... 1 V /GV 1 I Monon Staff Initials: Community Program Registration Form Date:_ Center Primary Guardian's First Name: .549A e Last Name: Address: �i V I L City: �r State: 7V Zip: Home Phone: Work Phone: S7 Cell Phone: C7 F 070 E -mail Address: SC D 1I t n-S Q Cs-rmel. I n. 4 9(9 V Q Emergency Contact Name /Phone: ftV C I'I n) q/3—S-77? Primary Guardian's Birthday (mm /dd /yyyy): d 7 7 S Special Accommodations (check if needed) See 'Statement of Accessibility" on the reverse side of this form 511 have read and fully understand the policies and the Carmel Clay Parks Recreation Waiver and Release on the reverse side of this form. I understand my signature, or my primary guardian's sign ure if I'm under 18, is required to take part in Carmel Clay Parks Recreation programs. Signature: v��� ?s Date: REGISTRATI PARTICIPANT'S NAME (FIRST LAST) BIRTHDATE (mm /dd /yyyy) GENDER ACTIVITY CODE SECTION ACTIVITY NAME FEE S�4ne Co II�nS �d 0711`7 �1 alb g -61 �Q src i4SL 6� TOTAL AMOUNT PAID 06 Cash (drop -off only) Check (Payable to Carmel Clay Parks Recreation) VISA or MasterCard (complete box below) American Express (complete box below) Initial: By completing a box below, I authorize Carmel Clay Parks Recreation to process the payment(s) indicated. Credit Card Information Account Exp. Date (mm /yy): Billing Zip Code: Cardholder Name (Please print): Authorized Signature: OVER 4 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)) 11/02/11 745035 payment for training for Sgt. Collins $69.00 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. ALLOWED 20 Carmel Clay Parks Recreation Registration IN SUM OF 1235 Central Park Drive East Carmel, IN 46032 $69.00 ON ACCOUNT OF APPROPRIATION FOR CPD Continuing Ed Fund PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 210 I 745035 I 570.00 $69.00 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 Friday, November 04, 2011 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund