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180683 12/29/2009
CITY OF CARMEL, INDIANA VENDOR: L2367 Page 1 of 1 0 ONE CIVIC SQUARE CARMEL CLAY PARKS -MONON CENTEI CHECK AMOUNT: $83.72 i4 ro CARMEL, INDIANA 46032 C/O AUDREY KOSTRZEWA CHECK NUMBER: 180683 CHECK DATE: 12/29/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION y1201 4341980 83.72 WELLNESS PROGRAM Th' Monon Center ATCENTR Date: December 1.7, 2009 City of Carmel One Civic Square Carmel, IN 46032 317.571.5850 INVOICE 12182009 m l ,.ate,,.:: d. _:.�.L._.... .a.. td�°�.� 1 I i 12.18.09 11/28/Q9 12/11/09 Membership Dues 10 $1,29724' 1 1'ah�r all e.} (ks P.Y abk to C'ar :'c l Clay Park, and Re::re alie r.. Send l .eat o: Carmel Clay Par' s.; ar,d Rcxrv Tal-,CVVo0JQrY 1111 F. 1 10 St, Thank you for your business! CITY OF CARMEL Last Name First Name Pass Type Bi- Weekly Pymt Beck Micah Adult $11.82 Blanchard James Household $32.12 Brant Kenneth Adult, Adult $23.64 Buhmann Kevin Household $32.12 Campbell R. Scott Household $32.12 Carter Ron Senior /Adult $19.20 Collins Larry Household $32.12 Coy Susan Adult, Adult $23.64 Cox Justin Adult $11.82 Daley Penny Household $32.12 Dietz Aaron Household $32.12 Drake Carl Adult $11.82 Edwards jDan Household $32.12 Fa in Timothy Household $32.12 Gilbert William Adult $11.82 Green Tim Household $32.12 Griffin Tim Adult, Adult $23.64 Griffiths Pamela Household $32.12 Hicks Jeff Adult, Adult $23.64 Hollander Greg Adult, Youth $19.20 Hollibau h Michael Household $32.12 Hughes Deborah Household $32.12 Isenber er Anthony Adult $11.82 Krcrnery Michelle Adult, Adult $23.64 LaFollette Gary Adult, Adult $23.64 Lamb Barbara Adult/ Adult $23.64 Locke Robert Household $32.12 Lu er II Michael Adult $11.82 Martin Candy Adult $11.82 Mascari John Adult $11.82 Massin ill Randy Adult $11.82 Mast Darren Adult $11.82 McNab John Adult $11.82 McNuffy Matthew Household $32.12 Meyer Amanda Adult, Adult $23.64 Miller Adam Adult $11.82 Mishler Nicholas Adult $11.82 Myers Brad HH $32.12 Nicley Wes Adult $11.82 Orange Doug Adult $11.82 Patt n Dawn Household $32.12 Phillips Kerry Adult $11.82 Platt Jace Adult $11.82 Price Joseph Household $32.12 Rhodes Kenneth Adult, Adult $23.64 Rider Kevin Adult, Adult $23.64 Rouse= De- Uor'e Laura Adult 0 00 Schriner Adam Adult, Adult $23.64 Sharp Rick Household $32.12 Smith Perry Household $32.12 Steury Kent Adult $11.82 CITY OF CARMEL Last Name First Name Pass Type Bi- Weekly Pymt Sutton Sean Adult $11.82 Thomas John Adult, Adult $23.64 Tierney Scott Household $32.12 Utzig Chad Household $32.12 Vanderbeck David Household $32.12 White Robert Household $32.12 Whitlow Sean Adult $11.82 Total Monthly Bill $1,297.24 N ame ayro a Membership Employee City Total Due Effective Dat� Date Type Locke, Robert 1 6/8/2007 106/0 H ousehold 30.00 2.12 X32. Luper, Michael 13/14/2008 3/1/2008 Adult 11.08 0.74 11.82 Martin, Candy f 3/1/2009 2/27/2009 Adult 11.08 0.74 11.82 Mascari, John 10/12/2007 10/01/0 Adult 11 .08 0.74 11. 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 McNab, John 1/2/2009 110 1/01/09 Adult 11.08 0.74 11.82 McNulty, Matt 1 11/20/2009 Household 30.00 2.12 32. Meyer, Amanda 16/8/2007 06/01/07 Adult/Adult 22.16 1.48 23.64 Miller, Adam 17/6/2007 07/01/07 Adult 11.08 0.74 11.8 Mishler, Nicholas 19/28/2 10/09/09 lAdult 1 11.08 0.74 11.82 Myers, Brady 12/1/2008 12/05/08 1 Household 130.00 12.12 32.12 Nicely, Wes 12/5/200 12/01/08 jAdult 11.08 0.74 11.82 Orange, Doug 10/10/2008 10/01/08 Adult 11.08 0.74 11.82 Pattyn, Dawn 1 6/8/2007 106/01/07 Household 30.00 12.12 32.12 Phillips, Kerry 18/1/2008 08/01/08 Adult 11.08 0.74 11.82 Platt, Jace 6/8/2007 06/01/07 Adult 1 11.08 10.74 11.82 Price, Joe 12/18/2 1 12/27/09 Household 30.00 1 2.12 32.12 Rhodes, Kenneth 6/8/2007 06/01/07 Adult/Adult 22.16 1.48 1 23.64 Rider, Kevin 2/1/2008 102/01/08 1Adult/Adult 22.16 11.48 123.64 Schriner, Adam 1/2/2009 1 01/01/0 9 Adult/Adult 22.16 1 1.48 23.64 Sharp, Rick 10/10/2008 10/01/08 Adult 30.00 12.12 32.12 Smith, Jerry 2/1/2008 102/01/08 Household 30.00 12.12 32.12 Steury, Kent 3/ 1/2009 1 02/27/09 Adult 11.08 10.74 11.82 Sutton, Sean 12/7/2007 1112/01/07 Adult 11.08 0.74 11.82 Thomas, Joh 7/3/2008 7/1/2008 Adult/Adult 122.16 11.48 23.64 Tierney, Scott 6/8/2007 06/01/07 Household 30.00 2.12 32.1 Utzig, Chad 6/8/2007 106/01/07 1House 30.00 12.12 32.12 Vanderbeck, David 1 4/11/2008 4/1/2008 Household 30.00 12.12 32.12 White, Robert 15/9/2008 15/1 /2008 Hous ehold 30.00 _1 2.12 1 32.12 Whitlow, Sean 1 5/22/2009 5/18/2009 Ad ult 11.08.74 11.82 1 11213.52 183.72 11297.24 1 Nam I Payroll a Membership Employee ity Tota Due E Date Date Type Beck, Micah T 0/23/2009 1 Adult 11.08 0.74 11.82 Blanchard, Jim 6/8/2007 06/01/07 Household 30.00 2.12 32.1 Brant, Kenneth 3/14/2008 3/1/2008 Adult/Adult 22.16 11.48 23.64 Buhmann, Kevin 7/6/2007 07/ 01/07 Household 30.00 12.12 32.12 Campbell, R. Scott 6/8/2007 06/01/07 Household 30.00 2.12 32.12 Carter, Ron 4/1 1/2008 4/1/2 Senior /Adult 18.00 1.20 19.20 Collins, Larry 1/2/2009 1/1/2 Household 30.00 2.12 32.12 Cox, Justin 10/9/2009 1 10/1/2009 Adult 11.08 0.74 11.82 Coy, Sue 6/8 06/01/0 Adult/Adult 22.16 1.48 23.64 Daley, Penny 5/9/2008 5/1/2008 Household 30 2.12 32.12 Dietz, Aaron 67672008 6 %1/2T 8 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 2.1 32.12 Fagin, Timothy 7/6/2007 07101107 Household 30.00 2.12 32.12 Gilbert, William 3/14/2008 03/01/08 Adult/Adult 11.08 0 3 4 7- 711.82 Green, Tim 7/6/2007 07/01/07 Household 30.00 2.12 132.12 Griffin, Tim 9/14/2007 09/01/07 Adult/Adult 22.16 1.48 123.6 Griffiths, Pam 6/8/2007 06/01/07 Household 30.00 2.12 32.12 Hicks, Jeffrey 1/2/2009 01/01/09 jAdult/Adult 122.16 1.48 23.64 Hollander, Greg 7/6/2007 07/01/07 118.00 1.20 119.20 Hollibaugh, Michael 7/6/2007 07/01/07 Household 130.00 X 2.12 132.12 Hughes, Deborah 11/1/2009 01/02/09 Household 30 .00 2.1 3 2.12 Insenberger, Anthony 4/1 1/2008 04/01/08 Adult 11.08 0.74 11.82 Krcmery, Michelle 7/6/2007 07/01/07 Adult/Adult 22.16 1.48 23. Lafollette, Gary 6/8/2007 06/01/07 lAdult 11.08 0.74 11.82 Lafollette, Sally 6/8/2007 06/0 lAdult 111.08 034 11. Lamb, Barb 11/9/2007 11/01/07 Adult/Adult 122.16 11.48 23.64 SUNGARD PENTAMATION, INC. PAGE NUMBER: 190 DATE: 12/16/2009 CITY OF CARMEL MODULE NUM: PAYCHK43 TIME: 09:07:34 DEDUCTION REGISTER CHECK DATE 12/18/2009 PAY RUN 926 PR 0926 361 MONON CENTER PAYROLL DED EMPLOYEE EMPLOYER EMPLOYEE EMPLOYEE NAME---- SUBJECT WAGES ACCOUNT DEPARTMENT DEDUCTION CONTRIBUTION ARREARS 1026 BECK MICAH 1,611.96 1601 11.08 .00 .00 120 BLANCHARD JAMES 2,999.61 1192 30.00 .00 .00 730 BRANT KENNETH 3,109.94 1120 22.16 .00 .00 557 BUHMANN KEVIN 2,302.77 651 30.00 .00 .00 2157 CAMPBELL ROBERT S 2,261.43 601 30.00 .00 .00 610 CARTER RONALD 620.00 1401 18.00 .00 .00 485 COLLINS LARRY 2,763.85 1110 30.00 .00 .00 2336 COX JUSTIN 2,688.02 1120 11.08 .00 .00 809 COY SUSAN 2,301.49 1201 22.16 .00 .00 1046 DALEY PENNY 2,105.78 1602 30.00 .00 .00 316 DIETZ AARON 2,794.96 1110 30.00 .00 .00 413 DRAKE CARL 2,841.93 1120 11.08 .00 .00 732 EDWARDS DANIEL 2,496.71 1120 30.00 .00 .00 2164 FAGIN TIMOTHY 2,341.08 1120 30.00 .00 .00 2354 GILBERT WILLIAM 2,097.96 1110 11.08 .00 .00 39 GREEN TIMOTHY 3,518.58 1110 30.00 .00 .00 2167 GRIFFIN TIMOTHY 2,555.84 1120 22.16 .00 .00 2177 GRIFFITHS PAMELA 2,190.54 1202 30.00 .00 .00 1020 HICKS JEFFREY 1,949.52 2201 22.16 .00 .00 657 HOLLANDER GREGORY 2,483.07 1602 18.00 .00 .00 371 HOLLIBAUGH MICHAEL 4,002.41 1192 30.00 .00 .00 2545 HUGHES DEBORAH 2,130.41 1301 30.00 .00 .00 3000 ISENBERGER ANTHONY 1,572.34 1602 11.08 .00 .00 2341 KRCMERY MICHELLE 1,940.33 1160 22.16 .00 .00 115 LAFOLLETTE GARY 1,791.96 651 11.08 .00 .00 69 LAFOLLETTE SALLY 1,791.96 1120 11.08 .00 .00 613 LAMB BARBARA 3,394.13 1201 22.16 .00 .00 619 LOCKE ROBERT 2,370.50 1110 30.00 .00 .00 2265 LUPER II MICHAEL 2,058.34 1602 11.08 .00 .00 3924 MARTIN CANDY 1,548.71 1192 11.08 .00 .00 2063 MASCARI JOHN 2,030.28 1602 11.08 .00 .00 841 MASSINGILL RANDY 1,913.08 1601 11.08 .00 .00 2286 MAST DARREN 2,325.28 1192 11.08 .00 .00 874 MCNAB JOHN 2,286.92 1120 11.08 .00 .00 2374 MCNULTY MATTHEW 1,414.48 1602 30.00 .00 .00 1009 MEYER AMANDA 390.00 1115 22.16 .00 .00 575 MILLER ADAM 2,532.37 1110 11.08 .00 .00 3913 MSSHLER NICHOLAS 1,451.27 1192 11.08 .00 .00 961 MYERS BRADY 2,562.74 1110 30.00 .00 .00 2169 NICLEY WES 3,226.09 1120 11.08 .00 .00 2176 ORANGE DOUGLAS 2,190.29 1120 11.08 .00 .00 817 PATTYN DAWN 1,511.23 1120 30.00 .00 .00 3620 PHILLIPS KERRY 1,803.96 1115 11.08 .00 .00 94 PLATT JACE 3,110.32 1120 11.08 .00 .00 875 PRICE JOSEPH 2,560.04 1120 30.00 .00 .00 2369 RHODES KENNETH 2,643.67 1602 22.16 .00 .00 3383 RIDER KEVIN 620.00 1401 22.16 .00 .00 1005 SCHRINER ADAM 2,199.42 1192 22.16 .00 .00 2140 SHARP RICHARD 620.00 1401 30.00 .00 .00 2038 SMITH IV JERRY 1,715.01 1602 30.00 .00 .00 422 STEURY KENT 3,187.42 1120 11.08 .00 .00 2171 SUTTON SEAN 3,046.39 1120 11.08 .00 .00 2952 THOMAS JOHN 2,103.84 2200 22.16 .00 .00 225 TIERNEY SCOTT 3,457.52 1120 30.00 .00 .00 SUNGARD PENTAMATION, INC. PAGE NUMBER: 191 DATE: 12/16/2009 CITY OF CARMEL MODULE NUM: PAYCHK43 TIME: 09:07:34 DEDUCTION REGISTER CHECK DATE 12/18/2009 PAY RUN 926 PR 0926 361 MONON CENTER PAYROLL DED EMPLOYEE EMPLOYER EMPLOYEE EMPLOYEE NAME---- SUBJECT WAGES ACCOUNT DEPARTMENT DEDUCTION CONTRIBUTION ARREARS 941 UTZIG CHAD 2,918.03 1120 30.00 .00 .00 621 VANDERBECK DAVID 2,333.47 1110 30.00 .00 .00 362 WHITE ROBERT 2,366.80 1110 30.00 .00 .00 979 WHITLOW SEAN 2,291.91 1602 11.08 .00 .00 TOTAL EMPLOYEES 58 131,447.96 1,213.52 .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 C:cCU IE�Cleaivor) Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Total E3, 7 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 IN SUM OF q n T&Ar o Woo (erg ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1QQ1 1,Q 411 1 SO 83.7 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 20 Sign'atuV6 Cost distribution ledger classification if Title claim paid motor vehicle highway fund