170333 04/01/2009 CITY OF CARMEL, INDIANA VENDOR: 357888 Page 1 of 1
ONE CIVIC SQUARE CARMEL CLAY PARKS RECREATION CHECK AMOUNT: $93.80
CARMEL, INDIANA 46032 1411 E 116TH ST
ATTN TARA WOOLERY CHECK NUMBER: 170333
CARMEL IN 46032
CHECK DATE: 4/1/2009
DEPARTMENT AC COUNT PO NUMBER I NVOIC E NUMBER f AM OUNT DESCRIPTION
1201 4341980 93.80 WELLNESS PROGRAM
s
e
e
The
MononlvCenter
AT CENTRAL PARK
Date: March 27, 2008
City of Carmel
One Civic Square
Carmel, IN 46032
317.571.5850
03.27.09 03.07.09- 3.20.09 Membership Dues $1,458.28 $1,458.28
$1,458.28
$1,458.28
Make all checks payable to Carmel Clap Parks and Recreation. Send payment to:
Carmel Clav Parks and Recreation
Attn: Tara Woolery
1411 L. 116 St
Carmel, IN 46032
Thank you for your business!
CITY OF CARMEL
Last Name First Name Household Pass Type Start Date 131-Weekly Pymt
Blanchard James CITY OF CARMEL Household 6/1/2007 $32.12
Brant Kenneth CITY 3 Adult, Adult 3/1/2008 $23.64
Buhmann Kevin CITY Household 7/1/2007 $32.12
Campbell R. Scott CITY OF CARMEL Household 6/1/2007 $32.12
Carter Ron CITY 3 Senior /Adult 4/1/2008 $19.20
Collins Larry CITY 4 Household 1/2/2009 $32.12
Coy Gary CITY OF CARMEL Adult 10/1/2008 $11.82
Coy Susan CITY OF CARMEL Adult 5/2/2007 $11.82
Daley Penny CITY 3 Adult/ Adult 8/1/2008 $23.64
Dietz Aaron CITY 3 Household 6/1/2008 $32.12
Drake Carl CITY 3 Adult 5/1/2008 $11.82
Edwards Dan CITY 3 Household 3/1/2008 $32.12
Fa in Timothy CITY 2 Household 7/1/2007 $32.12
Frost Dwight CITY OF CARMEL Adult 6/1/2007 $11.82
Gilbert William CITY 3 Adult, Adult 3/1/2008 $23.64
Green Tim CITY Household 7/1/2007 $32.12
Griffin Tim CITY 2 Adult, Adult 811/2007 $23.64
Griffiths Pamela CITY 2 Household 6/1/2007 $32.12
Heck Nancy CITY 2 Household 7/1/2007 $32.12
Hicks Jeff City Adult, Adult 1/1/2009 $23.64
Hines Glenn CITY OF CARMEL Adult until 10/1 6/1/2007 $11.82
Hollander Greg CITY 2 Adult, Youth 7/1/2007 $19.20
Hollibau h Michael CITY Household 7/1/2007 $32.12
Hoover Aaron City 3 Adult 10/1/2008 $11.82
Isenber er Anthony CITY 3 Adult 9/1/07, 41110 $11.82
Krcrnery Michelle CITY Adult, Adult 7/1/2007 $23.64
LaFollette Gary CITY OF CARMEL Adult 6/1/2007 $11.82
LaFollette Sally CITY OF CARMEL Adult 6/1/2007 $11.82
Lamb Barbara CITY Adult/ Adult 11/1/2007 $23.64
Locke Robert CITY OF CARMEL Household 6/1/2007 $32.12
Lu er II Michael CITY 3 Adult 3/1/2008 $11.82
Martin Candy CITY Adult 3/1/2009 $11.82
Mascari John CITY 3 Adult 10/1/2007 $11.82
Massin ill Randy CITY 3 Adult 9/3/2008 $11.82
Mast Darren CITY Adult 7/1/2007 $11.82
McNab John CITY Adult 1/2/2009 $11.82
Meyer Amanda CITY OF CARMEL Adult, Adult 6/1/2007 $23.64
Miller Adam CITY 2 Adult 7/1/2007 $11.82
Miller Kenneth Adult, Adult 9/1/2008 $23.64
Myers Brady it 4 HH 12/1/2008 $32.12
Nicley Wes Cit 3 Adult 12/1/2008 $11.82
Oran a Doug Cit 3 Adult 10/1/2008 $11.82
Patt n Dawn I CITY OF CARMEL 1 Household 1 6/1/2007 1 $32.12
CITY OF CARMEL
Last Name First Name Household Pass Type Start Date Bi- Weekly Pymt
Phillips Kerry CITY 3 Adult 8/1/2008 $11.82
Platt Jace CITY OF CARMEL Adult 6/1/2007 $11.82
Pohl Bryan CITY 4 Adult 12/1/2008 $11.82
Pratt Kimberly CITY OF CARMEL Household 6/1/2007 $32.12
Reeves Stephen CITY 3 Adult/ Adult 6/1/2008 $23.64
Rhodes Kenneth CITY OF CARMEL Adult, Adult 6/1/2007 $23.64
Rider Kevin CITY 3 Adult, Adult 2/1/2008 $23.64
Rouse -De -yore Laura CITY 2 Adult 7/1/2007 $11.82
Schriner Adam CITY 3 Adult, Adult 12/1/2008 $23.64
Sharp Rick CITY OF CARMEL Household 6/1/2007 $32.12
Smith Jerry CITY 3 Household 2/1/2008 $32.12
Steury Kent CITY Adult 3/1/2009 $11.82
Sutton Karen CITY 3 Adult 12/1/2007 $11.82
Sutton Sean CITY 3 Adult 12/1/2007 $11.82
Thomas John CITY 3 Adult, Adult 7/1/2007 $23.64
Tierney Scott CITY OF CARMEL Household 6/1/2007 $32.12
Tolan Brian CITY Household 7/1/2007 $32.12
Towle John R. CITY Household 7/1/2007 $32.12
Utzig Chad CITY OF CARMEL Household 6/1/2007 $32.12
Van Bruaene David Senior, Adult 9/1/2008 $19.20
Vanderbeck David CITY 3 Household 4/1/2008 $32.12
Wenger Garry CITY 3 Adult 12/1/2008 $11.82
White lRobert I CITY 3 Household 5/1/2008 $32.12
Wiegman IChad I CITY OF CARMEL Adult, Adult 6/1/2007 $23.64
Total Monthly Bill $1,458.28
SUNGARD PENTAMATION, INC. HUMAN RESOURCES MANAGER PAGE NUMBER: 232
DATE: 03/24/09 CITY OF CARMEL MODULE NUM: PAYCHK43
TIME: 13 :22:08 DEDUCTION REGISTER CHECK DATE 03/27/2009
PAY RUN 907 PR #0907
361 MONON CENTER PAYROLL DED
EMPLOYEE EMPLOYER
EMPLOYEE
JERRY SMITH IV 1602 30.00 .00 .00
UNGARD PENTAMATION, INC. HUMAN RESOURCES MANAGER PAGE NUMBER: 233
ATE: 03/24/09 CITY OF CARMEL MODULE NUM: PAYCHK43
'IME: 13:22:08 DEDUCTION REGISTER CHECK DATE 03/27/2009
PAY RUN 907 PR #0907
361 MONON CENTER PAYROLL DED
EMPLOYEE EMPLOYER
EMPLOYEE SOC SEC NO EMPLOYEE NAME----- ACCOUNT DEPARTMENT DEDUCTION CONTRIBUTION ARREARS
422
CHAD WIEGMAN 1110 22.16 .00 .00
TOTAL EMPLOYEES 66 1,364.48 .00 .00
ame ayro Employee a em ers ip ity ota u _I
Effective Date Date Type
Blanchard, J im 6/8/2007 06/01/07 Zusehold 30.00 1 2.12 1 32.12
Brant, Kenneth 3/14/2008 3/1/2008 ult/Adult 22.16 1 1.48 2 3.64
Buhmann, Kevin 7/6/2007 07 /01/07 Household 30.00 1 2.12
Campbell, R. Scott 6/8/2007 06/01 /07 Hou sehold 30.00 1 2.12 132.12
Carter, Ron 4/11/200 4/1/2008 Sen /Adult 1 18.00 1 1.20 19.20
Collins, Larry 1%2%2009 1/1/2009 Household 1 30.00 2.12 32.1_2_
Coy, Sue 6/8/2007 06/01/07 Adult/Adult 122.16 1.48 23.64 1
Daley, Penny 5/9/2008 5/1/2008 Adult/Adult 22.16 1.48 1 23.64
Dietz, Aaron 6/6/2008 6/1/2008 Household 30.00 2_12 1 32.12 1
Drake, Carl 5/9/2008 5/12008 Adult 11.08 1 0.74 111.82 -i
Edwards, Dan 3/14/2008 3/1/2008 Household 1 30.00 2.12
Fagin, Timothy 7/6/2007 07/01/07 Household 30.00 12.12 ___1 32.12 1
Frost, Dwight 6/8/2007 06/01/07 Household 1 11.08 1 0.74 _111 1
Gilbert, William 3/14/2008 03/01/08 Adult/Adult 1 22.1 6_ 1.48 123 .64 1 1
Green, Tim 7/6/2007 f Household _130 2.12 3 2.12
Griffin, Tim 9/14/2007 09/01/07 Adult/Adult 122.16 11.48 23.64
Griffiths, Pam 6/8/2007 06/01/07 Household X 30.00 2.12 32.12 _I 1
Heck, Nancy 7/6/2007 07/01/07 Household 130. 2 .12 32.12
Hicks, Jeffrey 1/2/2009 101/01/09 Adult/AduIt 1 22.16 1.48 12 3.64 1 1
Hines, Glenn 10/12/2007 10/01/07 Adult 1 1.08 1 0.74 1 11.82
Hollander, Greg 7/6/2007 1 07/01/07 AdulUYouth x18 .00 1 1.20 1 19.20
Hollibaugh, Michael 7/6/2007 1 07/01/07 Household 30.00 12.12 1 32.12
Hover, Aaron 10/10/2008 10/01/08 Adult 11.08 1 0.74 1 11.82
Hughes, Deborah 1/1/2009 01/02/09 Household 130.00 _1 2.12 13 2.12 E
Insenberger, Anthony 4/11/2008 04/01/08 Adult 111.08 _1 0.74 11.82
Krcmery, Michelle 7/6/2007 07/01/07 Adult/Adult 1 22.16 1 1.48 23.64 1
Lafollette, Gary 6/8/2007 06/01/07 Adult 11.08 1 0.74 1 11.82 I
Lafollette, Sally 6/8/2007 106/01/07 Adult X11.08 10.74 111.82
Lamb, Barb 111/9/2007 111/01/07 IAdult/Adult 122.16 1.48 23.64
Name Payro ll I Start em ers ip I_ Employee City Total u e_L_
Effective Date Date Type
Locke, Robert 6/8/2007 06/01/07 Household 1 30.00 12.12 32.12 1
Luper, Michael 3/14 /2008 3/1/ Adult 11.08 0.74 11.82
Martin, Candy 3/1/2009 2/27/2009 Adult 11.08 0.74 11.82
Mascari, John 10/12/2 1 10/01/07 Adult 11.08 0.74 11.82 f
Massingill, Randy 9/12/2008 109/01/08 Adult {1 1.08 0.74 11.82 1 1
Mast, Darren 17/6/2007 107/01/07 Adult 1 1.08 0.74 11.82 _I
McNab, John 1/2/2009 01/01/09 Adult 11.08 0.74 11.82 1 1 1
Meyer, Amanda 6/8/2007 06/01/07 Adult/Adult 22.16 1.48 23. 1
Miller, Adam 7/6/2007 107/01/07 Adult 0.74
Mil 11.82 _L
ler, Ken 9/12/2008 09/01/08 Adult/Adult 2 2.16 ,1.48 1 23.64 j 1
Myers, Brad 12/1/2008 1 12/05/08 Household 3 0.00 2.12 32.12 1
Nice! y, Wes 12/5/2008 12/01/08 Adult 11.08 0.74 11.82
Orange, Doug 10/10/2008 10/01/08 Adult _111.0 10.74 11. _1
Pattyn, Dawn 6/8/2007 06/01/07 Household 30.00 1 2.12 13 2.12 1
Phillips, Kerry 8/1/2008 08/01/08 Adult 11.08 1 0.74 11.82
Platt, Jace 1 6/ 8/2007 06/01 /07 Adult 1 11.08 X 0.74 111 .82
Pohl, Bryan 12/5/2008 12/01 /08 Adult 11.08 1 0 .74 _1 11.82
Reeves, Steve 6/6/2008 6/1/2008 Adult/Adult 12 2.16 1.48 23.64 L
Rhodes, Kenneth 6/8/2007 06/01/07 Adult/Adult 1 22.16 11.48 23.64 1
Rider, Kevin 2/1/2008 02/01/08 Adult/Adult 2 2.16 1 1.48 _123
Rouse- DeVore, Laura 3/14/2008 03/01/08 Adult 11.08 1 11.82
Sharp, Rick 10/10/2008 10/01/08 Adult 30.00 J2.12 132.12
Schriner, Adam 1/2/2009 01/01/09 Adult/Adult 22.16 1.48 12 3.64
Smith, Jerry 2/1/2008 02/01/08 Household 30.00 2.12 1 32.12 1- 1
Steury, Kent 3/1/2009 02/27/09 Adult 11.08 1 111.82
Sutton, Karen 12/7/2007 12/01/07 Adult 11.08 1 0 .74 11.82
1
Sutton, Sean 12/7/2007 12/01/07 Adult 111.08 f 0.74 1 11.82 1
Thomas, John 7/3/2008 7/1/2008 Adult/Adult 122.16 1.48 j 23.64
Tierney, Scott 6/8/2007 06/01/07 Household 13 0.00 2.12 32.12 j
Tolan, Brian 7/6/2007 07/01/07 Household 30.00 2.12 132.12 1 1
Towle, John 7/6/2007 07/01/07 Household 30. 32.12
Utzig, Chad 6/8/2007 06/01/07 Household 30.00 2.12 32.12
VanBruaene,Dave 9/12/2008 09/01/08 Senior /Adult 18.00 1.20 19.20 I 1
Vanderbeck, David 4/11/2008 4/1/2008 Household 130.00 2.12 32.12 1
White, Robert 5/9/2008 5/1/2008 Household 30.00 2.12 32.12 1
Wenger, Garry 12/5/2008 12/1/2008 Adult 11.08 0.74 11.82 1
Wiegman, Chad 6/8/2007 06101107 Adult/Adult 22.16 1. 23.64 1
I
1364.48 93.80 1 58.28
4(0 0
n;,a 1 1 CARME
aI;APPROVEDIBY,�:THE STATE•BOARD OF•ACCOUNTS FQR TiktITY OF L 2002 i!d,Igl '!II''7 'll! I "ll`Il' I Id
II II I, 1 ,11 CHECK
1 1 1 o i Il�hl, u LJ IUI'I;I Iliri•`� "I!,I:I�''
X1 dl� GI I'VI e CII!I Il agip;l,�, Il�u!I
PAYABLE AT 71 $59�
t L i'� (THIRD BANK'I��!. Q
dn:; 1 1 1 41,�iq I� li ,illl uJ',Y FIFTH( JIb11 Hill, hl II':!I,..II�I iY; 4i�ll:. Il l I'llli':ad. i li l nl .d l�, l(ilq. 7017
G_ITY OF_ I IY11�1� VI'; l�r.�',1 ANA( IIa!1,1 lilli,;; 1111 ,I�as,ald'll 0!'I
r! Il -.I •".�I ,!I I .�I��I�I t, INDIANAP,OI'IS INDI I ,nln ,II yl,yl.
11!!11 I' 1,11,9 li!!I II nn ..j'e''iJ'! 4!ia ,i; +'1 4 .,L c L II�,111 .•1'!I I! 1 �il�l IVII!:1 N ,I' 'l,,
e 1i orve Civ>e sQUaRE: 11i11 aII 11111 �:,II!! !111! h� DATE n
li11312412009'
CARMEL; INDIANA 46032 I "!I'!' +i' Ih GENERAL ACCOUNTqu1 I� ;II "111, 1, I 1 oI ,II12�1�'! 1111'i.i!'1 !I''.
s i al. na1,,;1UV I 1
I1 iII ,11 11i 1:a III!:11 111111! Ill I'Y��.'�+ 11. 1 111111' II I''1�'ll 1 1 '1 VIII! 11�1 u11' �IIII!11111I111
11111!11 "i i11' I i '1�11'lll y111t �w1,1�,!1i. IIII,i11 111 r il l �111!i11� 11 ,'II 1� 1�1�'”
AMOUNT
Il ll'I �i;di�li.. q li Ill 1'�I�I 1 II!Ill'!�a'i:.)il1 J' i�11111 1I11i!rl!r ly 1'Jn I I l llllll �I� Ipilljll� i l i 4 il
I 11 p ii 1 1 1 11 1 l Y Ili I Illll irl A qc A
1,364.48
k II �k�k 1�1 I, N 11
P I tt I a
/'11 I II�t11��, I r
ONE
al ,rHaees�x,e'FauR ®I�1��'�'r8'aj_ I' '1111'111111�� l il l i l 1 11 1 1 11111 1 1 p,1 1 �1�
al,lr allhl,,.,� 1+
THIS WARRANT IS VOtD TWO (2) YEARS AFTER
1!'ll fl�pw� d1'p!I�IIh1 1 4 i' i urw t yell L Ij'( II r+Ull 1 11''';! 11 1 lr DECEMBER 31 OF THE YEAR OF ISSUE
I q'IuI 1 1 j'11'! q'11 I II 'a 111 n i, ll I 4d I 1� II'Ih Iq r�il I ,'I.
u1 111 1 w! r, 4+ 1 II I
111 1111 nm KMONON CENT
dllt�il a11111111�' ,11111 II}III"`i�911 111; 1 1 1 11 1 1 1,11, I11 1����11' 1 1 1, 11 �I�IIi11�I111111���ll'
Ta CARMEL CLAY. PARS -ER
nrljlt 11'I I'I'I' iii11! I,,. I 111,11!,' 'IrrJ'iIIjV11 11' r !Ililljl,l:i, ",1. CLERK- T, REASURER,III�:
The.' _C%O AURREY KOSTRZEWA I'a'n 1 1, 1111, r11b1 I 1JIr1n1 ,1 l n ,.1 1 „�1. 4 1 I ul
YI I. 1111 t!' II�jd 1 t IIJl I,1 j +111'.1 III II!I.1 1 Ir1 1 ll': II i,'I�li� r1, 1111. 1�l1+4�
OfClef M 1
1 11 1 i ii' ^F' Y P 1 I 'I'�ii' 1' +�!I. !lIr'I,Ih' au�gy' 1 1 Y ?I1Fli I i11� 1111 t, 1t „�11 Il i t !Il 1!� li 111 ,1 1 �!�i 1 1 t t;,Gu11 Ir 1 1 1 1!1,! Ili '111'Ii1
Of
1'ili1111111�.'�lp It 1 111' 1 PI 1 111 1 1 II Il 1 1 I�Ih1 IQllpl !1!1 VIII I 1 14!'.I I ,I!IIIiIl 1111 I 11 1r�,:J J 111 "Illi 11 Id1 III IIiI Ia x Y,,;jl;pu
II�?;F. i?I,. 111 !1 11 1 1 1 1 It g�.
1,11 IIF u ,I�111 r1,r11,r „L.,�, 11 i 111. 1:11 ill �,.�1,,�„ ..1+::131
'
Prescribed by Slate 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 ParkgoA?fd Recreation
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Membership Dues for PR 0907 $93.80
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 M LW10 9 WARRANT NO.
ar San ecreatioIn ALLOWED 20
Attn: ara Woolery IN SUM OF
1411E 116th Street
$93.80
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
bill(s) is (are) true and correct and that the
93.80 materials or services itemized thereon for
which charge is made were ordered and
received except
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund