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177595 09/29/2009 CITY (]FCARK8EL,INDIANA «swoo« L2367 Page 1 of 1 ONE CIVIC SQUARE oAmwsL CLAY pAmns'MowowoswTe/� CAnMEL. |No|awx*OU3u on^uonc,xoorxz *w �*s��OuwT� �n7�oz CHECK NUMBER: 177595 CHECK DATE: o/ooaooe ospAnrMsmT ACCOUNT PO NUMBER |mvo|osmum�sn AMOUNT osoon/Pnom 1201 434I980 87.32 WELLNESS PROGRAM The Mtonon$Center ATCENT RALPARK Date: September 25, 2009 City of Carmel One Civic Square Carmel, IN 46032 317.571.5850 INVOICE 09252009 `fir -r,�.F �O a.; pp53 09.25.09 09.05.09 09.18.09' Membershi Dues p $0 $1,364.82 irk 6u does�' l -t unf.l z .10 9 I, d 13ql.q ke; ;ail_ d'eck s to E ziT,Iiei Clay Parks and R3 -cr i ic. T. Send Carmel ,el (Ja Par:<< and N'- 1 ��1T;: .1 <u�a 1ti`oaiery 1411 If C Thank you for your business! 2"'Iny'e 4L� 1,3 y�. qa CITY OF CARMEL Last Name First Name Pass Type Start Date Bi- Weekly Pymt 1 Blanchard James Household 6/1/2007 $32.12 2 Brant Kenneth Adult, Adult 3/1/2008 $23.64 3 Buhmann Kevin Household 7/1/2007 $32.12 1 F 4 Burke Raphael Household 6/12/2009 $32.12 5 Campbell R. Scott Household 6/1/2007 $32.12 6 Carter Ron Senior /Adult 4/1/2008 $19.20 7 Collins Larry Household 1/2/2009 $32.12 8 Cooper Jeffrey Household 7/6/2009 $32.12 9 Cox Justin Adult 9/21/2009 $11.82 W 10� Yp 10 Co Gary Adult 10/1/2008 $11.82 11 Coy Susan Adult 5/2/2007 $11.82 j 12 Daley Penny Household 811/2008 $32.12 13 Dietz Aaron Household 6/1/2008 $32.12 1 4 Drake Carl Adult 5/1/2008 $11.82 15 Edwards Dan Household 3/1/2008 $32.12 16 Fa in Timothy Household 7/1/2007 $32.12 17 Gilbert William Adult, Adult 3/1/2008 $23.64 1 Green Tim Household 7/1/2007 $32.12 19 Griffin Tim Adult, Adult 8/1/2007 $23.64 20 Griffiths Pamela Household 6/1/2007 $32.12 21 Heck Nancy Household 7/1/2007 $32.12 22 Hicks Jeff Adult, Adult 1/1/2009 $23.64 23 Hollander Greg Adult, Youth 7/1/2007 $19.20 j 24 Hollibaugh Michael Household 7/1/2007 $32.12 I 25 Hughes Deborah Household 8/14/2009 $32.12 26 Isenberger Anthony Adult 9/1/07, 4!1/0 $11.82 27 Krcmery Michelle Adult, Adult 7/1/2007 $23.64 j 28 LaFollette Gary Adult 6/1/2007 $11.82 29 LaFollette Sally Adult 6/1/2007 $11.82 30 Lamb Barbara Adult/ Adult 11/1/2007 $23.64 31 Locke Robert Household 6/1/2007 $32.12 j 32 Luper 11 Michael Adult 3/1/2008 $11.82 3 3 Martin Candy Adult 3/1/2009 $11.82 I 34 Mascari John Adult 10/1/2007 $11.82 35 Massin ill Rand Adult 9/3/2008 $11.82 ,,�,w- 36 Mast g Darren Adult 7/1/2007 $11.82 I McNab John Adult 1/2/2009 $11.82 38 Meyer Amanda Adult, Adult 6/1/2007 $23.64 39 Miller Adam Adult 7/1/2007 $11.82 40 Miller Kenneth Adult, Adult 9/1/2008 $23.64 HH 12/1/2008 $32.12 41 Myers Brady 4 Nicley Wes Adult 12/1/2008 $11.82 43 Oran e IDoug Adult 10/1/2008 $11.82 CITY OF CARMEL Last Name First Name Pass Type Start Date Bi- Weekly Pymt 44 Patt n Dawn Household 6/1/2007 $32.12 Phillips Kerry Adult 8/1/2008 $11.82 4 Platt Jace Adult 6/1/2007 $11.82 47 Rhodes Kenneth Adult, Adult 6/1/2007 $23.64 48 Rider Kevin Adult, Adult 2/1/2008 $23.64 49 Rouse -De -yore Laura Adult 7/1/2007 $11.82 50 Schriner Adam Adult, Adult 12/1/2008 $23.64 51 Sharp Rick Household 6/1/2007 $32.12 52 Smith Jerry Household 2/1/2008 $32.12 53 Steury Kent Adult 3/1/2009 $11.82 54 Sutton Sean Adult 12/1/2007 $11.82 55 Thomas John Adult, Adult 7/1/2007 $23.64 56 Tierney Scott Household 6/1/2007 $32.12 57 Utzig Chad Household 6/1/2007 $32.12 58 Vanderbeck David Household 4/1/2008 $32.12 59 Wenger Garry Adult 12/1/2008 $11.82 J 60 White Robert Household 5/1/2008 $32.12 61 Whitlow Sean Adult 5/18/2009 $11.82 1 Total Months Bill $1,364.82 Name Payroll Sta Memb ership I Employee ity Total Due 1 Effectiv Date Date Type la Bnc hard, Jim 6 /8/ 06/ 01/07 Household 33 2 .1 30.00 j 2.12 2 I Brant Kenneth X3/1 4/2008 _3/1/2008 IA dulUAdult 22.16 148 364 Buh 7/6/ 07/01/07 Household 30.00 '2.12 2.12 1 urke, Ral 6%1 6/2009 Household 30.00 f 2.12 32.12 B Camp R. Scott 6/8/2007 06/01/07 Household 30.00 2.1 32.12 1 J_ Carter, Ron 4/11/2008 4%1/2008 _I Senior /Adult {18.00 11.20 19.20 Collins, Larry 12 Cooper, 2 ld h 1/2/2009 1/1/2009 H ouseo X30.00 1. 3 er, Jeffre 7/ 6/2009 -1 I -I- 1 p y lHousehold 30. 12.1 32.12 Coy, Sue 16/8/2007 106/01/07 AdulUAdul 22.16 11.48 23.6 Dale Penn 5/9/2008 5/1%2008 y, y Household_ 30.00_ 2.12 32.12 Dietz, Aaron 16/6/2 6 /1/2008 Hous ehold 30.00 2.12 32.12 Drake, Carl 15 /9/2008 5/1/2008 Adult 11.08 0.74 11.82 Edwards, Dan _1 3/14/2 0 08 3/1/2008 Househ 3 0.00 2.12 32.12 Fagin, Timothy 17/6/2007 07/01/07 Household _130.00 _12.12 32.12 Gilbert, William 3/14/2008 1 Adult/Adult 03/01/08 2 2. 16 .4 8 2 3.64 Gre Tim 7/6/20 0 7 7/01/07 L- I 1 r 0 Household 12.12 132.12_ I Griffin, Tim _19/1 1 09/01/07 1Adult/Adult_ 22.16 1.48 23.64 Griffiths, Pam 6/8/2007 06/01/07 Household 130. 12 32.12 Heck, Nancy 17/6/2007 _107/ Household 130.00 1 2.12 32.12 Hicks, Je ffrey 11/2/2009 101/01/09 Adult/Adult 22.16 11.48 23.64 Hollander, Greg 17/6/2007 07/01 /07 Adult/Youth 18.00 1.20 19.20 Hollibaugh, Michael 1716/ 07/01/07 Household !30 2.12 3 2.12 1 Hughes, Deborah 1/1/2_0 101/02/09 Househ 130.00 2.12 32.1_2 I- 1 Insenberger, Anthony 1 4/11/2008 04/01 Adult 111 .08 0.74 111.82 1 Krcmery, Michelle 7/6/2007 107/01 Adult/Adult 12 2.16 1.48 123.64 1 1 1_ Lafollette, Gary 16/8/20 06/01/07 jAdult 111_08__ 0.74 11.82_ 1 1 Lafoll Sally 6/8/2 106/01/07 Adult 111.08 0.74 111.82 Lamb, Barb 11/9/2007 111/01/07 IAdulUAdult 122.16 11.48 123.64 1 Name gyro 13tart IM embership Em ploye e City (Total Due Effective Date Date Type I-- -I` Locke, R obert 1 6/8/2 0 07 06 /01/07 Household 130.00 12 .12 1 3 2 .12 _1 3/1/2008 Adult Luper, Michael 14/2008 11.08 1 0.74 1 11.82 Martin, Candy _13/1 j X 2/27/2009 Adult 11 10.74 711.82 Masc;;n, John 110112/2007 110/01/07 Adu 11. 10.74 111.82 Massingill, Randy 9/12/20 09(01/08 Adult 11.08 10.74 111.8 Mast, Darren 7/6/200 1 07/01/07 Adult 11.08 0 .74 McNab, John 1/2/2009 01/01/09 Adu 11.08 _�.74 11.82 Mey er, Amanda 6/8/2007 106/01/07 Adult/A 22.16 11.4 123 .64 Miller, Adam 7/6/2007_ _107/01/07 Adult 11.08 10.74 11.82 1 I 1 Miller, Ken 1 9/12/2008 109/01/08 Adult/Adult 122 1.48 23.64 Myers, B rad y 12/1 _112/05/08 Household 30.00_ 2.12 32.12 Nicely, Wes 12/5/2008 12/01/08 Adult 11.08 40.74 11.82 f Or ange, Doug 1 10/10/2008 10/01/08 Adu 11.08 0.74 111 .82 Pattyn, Dawn 16/8/2007 06/01/07 30.00 2.12 132.12 Phillips, Kerry 8/ 1/200 8 08/01/08 Adult 11.0 0.74 1 1. 82 Platt, Jace {6/8/2007 06/01/07 Adult 11.08 0.74 111.82 Rhodes, Kenneth 6/8/2007 06/01/07 Adult /Adult 2 2.16 1.48 123.64__ 1 Rider, Kevin 2/1/2008 02/01/08 Adu It/Ad uIt 1 22.16 1.48 23.64 1 Rouse- DeVor Laura 3/14/2008 03/01/08 Adult 111.0 __1 11.82 1 Schriner, A dam 1 /2/2009 01/01/09 A dult/Adult 1 22 .16 11.48 23.64 1 i_ Sharp, Rick 10/10/2008 1 10/01/08 A Adult 30. 2.12 13 2.12 Sm ith, Jerry 2/1/2008 102/01/08 Household _30.00 12.12 32.12 Ste ury, Kent 13/1/2009 02/27/09 lAdult 1 11.0 8 10.74 11_ Sutton, Sean __1 2/7/2007 12/01/07 Adult 11.0 10.7 111.82 Thomas, John 7/3/2008 7/1/2008 Adult/Adult 22 1.48 23.64 1 Tierne Scott 16/8/200_7 06/01/07 Househol 130.00 _12. 32.12 1 lJtzig Chad 6/8/2007 06/01/07 Household 30.00 2.12 32.12 1 1 Vanderbeck, David 1 4/11/2008 4/1/2008 Household 30.00 2.12 32.12 i 1 Wenger, Garry 112/5/2008 12/1/2008 Adult 111.0_8_ 0.74 111 .82 _White, _R obert 5/9 /2008 5/1/2008 H ousehold 30.00_ 2.12 32.12 Whitlo Sean 5/22/2 5/18/2009 Adult__ 11 0.74 11_82 1 1265.68 187.32 I 1 --/10 aeda i7a1 �)QCQu.se or) loU SUNGARD PENTAMATION, INC. PAGE NUMBER: 237 DATE: 09/22/2009 CITY OF CARMEL MODULE NUM: PAYCHK43 TIME: 12:32 :52 DEDUCTION REGISTER CHECK DATE 09/25/2009 j PAY RUN 920 PR0920 361 MONON CENTER PAYROLL DED EMPLOYEE EMPLOYER EMPLOYEE EMPLOYEE NAME---- SUBJECT WAGES ACCOUNT DEPARTMENT DEDUCTION CONTRIBUTION ARREARS 120 BLANCHARD JAMES 2,996.61 1192 30.00 .00 .00 730 BRANT KENNETH 2,587.71 1120 22.16 .00 .00 557 BUHMANN KEVIN 2,299.77 651 30.00 .00 .00 2633 BURKE RAPHAEL 1,467.56 2201 30.00 .00 .00 2157 CAMPBELL ROBERT S 2,291.58 601 30.00 .00 .00 610 CARTER RONALD 620.00 1401 18.00 .00 .00 485 COLLINS LARRY 2,843.85 1110 30.00 .00 .00 456 COOPER JEFFREY 2,730.19 651 30.00 .00 .00 809 COY SUSAN 1,981.08 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 3,539.95 1120 11.08 .00 .00 732 EDWARDS DANIEL 3,560.89 1120 30.00 .00 .00 2164 FAGIN TIMOTHY 3,012.68 1120 30.00 .00 .00 2354 GILBERT WILLIAM 2,097.96 1110 22.16 .00 .00 39 GREEN TIMOTHY 3,518.58 1110 30.00 .00 .00 2167 GRIFFIN TIMOTHY 2,387.29 1120 22.16 .00 .00 2177 GRIFFITHS PAMELA 2,190.54 1202 30.00 .00 .00 822 HECK NANCY 3,651.62 1160 30.00 .00 .00 1020 HICKS JEFFREY 1,620.10 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 1,467.56 1301 30.00 .00 .00 3000 ISENBERGER ANTHONY 1,295.88 1602 11.08 .00 .00 2341 KRCMERY MICHELLE 2,026.84 1160 22.16 .00 .00 115 LAFOLLETTE GARY 1,791.96 651 11.08 .00 .00 69 LAFOLLETTE SALLY 1,750.85 1120 11.08 .00 .00 613 LAMB BARBARA 3,394.12 1201 22.16 .00 .00 619 LOCKE ROBERT 2,370.50 1110 30.00 .00 .00 2265 LUPER II MICHAEL 1,826.87 1602 11.08 .00 .00 3924 MARTIN CANDY 1,399.44 1192 11.08 .00 .00 2063 MASCARI JOHN 2,030.27 1602 11.08 .00 .00 2286 MAST DARREN 2,298.28 1192 11.08 .00 .00 874 MCNAB JOHN 2,848.62 1120 11.08 .00 .00 1009 MEYER AMANDA 406.50 1115 22.16 .00 .00 575 MILLER ADAM 2,532.37 1110 11.08 .00 .00 3872 MILLER KEN 382.63 1207 22.16 .00 .00 961 MYERS BRADY 2,562.74 1110 30.00 .00 .00 2169 NICLEY WES 2,329.08 1120 11.08 .00 .00 2176 ORANGE DOUGLAS 2,713.36 1120 11.08 .00 .00 817 PATTYN DAWN 1,511.23 1120 30.00 .00 .00 3620 PHILLIPS KERRY 2,282.48 1115 11.08 .00 .00 94 PLATT JACE 3,110.32 1120 11.08 .00 .00 2369 RHODES KENNETH 2,640.67 1602 22.16 .00 .00 3383 RIDER KEVIN 620.00 1401 22.16 .00 .00 2347 ROUSE DEVORE LAURA 582.58 1192 11.08 .00 .00 1005 SCHRINER ADAM 4,709.76 1192 22.16 .00 .00 2140 SHARP RICHARD 620.00 1401 30.00 .00 .00 2038 SMITH IV JERRY 2,139.64 1602 30.00 .00 .00 422 STEURY KENT 2,649.91 1120 11.08 .00 .00 2171 SUTTON SEAN 2,233.79 1120 11.08 .00 .00 2952 THOMAS JOHN 2,103.84 2200 22.16 .00 .00 225 TIERNEY SCOTT 3,041.45 1120 30.00 .00 .00 941 UTZIG CHAD 2,763.67 1120 30.00 .00 .00 SUNGARD PENTAMATION, INC. PAGE NUMBER: 238 DATE: 09/22/2009 CITY OF CARMEL MODULE NUM: PAYCHK43 TIME: 12:32:52 DEDUCTION REGISTER CHECK DATE 09/25/2009 PAY RUN 920 PR0920 361 MONON CENTER PAYROLL DED EMPLOYEE EMPLOYER EMPLOYEE EMPLOYEE NAME---- SUBJECT WAGES ACCOUNT DEPARTMENT DEDUCTION CONTRIBUTION ARREARS 621 VANDERBECK DAVID 2,333.47 1110 30.00 .00 .00 2268 WENGER GARRY 2,751.27 1115 11.08 .00 .00 362 WHITE ROBERT 2,366.80 1110 30.00 .00 .00 979 WHITLOW SEAN 2,631.22 1602 11.08 .00 .00 TOTAL EMPLOYEES 58 133,304.15 1,254.60 .00 .00 Prescribed by State Board. d 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 Q Oarm4 alct 7'U�-lrtSS Y IIJCI �lo n Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) q 0 9 5aoo9 87� 3 5 4 O Total 9 7, 3 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 8 7. 3 a ON ACCOUNT OF APPROPRIATION FOR l2 Dl Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or !2 D q,2 5-? 60 q1q. S 97.3 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 d820o r r r gna *u l dm/I91 7 lUY� Cost distribution ledger classification if Titl claim paid motor vehicle highway fund