HomeMy WebLinkAbout180018 12/08/2009 (9) CITY OF CARMEL, INDIANA VENDOR: 357888 Page 1 of 1
ONE CIVIC SQUARE CARMEL CLAY PARKS RECREATION CARMEL, INDIANA 46032 1411 E 116TH ST CHECK AMOUNT: $81.60
ATTN TARA WOOLERY CHECK NUMBER: 180018
CARMEL IN 46032
CHECK DATE: 121812009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4341980 12042009 81.60 WELLNESS PROGRAM
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ter
AT CENTRAL PARK
Date: [)eceniber 4, 2009
CitN of Carmel
One Civic Square
Carmel, IN 46032
317.571.5850
INVOICE 12042009
12.04.09 11/14/09 11/27/09 Membership Dues $o
$1,265.12
to cannel P;lrlksond
Rccl,
116
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Thank you for your business!
CITY OF CARMEL
Last (dame 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 Dan 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 Anthon Adult $11.82
Krcmery 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
McNutty 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
Rhodes Kenneth Adult, Adult $23.64
Rider Kevin Adult, Adult $23.64
Rouse
wUore- ,Lauraw
'f-
Schriner Adam Adult, Adult $23.64
Sharp Rick Household $32.12
Smith Jerry Household $32.12
Steury Kent Adult $11.82
Sutton Sean Adult $11.82
CITY OF CARMEL
Last Name First Name Pass Type Bi- Weekly Pymt
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 $19266.12
Name Payro embership _Employee City _T otal Due
Effectrv bate ate Type
Beck, Micah 10/23/2009 10/23/2009 (Adult 11.08 0.74 11.82
Blanchard, Jim 6/8/2007 06/01/07 Household 30.00 2. 132.12
Brant, Kenneth 3/14/2008 3/112008 Ad ult/Adult 22.16 1.48 123.64
Buhmann, Kevin 7/6/2007 07/01/07 Household 30.00 2.12 132.12
Campbell, R. Scott 6/8/2007 06/01/07 Household 130.00 2.12 1 32.12
Carter, Ron 4/11/2008 411/2008 Senior /Adult 1 18.00 1.20 119.20
Collins, Larry 1/2/2009 1/1/2009 Household 130.00 2.12 32.12
Cox, Justin 1 0/9/2009 10/1/2009 Adult 111.08 10.74 11.82
Coy, Sue 6/8/2007 06/01/07 Adult/Adult 22. 1.48 23.64
Daley, Penny 579/200 9172008 Household 30.00 2.12 32.1
Dietz, Aaron 6/6/2008 6/1/2008 Household 30.00 2.12 132.12
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 2.12 32.12
Fagin, Timothy 7/6/2007 07/01/07 Household 130.00 2.12 32.12
Gilbert, William 3/14/2 03/01/08 Adult/Adult 11.08 0.74 11.82
Green, Tim 7/6/2007 07/01/07 Household 130.00 2.12 32.12
Griffin, Tim 9/14/2 09/01/07 Adult/Ad 122.16 1.48 23.64
Griffiths, Pam 6/8/2007 06/01/07 Household 30.00 2.12 32.12
Hicks, Jeffrey 1/2/2009 01/01/09 Adult/Adult 22.16 1.48 23.64
Hollander, Greg 7/6/2007 07/01/07 Adult/Youth 18.00 1.20 19.20
Hollibaugh, Michael 7/6/2007 07/01/07 Household 30.00 2.12 32.12
Hughes, Deborah 1/1/2009 01/02/09 Household 30.00 2.12 32.12
Insenberger, Anthony 4/11/2008 04/01/08 Adult 11.08 0.74 11.82
Krcmery, Michelle 7/6/2007 07/01/07 Adult/Adult 122.16 1.48 23.64
Lafollette, Gary 6/8/2007 06/01/07 Adult 11.08 0.74 11.82
Lafollette, Sally 6/8/20 06/01/07 Adult 11.08 0.74 11.82
Lamb, Barb 11/9/2007 11/01/07 Adult/Adult 22.16 11.48 23.64
L Nam e ayro a Mem bership City Total D ue
irate Date _Type
rt 6/8/2007 06/01/07 Hous ehold 1 30.00 12.12 32.12
el 13/14/2008 3/1/2008 Adult 11.08 0.74 11.82 y 3/1/2009 2/27/2009 Adult 1 11.08 __0 111.82
Mascari, John 10/12/2007 10/01/0 A dult _1 X0.74 1 11.82
Massingill, Randy 9/12/2008 09/01/08 Adult 11.08 674 1 11.82
Mast, Darren 7/6/2007 07/01 /07 Adult 11.08 0.74 11.82
McNab, John 1/ 2/2009 01/01/09 Adult 11.08 _0.74 1 1.82
McNulty, Matt 11/20/2009 Household 30.00 2.12 32.12
.48
Meyer, Amanda 6/8/2007 06101/07 Aduit/Adult 22.16 1 23.64
Miller, Adam 7/6/2007 07/01/07 Adult 11.08 0.74 11.82
Mishler, Nicholas 9/28/2009 10/09/09 Adult 11.08 0.74 11.82
Myers, Brady 112/1/2008 12/05/08 H ousehold 30.00 2.1 32.12 0.7
Nicely, Wes 112/5/2008 12/01/08 Adult 11.08 4 11.82
O range, Dou 110/10/2008 10/01/08 Adult 11.08 0.74 11.82
Pattyn, Dawn 6/8/2007 06/01/07 Household 1 30.00 2.12 32.12
Phillips, Kerry 8/1/2008 08/01/08 Ad ult 11. 0.74 11 .82
Platt, Jace 6/8/2007 06/01/07 Adult 11.08 0.74 11.82
Rhodes, Kenneth 6/8/2007 06/01/07 Adult/Adult 22.16 1.48 23.64
Rider, Kevin 2/1/2008 02/01/08 Adult/Adult 22.16 1.48 23.64
Schriner, Adam 11/2/2009 01/01/09 lAdult/Adult 22.16 1.48 23.64
Sharp, Rick 10/10/2008 10/01/08 Adult 30.00 2.12 32.12
Smith, Jerry 2/1/2008 02/01/08 1 Household 30.00 2.12 32.12
Steury, Kent 3/1/2009 02/27/09 lA dult 11.08 0.74 11.8
Sutt Sean 12/7/2007 12/01/07 lAdult 11.08 0.74 11.82
Thomas, John 7/3/2008 7/1/2008 Adult/Adult 122.16 1.48 123.64
Tierney, Scott 6/8/2007 06/01/07 Household L3 0.00 2.12 32.12
Utzig, Chad 6/8/2007 06/01/07 1 30.00 2.12 132.12
Vanderbeck, David 4/11/2008 4/1/2008 Household 30.00 2.12 1 32.12
White, Robert 5/9/2008 5/1/2008 Household 30.00 2.12 32.12
Whitlow, Sean 5/22/2009 5/18/2009 Adult 11.08 0.74 11.82
I
1 1183.53 81.60 1265.12
L
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))
/a 9 �aoyaooq S ce o
Total a t. b v
I 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
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
Qo o/-fa00 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
Sig na ���e
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund