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Home My WebLink About170225 03/31/2009 CITY OF CARMEL, INDIANA VENDOR: 146500 Page 1 of 1 ONE CIVIC SQUARE INDIANA DEPT OF WORKFORCE CARMEL, INDIANA 46032 DEVELOPMENT CHECK AMOUNT: $5,881.99 PO BOX 847 CHECK NUMBER: 170225 INDIANAPOLIS IN 46206 -0847 CHECK DATE: 3/31/2009 DEPARTMENT ACCOUN PO N UMBER INVOICE NUMBER AMOUNT DESCRIPTION 101 5023990 2, 777. 64 ANEMPLOYMENT. 1125 841100.00 19678 133438 3,104.35 UNEMPLOYMENT CLAIMS v 133438 -1 INDIANA DEPARTMENT OF WORKFORCE DEVELOPMENT BENEFIT ADMINISTRATION, 10 NORTH SENATE AVENUE, INDIANAPOLIS, IN 46204 -2277 Toll free 1- 800 -891 -6499 Marion County 232 -7436 STATEMENT OF BENEFIT CHARGES (FORM 535) CONFIDENTIAL RECORD PURSUANT TO IC 22- 4 -19 -6, IC 471-66 Page 1 CITY OF CARMEL F �MAR 77 Ti, ACCOUNT/ A TTN CLERK TREASURER LOCATION NUMBER 133438 -000 ONE CIVIC SO 2009 REPORTING MONTH FEB, 20 09 CARMEL IN y6032 2584 NETCHARGES $5 ,881 .99 POSTING DATE MAR -08, 2009 The receipt of this statement (Form 535) does not. reopen the question of the claimant's, eligibility for unemployment insurance since, before any payments were made the employer had the opportunity and the responsibility to report any information which could disqualify the claimant. S0 IAL BENEFIT AI FOR SECURITY YEAR END CLliIM RANSACTION WEEK AMOUNT NUMBER EMPLOYEE'S NAME DATE LEVEL DATE. ENDING I ACO CHARGED THIS IS NOT A BILL OR A REQUEST FOR MONEY DUE TO THIS DEPARTMENT. it is a statement of benefit charges made to your account during the "reporting" month. At the end.of the "posting" month, you Will receive a Reimbursable Bill (Form 1067 for these charges and any previous liability still outstanding. NEW CHARGES FOR THE REPORTING MONTH 02/09 S L MINNICK 12/26/09 REG 02/02/09 01/31/09 244.,00 L MINNICK 12/26/09 REG OZ/09/09 02/07/09 244.00 a L MINNICK G✓ 12/26/09 REG 02/15/09 02/14/09 X S L MINNICK 12/26/09 REG 02/22/09 02/21/09 244.00 E 0 EDEDUWA 07/25/09 REG 02%02/09 01/31/09 �I 389. 4 D C FEY 08/01/09 REG 02/01/09 01/31/09 `r� E 47. 0 V A DOLAN 03/21/09 REG 02/04/09 01/31/09 390.00 V A DOLAN 03/21/09 REG 02/12/0-9 02/07/09 �j 390.00' V A DOLAN 03/21/09 REG 02/18/09 02/14/09 390.00 V'A DOLAN 03/21/09 REG 02/24/09 02/21/09 390.00 l 3 S .JONES 08/29%09 REG 02/25/09 01/24/09 86.70 2 M BROWN 12/19/09 REG 02/09/09 01/24/09 287.00 2 M BROWN 12/19/09 REG 02/09/09 01/31/09 287.00 E M BROWN fnC_ 12/19/09 REG 02/09/09 02/07/09 t� 287.00 E M BROWN 12/19/09 REG 02/15/09 02/14/09 287.00 E M BROWN 12/19/09 REG 02/23/09 02/°21/09 165.65 M R EDWARD 10/31/09 REG 02/02/09 01/31/09 175.00 M R EDWARDS 10/31/09 REG 02/09/09 02%07/09 17.5.00 M R EDWARDS 10,/31/09 REG 02/16/09 02/14/09 175.00 f M R EDWARDS 10/31/09 REG 02/24/09. 02/21/09 175.00 K S BRENNAN 08/01/09 REG 02/03/09 01/31/09 390.00 K S BRENNAN 08/01/09 REG 02/10/09 02/07/09 390.00 L S BAILEY V 04/04/09 REG 02/03/09 01/31/09 8,p0 TOTAL NEW CHARGES FOR THE REPORTING MONTH 02/09 5,881.99 TOTAL AMOUNT OF NET CHARGES 5,861.99 END. OF BENEFIT CHARGE STATEMENT An in the ACC, column denotes a charge resulting from an acquisition of another business. ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 146500 Indiana Dept. of Workforce Development Terms 10 North Senate Ave., SE106 Date Due Indianapolis, IN 46204 -2277 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 318109 133438 Benefit charges Feb'09 3,104.35 PA` ALL ;OUT; O;F 101x; er�Michael 11/20/08, Total 3,104.35 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 1 20 Clerk- Treasurer Voucher No. Warrant No. 146500 Indiana Dept. of Workforce Development Allowed 20 10 North Senate Ave., SE106 Indianapolis, IN 46204 -2277 In Sum of i� 3,104.35 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO# or INVOICE NO. ACCT 1 AMOUNT Board Members Dept TITLE 19678 133438 4110000 3,104.35 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 25 -Mar 2009 Signature 3,104.35 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No- 201 (Fev. 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)) fy'c G Total 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 U C/ V ov I N S M O F$ ON ACCOUNT OF APPROPRIATION FOR F� Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I 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 20 Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund