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206625 02/28/2012
CITY OF CARMEL, INDIANA VENDOR: L2367 Page 1 of 1 ONE CIVIC SQUARE CARMEL CLAY PARKS MONON CENTER CARMEL, INDIANA 46032 CIO AUDREY KOSTRZEWA CHECK AMOUNT: $353.19 CHECK NUMBER: 206625 CHECK DATE: 2/28/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 101 2367 .00 DED:361 MONON CNTR 1201 R4341980 21668 2012 -123 353.19 WELLNESS PROGRAM Carmel Clay Invoice Parks &Recreation Date Invoice 1411 E 116th Street Carmel, IN 46032 2/24/2012 2012 123 Bill To City of Carmel One Civic Square Carmel, IN 46032 Due Date 3/24/2012 Quantity Description Rate Amount For Feb. 24, 2012 Pay Date 46 Adult Pass (City of Carmel) 12.93 594.78 6 Youth or Senior Pass (City of Carmel) 8.50 51.00 32 Household Pass (City of Carmel) 35.08 1,122.56 D Q FEB 2 7 2012 By Remit to: Carmel Clay Parks Recreation Total Due 1411 E. 116th St. $1,768.34 Carmel, IN 46032 Questions? 317 573 -4025 Payment due 30 days from invoice date. corppass @carmelclayparks.com Please return a copy of invoice with payment. 09.23.11 (PR 1119) Motion Center Reconcilliation clly Pmi Mormon Conur Paso DlDnrnncn In elh Nan Payroll a.- nilhip Empl non oyee City Total Duo ct, I ne MM. a vase count I EHecHVe Date Type n Yrs HH Last Name Nama Ill Typo Bi -W-ill Pymt Aduk Yt1✓Sen HH I rrs MN Alvey Rick 7/2/2010 Household 1 28.06 7.02 35,08 Alvey Rick Household $35.08 1 50.00 LL 0 0 0 Arnona, 12111/2011 Adult Youth 1 1 17.14 4.29 21.43 Arnone IJ.n.t Adult, Youth $21.43 I 1 50.00 Barnes. David 12/28/2011 Senior /Adult 1 8.80 T. 8.50 Bames David Senior $8.50 1 $0.00 I I 0 o a Beck, Micah Adult 1.._ 10.34 2.59 12.93 Beck Micah Adult $12.93 Blanchard, Jim 6/8/2007 Household 1 28.08 7.02 35.08 Blanchard James Household $35.08 Brant, Kenneth 2/12/2010 Household 1 28.08 7.02 35.08 Brant Kenneth Household $35.08 1 $0.00 Breedlove, K. Michelle 8/17/2011 Household 1 28.08 7.02 35.08 Breedlove K. Michelle Household $35.08 1 $0.00 o o 0 Callahan, Mark 11/21/2011 Household 1 28.08 7.02 35.08 Callahan (Mark Household $35.08 1 $0.00 o o o Carter, Mark 2/10/2012 Adult Youth 1 1, 17.14 4.29 21.43 Carter Mark Adult, Youth $21.43 1 1 $0.00 o o 0 Carter, Ron 1 4/11/2008 Senior /Adult 1 t 17.14 4.29 21.43 Carter Ron Senior /Adult $21.43 1 1 $0.00 a Coffey Tim 12/24/2012 Adult 1 10.34 2.59 72.93 _Coffey Tim Adult $12.93 1 50.00 a Cooper, Jeffer 18/4/2010 f Household 1 28.08 7.02 35.08 Cooper Jeffrey Household $35.08 1 50.00 0 1 00 Cox Justin 110/9 /2000 Household 1 28.08 17.02 35.08 Cox Justin Household $35.08 1 50.00 0 I a Coy, Sue 8/8/2007 Adult 1,- 10.34 2.59 72.93 Coy Susan Household $12.93 i 30.00 0 0 Daile Penny 112/17/2010 Adult/Adult 2 20.69 15.17 25.86 Daley_( Penny Adult, Adult $25.86 2 Davis, William 3/14/2011 Adult 1 10.34 2.59 1 12.07 DeyLS William Adult $12.93 Dawson, Gre t1 /ta /2011 Adult Youth 1 1 17.14 4.29 21.43 Dawson Gregory Adult, Youth $2143 1 JE 50.00 _1 0 Deitsch, Marc 2/12/2010 Household 1 28.06 7.02 35.08 Deitsch Marc Household $35.08 1 $0.00 1 0 0 0 Dietz Aaron 8/8/2008 Adult 1 10.34 12.59 1 12.93 Dietz Aaron Adult $12.93 1 50.00 0 1 Drake, Carl 1519/2008 Adull 1 110.34 12.50 1 12.93 Drake Cad Adult $12.93 1 $0.00 o o I{ a Duff John 2/t 2/2010 Household .1 28.08 7.02 35.08 Duffy John Househol $35.08 1 50.00 a o EppGreg 12/2/2011 (Adult 1 10.34 2.59 12.93 E pp `Gregory Adult $12.93 1 $0.00 0 0 0 Fa Timoth 1/28/2011 Adult 1 70.34 2.SB 12.87 Fa Timothy Adult $12.93 1 $0.00 0 o 0 Faucet', Jose 8/27 /2010 Household 1 28.08 7.02 35.08 Faucett IJoseph Household $35.06 $0.00 1 1 o I o I o Gilbert. William 3/14/2008 1Adult /Adult �2 20.89 5.17 25.88 Gilbert William Adult $25.86 ia- $0.00 0 0 0 Gipson, Bruce 8/7/2011 Household 1 28,08 7.02 35.08 Gip Bruce Household $35.08 $0.00 o Green, Tim 8/9/2071 Household 1 28.06 7.02 35.08 Green Tim Household $35.08 0.00 0 0 0 Griffin, Tim 9/14/2007 Household 1 28.08 1 7.02 35.08 Griffin Tim Household $35.08 30.00 0 0 0 Griffiths, Pam 8/8/2007 Household 1 28.08 17.02 35.081 Griffahs Pamela Household $35.08 1 50.00 1 1 Grimes. Jeff 81912010 (Adult 1 10.34 2.SB 12.93 Grimes (Jeff Adult $12.93 50.00 �o �0 0 Harrin Michelle 3/14/2011 Household 1 28.08 7.02 35.08��Harnngton Michelle 1 Household I $35.08 I 7 �_I $0.00 _1 0I{ Heck. Nanc 2/2412011 Household 1 28.08 7.02 35.08 Heck Na ncy Household $35.08 1 $0.00 o o o Hicks, Jeffre 1/2/2009 AdulUAdull 2 20.89 5.17 25.86 Hicks Jeff Adult, Adult $25.86 2 50.00 u 0 1 0 0 Hollander. Gre 2/12/2010 Adult/Adult 2 20.89 5.77 25.88 Hollander Greg Adult, Adult $25.86 2 $0.00 0 o o Hollibau Michael 17/8/2007 Household 1 28.08 7.02 35.08 Hollibaug Michael Household $35.08 1 $0.00 o Keelin Adriene 7/1312011 Adult 1 10.34 1 2.59 12.03 Keeling 1Ad ienne Adult $12.93 1 1 50.00 o o Kirby Kurt 1/13/2011 HousMold 1 30.00 5.08 35.08 Kirby Kurt Household $35.08 1 $0.00 a 1 0 1 0 Lalollette, Sally 8/8/2007 }Household 7 28.06 17.02 35.08 Le Follette Gary Household $35.08 1 50.00 0 Liltle David 1/27/2012 Adult 1 10.34 2.59 12.93 Littlejohn David Adult $12.93 1 $0.00 o o I o Locke, Robert 18/8/2007 Household 1 28.08 17.02 35.08 Locke Robert Household M 11 1 $0.00 0 0 0 Luper, Michael 3/1412008 (Adult 1 10.34 12.59 l 12.93 Lu per ll `Michael Adult $12.83 1 $0.00 0 0 0 Maki, Sue 1 t!/ /2011 Adult 1 10.34 2.58 12.93 Maki Suzanne Adult $12.93 f $0.00 0 0 Marsh, Michael 110/25/2011 Adult 1 10.34 2.50 12.03 Marsh Michael Adult $12.93 1 $0.00 0 o a Mascari. John 11011212007 Adult 1 10.34 2.59 12.93 1 Mascari (John I Adult $12.93 1 $0.00 o 0 I 0 Massing Rand 19/12/2008 Adult 1 10.34 2.58 12.93 A cco y assin9ill Randy_( Adult $12.93 1 $0.00 0 0 Mast, Darren 17/8/2007 Adult 1 10.34 2.59 12.93 ast Dan, I J I Adult $12.93 1 $0.00 0 0 o McCoy David 111/1412011 Household 1 28.06 7.02 35.08 David Household $35.08 1 50.00 0 0 0 McNab, John 1/2/2009 Adult 1 10.34 2.59 12.93 McNab John Adult $12.93 1 30.00 0 o o Miller. Adam 7/8/2007 Adult 1 10.34 2.59 12.93 Miller lAdam Adult $12.93 1 $0.00 o o 0 Miller, Ken 14/23/2010 Senior /Adult 1 1 17.14 4.28 27.03 Mill Ken Sen "adAdull $2 1.43 1 i $0.00 Mishlar, Nick 9/3/2010 Household 1 28.08 7.02 1 35.08 Mishler Nick Household $35.08 1 $0.00 0 0 0 Morg Trent 1/15/2010 Adult 1 10.30 2.58 12.93 Mor gan Trent Adult $12.93 1 rad $0.00 0 0 0 My ers, B 12/1/2008 Household 1 28.08 7.02 35.08 Myers Bmdy Household $35.08 f $0.00 0 Neville, Katie 1/15/2010 Adult 1 10.34 2.59 12.97 Neville IKatie Adult $12.93 1 50.00 o o o Orange, Doug 10/10/2008 Adult 1 10.34 2.59 12.93 Orange Doug_ Adult $12.93 1 $0.00 0 0 0 Patlyn, Dam 8/8/2007 Household 1 28.06 7.02 35.08 Pattyn Dawn Household $35.08 1 $0.00 0 0 0 Pickett, Libb 8/23/2011 Adult 1 10.34 2.59 12.93 Pickett Libby_ Adult $12.93 1 $0.00 0 0 0 Pitman, Michael 2/t 2/2010 Household 1 28.06 7.02 35.08 PBman Michael Household $35.08 f 50.00 0 0 0 Platt, Jac. 818/2007 Adult 1 10.34 2.58 1 12.93 Platt Jace Adult $12.93 1 50.00 0 0 Rhodes, Kenneth 1 8/8/2007 AdulUAdull 2 20.88 5.17 25.88 Rhodes Kenneth Adult, Adult $25.88 2 $0.00 0 0 Rider, Kevin 2/1 /2008 AdulUAdull 2. 20.69 5.17 25.88 Rider Kevin Adult, Adult $25.86 2 $0.00 0 0 o Schriner. Adam 11/2/2009 Household 1 28.08 7.02 35.08 Schriner Adem Household $35 .06 1 $0.00 o a o Sharp Rick 10/10 /2008 Household 1 28.08 7.02 35.08 Sharp Rick Household $35.08 50.00 0 0 0 Smith, Jerr 211 /2008 Household 1 28006 7.02 35.08 Smiley Landry Household $35.08 1 50.00 o o Smiley, Landry 11/15/2010 Household t 28.08 7.02 35.08 Smith Jerry Household $35.08 1 50.00 0 o a Stsury, Kent 3/1/2009 Adult 1 10.34 2.59 12.93 Steury Kent Adult $12.93 1 50.00 o o o Thomas, John 71312008 Household 1 28.06 7.02 35.08 Thomas John Household $35.08 1 L $0.00 0 Thortlarson, Eri 10/25/2011 Adult Adult 2 20.89 5.17 25.86 Thordarson Enk Adult, Adult $25.86 2 $0.00 c a Tierney Scott 818/2007 Household 1 28.08 7.02 35.08 Tiemey Scott Household $35.08 f 50.00 0 0 Tolan, Brian 9/29/2010 Adult 1 10.34 2.59 12.93 Tolan Brian Adult $12.93 1 $0.00 o g, Uta had 6/8/2007 Household 1 28.06 7002 35,08 Ulzig Chad Household $35.06 f $000 o Whitlow. Sean 15/22/2009 IAdull 1 10.34 2.58 12.93 Wh81ow Sean Adult $12493 1 50.00 0 0 0 1 f 7,768.34 Total Monthly $1,788.34 $0,00 0 0 46 8 32 1418.37 351.97 1768.34 48 6 32 1415.15• 1353,19 11188.34 SUNGARD PENTAMATION, INC. PAGE NUMBER: 176 DATE: 02/22/2012 CITY OF CARMEL MODULE NUM: PAYCHK43 TIME: 10:50:41 DEDUCTION REGISTER CHECK DATE 02/24/2012 PAY RUN 204 PR 1204 #4 2012 361 MONON CENTER PAYROLL DED EMPLOYEE EMPLOYER EMPLOYEE EMPLOYEE NAME---- SUBJECT WAGES ACCOUNT DEPARTMENT DEDUCTION CONTRIBUTION ARREARS 765 ALVEY RICHARD 1,721.94 1602 28.06 .00 .00 250 ARNONE JANET 2,026.26 1115 17.14 .00 .00 3744 BARNES DAVID 2,389.77 2200 6.80 .00 .00 1026 BECK MICAH 1,734.24 1601 10.34 .00 .00 120 BLANCHARD JAMES 3,197.15 1192 28.06 .00 .00 730 BRANT KENNETH 2,624.38 1120 28.06 .00 .00 2603 BREEDLOVE KAREN 1,526.96 1602 28.06 .00 .00 75 CALLAHAN MARK 3,226.59 1120 28.06 .00 .00 2364 CARTER MARK 1,700.38 2201 17.14 .00 .00 610 CARTER RONALD 620.00 1401 17.14 .00 .00 2285 COFFEY TIM 2,547.26 2201 10.34 .00 .00 456 COOPER JEFFREY 2,436.96 651 28.06 .00 .00 2336 COX JUSTIN 2,803.31 1120 28.06 .00 .00 809 COY SUSAN 2,201.08 1201 10.34 .00 .00 1046 DALEY PENNY 1,952.34 1602 20.68 .00 .00 2638 DAVIS WILLIAM 2,374.00 2201 10.34 .00 .00 217 DAWSON GREGORY 2,901.10 1110 17.14 .00 .00 954 DEITSCH MARC 2,983.77 1120 28.06 .00 .00 316 DIETZ AARON 3,246.16 1110 10.34 .00 .00 413 DRAKE CARL 2,979.36 1120 10.34 .00 .00 479 DUFFY JOHN 4,164.66 601 28.06 .00 .00 985 EPP GREGORY 1,745.00 1601 10.34 .00 .00 2164 FAGIN TIMOTHY 2,815.96 1120 10.34 .00 .00 278 FAUCETT JOSEPH 2,672.39 651 28.06 .00 .00 2354 GILBERT WILLIAM 3,204.27 1110 20.68 .00 .00 870 GIPSON BRUCE 2,668.62 1120 28.06 .00 .00 39 GREEN TIMOTHY 4,199.26 1110 28.06 .00 .00 2167 GRIFFIN TIMOTHY 2,282.35 1120 28.06 .00 .00 2177 GRIFFITHS PAMELA 2,348.41 1202 28.06 .00 .00 566 GRIMES JEFFREY 2,645.92 1120 10.34 .00 .00 4766 HARRINGTON MICHELLE 1,210.00 1120 28.06 .00 .00 822 HECK NANCY 3,794.27 1203 28.06 .00 .00 1020 HICKS JEFFREY 2,355.75 2201 20.69 .00 .00 657 HOLLANDER GREGORY 2,665.66 1602 20.69 .00 .00 371 HOLLIBAUGH MICHAEL 4,156.20 1192 28.06 .00 .00 1015 KEELING ADRIENNE 2,592.58 1192 10.34 .00 .00 1034 KIRBY KURT 2,121.54 2201 28.06 .00 .00 69 LAFOLLETTE SALLY 1,895.77 1120 28.06 .00 .00 2203 LITTLEJOHN DAVID 2,200.08 1192 10.34 .00 .00 619 LOCKE ROBERT 3,978.85 1110 28.06 .00 .00 2265 LUPER II MICHAEL 2,126.22 1602 10.34 .00 .00 2419 MAKI SUZANNE 2,547.96 601 10.34 .00 .00 568 MARSH MICHAEL 2,773.00 1120 10.34 .00 .00 2063 MASCARI JOHN 2,179.54 1602 10.34 .00 .00 841_ MASSINGILL RANDY 2,506.12 1601 10.34 .00 .00 2286 MAST DARREN 2,267.68 1192 10.34 .00 .00 1057 MCCOY DAVID W. 2,209.98 1202 28.06 .00 .00 874 MCNAB JOHN 2,832.71 1120 10.34 .00 .00 575 MILLER ADAM 2,989.34 1110 11.08 .00 .00 3872 MILLER KEN 475.50 1207 17.14 .00 .00 3913 MISHLER NICHOLAS 1,636.96 1192 28.06 .00 .00 3846 MORGAN TRENT 1,470.48 1602 10.34 .00 .00 961 MYERS BRADY 3,594.07 1110 28.06 .00 .00 4326 NEVILLE KATHERINE 1,756.57 2200 10.34 .00 .00 SUNGARD PENTAMATION, INC. PAGE NUMBER: 177 DATE: 02/22/2012 CITY OF CARMEL MODULE NUM: PAYCHK43 TIME: 10:50:41 DEDUCTION REGISTER CHECK DATE 02/24/2012 PAY RUN 204 PR 1204 #4 2012 t 361 MONON CENTER PAYROLL DED EMPLOYEE EMPLOYER EMPLOYEE EMPLOYEE NAME---- SUBJECT WAGES ACCOUNT DEPARTMENT DEDUCTION CONTRIBUTION ARREARS 2176 ORANGE DOUGLAS 2,282.35 1120 10.34 .00 .00 817 PATTYN DAWN 1,683.46 1120 28.06 .00 .00 2113 PICKETT ELIZABETH 1,999.84 2200 10.34 .00 .00 962 PITMAN MICHAEL 3,325.86 1110 28.06 .00 .00 94 PLATT JACE 3,168.88 1120 10.34 .00 .00 2369 RHODES KENNETH 3,196.06 1602 20.69 .00 .00 3383 RIDER KEVIN 620.00 1401 20.69 .00 .00 1005 SCHRINER ADAM 2,310.03 1192 28.06 .00 .00 2140 SHARP RICHARD 620.00 1401 28.06 .00 .00 3450 SMILEY LANDRY 2,233.72 1110 28.06 .00 .00 2038 SMITH IV JERRY 2,278.88 1602 28.06 .00 .00 422 STEURY KENT 2,678.23 1120 10.34 .00 .00 2952 THOMAS JOHN 2,398.24 2200 28.06 .00 .00 4762 THORDARSON ERIK 1,910.49 1120 20.69 .00 .00 225 TIERNEY SCOTT 3,284.28 1120 28.06 .00 .00 2258 TOLAN BRIAN 2,806.14 1602 10.34 .00 .00 941 UTZIG CHAD 2,860.21 1120 28.06 .00 .00 979 WHITLOW SEAN 2,027.52 1602 10.34 .00 .00 TOTAL EMPLOYEES 72 175,960.87 1,415.15 .00 .00 T. 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)) 02/24/20 2012 -123 $353.19 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 Carmel Clay Parks and Recreation Monon Ce c/o Audrey Kostrzewa IN SUM OF 1411 E. 116th St. Carmel, IN 46032 $353.19 ON ACCOUNT OF APPROPRIATION FOR Carmel HR Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members Prior Year I hereby certify that the attached invoice(s), or 21668 2012 -123 43- 419.80 $353.19 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 Monday, February 27, 2012 Director, HR Title Cost distribution ledger classification if claim paid motor vehicle highway fund