HomeMy WebLinkAbout170700 04/14/2009 CITY OF CARMEL, INDIANA VENDOR: 362746 Page 1 of 1
ONE CIVIC SQUARE MICHAEL LUX
CHECK AMOUNT: $901.44
CARMEL, INDIANA 46032 684 YORK PACE
FISHERS IN 46038 CHECK NUMBER: 170700
CHECK DATE: 4/14/2009
DEPARTMENT ACCOU PO NUMBER INVOICE NUMBER A MOU N T DES CRIPTION
301 T� 502.3990 901.44 H INS OVERPAYMENT REF
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SUNGARD PENTAMATION, INC. PAGE NUMBER: 1
DATE: 0 4/13/2009
CITY OF CARMEL MODULE NUM: PAYPR053
TIME: 15 :53:31 CONCISE CHECK HISTORY REPORT
SELECTION CRITERIA: employee.empl_no =89 and checkhis- iss_date between '01/01/2009' and '12/31/2009'
EARNINGS DEDUCTIONS
CODE TITLE HOURS AMOUNT ORGN PROJECT CLASS CODE TITLE AMOUNT EMPLOYER
CHECK NUMBER V24205 CHECK DATE 01/02/2009 TRANS DATE 12/26/2008
EMPLOYEE 89 MICHAEL LUX
101 REGULAR 112.00 1033 V T wT[A 175.68 175.68
120 HOLIDAY 7.00 1033
*SIN ST TAXES
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256 H -Emr/
257 B- FAMILY 112.68 697.58
265 FAM DENTAL 10.72 32.17
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TOTAL CHECK 119.00 3,136.38 3,136.38 1,629.91
.00 VOUCHER
CHECK NUMBER V628 CHECK DATE 01/16/2009 TRANS DATE 01/09/2009
EMPLOYEE 89 MICHAEL LUX
101 T, ULAR 112.00 1033 *FI FICA 239 -96 239.96
106 12.00 1033
110 16.00 1033
120 HOL 24.00 J 1033 lun.4y u
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256 B- EMP /CHLD 1 69.00 427.19
257 S- FAMILY 112.68 697.58
265 FAM DENTAL 10.72 32.17
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aoTnr_ uzvn 5.00 .00
TOTAL CHECK 164.00 4,173.11
.00 VOUCHER
SUNGARD PENTAMATION, INC. PAGE NUMBER: 2
DATE: 04/13/2009
CITY OF CAP-MEL MODULE NUM: PAYPR053
TIME: 15 :53:31 CONCISE CHECK HISTORY REPORT
SELECTION CRITERIA: employee.empl no =89 and checkhis.iss_ date between '01/01/2009' and 1 12/31/2009 1
EARNINGS DEDUCTIO N S
CODE TITLE HOURS AMOUNT ORGN PROJECT CLASS CODE TITLE
AMOUNT EMPLOYER J
CHECK NUMBER V1506 CHECK DATE 01/30/2009 TRANS DATE 01/23/2009
EMPLOYEE 89 MICH "T. T.ITX
101 REGULAR 112.00 1033 *FI FICA 183.74 183.74
120 HOLIDAY 17.00 1033 *FM MEDICARE 42.97 42.97
*FT FEDERAL 260.57 .00
92-96 .00
257 B- FAMILY 112.68 697.58
265 FAM DENTAL 10.72 32.17
9'7(1 v 7r nTCr _c nn 00
362 SPTNG HERO 5.00 .00
TOTAL-CHECK 129.00 3,266.38 J,Zbb.Jb 1,4Utl.bn
.00 VOUCHER
CHECK NUMBER V2438 CHECK DATE 02/13/2009 TRANS DATE 02/06/2009
EMPLOYEE 89 MICHAEL LUX
101 REGULAR 112.00 1033 *FI FICA 173.41 173.41
106 OVT -HT 4.00 1033
mrnTrni7R 40.56 40.56
*T9Q (-TV TDX fill
220 MED FSA 115.38 .00
256 B- EMP /CHLD 69.00 427.19
257 B- FAMILY 112.68 697.58
265 FAM DENTAL 10.72 32.17
24.80 .00
5.00 .00
1
TOTAL CHECK 116.00 3,099.76
.00 VOUCHER
CHECK NUMBER V2951 CHECK DATE 02/19/2009 TRANS DATE 02/14/2009
EMPLOYEE 89 MICHAEL LUX
146 SICK PYOUT 8.00 1033 *FI FICA 17.65 17.65
*FM MEDICARE 4.13 4.13
*FT FEDERAL .00 _00
*SIN ST TAXES 7.06 .00
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TOTAL CHECK 8.00
.00 VOUCHER
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SUNGARD PENTAMATION, INC. PAGE NUMBER: 3
DATE: 04/13/2009 CITY OF CARMEL MODULE NUM: PAYPRO53
TIME: 1 5:S3:31 CONCISE CHECK HISTORY REPORT
SELECTION CRITERIA: employee. empl no =89 and checkhis.iss_ date between '01/01/2009' and '12/31/2009'
EARNINGS DEDUCTIONS
CODE TITLE HOURS AMOUNT ORGN PROJECT CLASS CODE TITLE AMOUNT EMPLOYER
CHECK NUMBER V3594 CHECK DATE 02/27/2009 TRANS DATE 02/20/2009
EMPLOYEE 89 MICHAEL LU"
101 REGULAR 112 -00 1033 *FI FICA 170.04 170.04
f *FM MEDICARE 39.77 39.77
*FT FEDERAL 227.42 .00
*SIN ST TAXES 85.45 .00
*T29 CTY TAX 25.13 .00
217 PENSION 102.59 .00
220 MED FSA 115.38 .00
256 3- EMP /CHLD 69.00 427.19
257 B- FAMILY 112.68 697.58
wAM DENTAL 10.72 32.17
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362 en
989 i r
999
TOTAL CHECK 112.00 3,045.38
.00 VOUCHER
CHECK NUMBER V4528 CHECK DATE 03/13/2009 TRANS DATE 03/06/2009
EMPLOYEE 89 MICHAEL LUX
101 REGULAR 112.00 1033 *FI FICA 173.41 173.41
106 OVT -HT 4.00 1033 *FM MEDICARE 40.56 40.56
*FT FEDERAL 204.83 .00
*SIN ST TAXES 87.29 .00
*T29 CTY TAX 25.67 .00
205 LIFE INS. .00 6.20
217 PENSION 102.59 .00
220 MED FSA 115.36 .00
256 B- EMP /CHLD 69.00 427.19
257 B- FAMILY 112.68 697.58
265 FAM DENTAL 10.72 32.17
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no
TOTAL CHECK 116.00
.00 VOUCHER
SUNGARD PENTAMATION, INC. PAGE NUMBER: 4
DATE: 04/13/2009 CITY OF CARMEL MODULE NUM: PAYPRO53
TIME: 1 5:53:31 CONCISE CHECK HISTORY REPORT
SELECTION CRITERIA: employee. empl no =89 and checkhis.iss date between 1 01/01/2009' and '12/31/2009'
EARNINGS DEDUCTIONS
CODE TITLE HOURS AMOUNT ORGN PROJECT CLASS CODE TITLE AMOUNT EMPLOYER J
CHECK NUMBER V5446 CHECK DATE 03/27/2009 TRANS DATE 03/20/2009
EMPLOYEE 89 MIC!
101 REGULAR 112.00 1033 *FI FICA 170.04 170.04
*FM MEDICARE 39.77 39.77
*FT FEDERAL 196.67 .00
*SIN ST TAXES 85.45 .00
*T29 CTY TAX 25.13 .00
217 PENSION 102.59 .00
220 MED FSA 115.38 .00
256 B- EMP /CHLD 69.00 427.19
257 B- FAMILY 112.68 697.58
265 FAM DENTAL 10.72 32.17
-5.00 .00
TOTAL CHECK 112.00 3,045.38
.00 VOUCHER
CHECK NUMBER V6397 CHECK DATE 04/10/2009 TRANS DATE 04/03/2009
EMPLOYEE 89 MICHAEL TT-
101 REGULAR 112.00 1033 *FI FICA 173.41 173.41
106 OVT -HT 4.00 1033 *FM MEDICARE 40.56 40.56
*FT FEDERAL 204.83 .00
*SIN ST TAXES 87.29 .00
*T29 CTY TAX 25.67 .00
205 LIFE INS. .00 6.20
217 PENSION 102.59 .00
220 MED FSA 115.38 .00
256 B- EMP /CHLD 69.00 427.19
257 B- FAMILY 112.68 697.58
265 FAM DENTAL 10.72 32.17
989 FID
999 KE
TOTAL CHECK 116.00 3,099.76
.00 VOUCHER
TOTAL VOID .00 .00 .00 .00
.00
TOTAL MANUAL .00 .00 .00 .00
.00
TOTAL REGULAR 992.00
.00
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))
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V
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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
IN SUM OF
u /A/ V6 v 3
>/Y
ON ACCOUNT OF APPROPRIATION FOR
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Board Members
Pats or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
/Q0 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
/Y 209
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund