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206991 03/13/2012
CITY OF CARMEL, INDIANA VENDOR: L2367 Page 1 of 1 ONE CIVIC SQUARE CARMEL CLAY PARKS -MONON CENTEP CHECK AMOUNT: $372.89 r' CARMEL, INDIANA 46032 C/O AUDREY KOSTRZEWA CHECK NUMBER: 206991 CHECK DATE: 3/13/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 R4341980 21668 2012 -129 372.89 WELLNESS PROGRAM Carmel o clay Invoice Parks &Recreation Date Invoice 1411 E 116th Street Carmel, IN 46032 3/9/2012 2012 129 Bill To City of Carmel One Civic Square Carmel, IN 46032 Due Date 4/9/2012 Quantity Description Rate Amount For March 9, 2012 Pay Date 0 �Z 4f— Adult Pass (City of Carmel) 12.93 6 594:78 5 —6•- Youth or Senior Pass (City of Carmel) 8.50 54-8Q 3� —32- Household Pass (City of Carmel) 35.08 122 Fa 1 192- -?Z D Q MAR 12 2012 By Remit to: Carmel Clay Parks &Recreation Total Due 1411 E. 116th St. 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 (PR1119) Monon Center Reconcilliation G7 POn ■o�nn C P.w 0 I1N..n.e In cur Name Payroll Membership 0° I Employee City Total Due c 1 L end ceum P... Effective Date T 'A^ y/s HH Lest Name Name Pa.. Type BI- Weakly Pymt Adult Ylh/S nom, HH vrs HH Alve Rick 712/2010 Household �1 28.08 17.02 1 35.08 Alvey Rick Household $35.08 1 30.00 I- o -1 0 0 Arnone. Janet 13/11/2011 Adult /Youth 3' j' 17.14 14.29 1 21.43 Amone Janet Adult, Youth $21.43 7 1 $0.00 o o Barnes, David 112/2812011 Senio r /Adult j 6.80 1.70 8.50 Bames David Senior $850 1 $0.00 0 o 0 Beck. Micah 12/14/2011 (Adult 10.34 2.59 12.83 Beck Micah Adult $12.93 I 1 $0.00 0 0 o Blanchard, Jim 1618/2007 Household 1 28.06 7.02 1 35.08 F lanchard James Household $35.08 I 1 5000 0 0 0 Brant, Kenneth 2/12/2010 Household 1' 28.06 17.02 1 35.08 Brant Kenneth Household $35.08 1 50.00 0 0 0 Breedlove, K. Michelle 8/17/2011 Household 28.06 7.02 35.08 Breedlove K. Michelle Household $35.08 11 $0.00 0 o a Callahan, Mark 1/21/2011 Household :1 28.08 7.02 35.08 Callahan Mark Household $35.08 $0.00 0 0 0 Carter. Mark 2/10/2012 Household _j 26.06 7.02 35.08 Carter Mark Household $35.08 Carter, Ron 4/11/2008 Senior /Adult 1 1 17.14 4.29 21.43 _Carter Ron Senior /Adult $21.43 1 1 $0.00 o o L o Cooper, Jeffe 6/42010 Household 1 28.06 7.02 35.08 Cooper Jeffrey Household $35.08 1 $0.00 0 0 0 Cox, Justin 10/9/2009 Household 1 28.08 7.02 35.08 Cox Justin Household $35.08 1 $000 0 0 0 Coy. Sue 6/8/2007 Adult 1 c• 10.34 2.59 12.83 Coy Is San Household $12.93 7 S0.00 1_ 0 0 0 Daile P _112117/2010 Adult/Adult •2 20.69 5.17 25.86 _Daley (Penny Adult, Adult_ $25.86 2 1 1 C tt $0.00 1 0 0 0 Davis, William 1 Household 1 28.08 7.02 35.08 Davis I William I Household $35.08 1 1 $0.00 o 1 o o Dawson, Gre 11/142011 Adult Youth 7 1 17.14 4.29 21.47 Dawson Greg Adult, Youth $21.43 1 1 $0.00 0 0 0 5 eilsch. Marc 2/1272010 Household h 1 28.06 7.02 75.08 Deitsch IMarc Household $35.08 1 $0.00 1 0 0 0 Dietz, Aaron 1 6/6 /2008 Adult 1 10.34 2.59 12.93 Dietz Aaron J Adult $12.9 $0.00 a o 0 Drake, Can 15/9/2008 Adult t'j�'. 10.34 2.59 72.83 Drake Can Adult $12.93 1 $0.00 1 a 0 0 Duffy, John 2/12/2010 Household j 28.06 1 7.02 1 35.08 Duffy John Household $35.08 1 $0.00 0 0 0 Epp, Gre 122/2011 Adult 1 10.34 12.59 12.93 Epp Gregory Adult $1 2.93 1 $0.00 0 0 0 Fag in, Timoth 1/28/2011 Adult 1 10.34 2.59 12.93 IFag [Timoth Adult $12.93 1 50.00 o a o Faucet/, Jose p 8/27/2010 Household 1 28.06 7.02 35.081 FauceH oseph_ Household $35.08 1 $000 0 o I 0 2 Gilbert, William 13/14/2008 Adult /Adult 1 20.69 5. 17 25.86 W _I Gilbert W illiam Adult $25.86 2 $0.00 0 0 10 Gi pson, Bruce 1 8/7/2011 Household '.1 28.08 7.02 35.08 Gipson Bruc Household 1 $35.08 1 $0.00 o a Green, Tim 6/912011 Household 1 28.06 7.02 35.08 Green Tim Household I $35.08 1 $0.00 o o o Griffin, Tim 19/14/2007 Household 1 28.06 7.02 35.08 Griffin Tim Household $35.08 1 $0.00 I o 0 1 0 Griffith., Pam I /6/2007 Household 1 28.06 7.02 35.08 Griffith. Pamela 0 0 Household $35.08 1 $0.00 0 Grimes, Jeff 8/92010 Adult _1 10.34 2.59 12.9 Grimes Jeff Adult 1 $12.93 1 $0.00 0 0 0 Harring Michelle 13/14/2011 Household 1 28.06 7.02 35.08 Harrin Michelle Household $35.08 1 I $0.00 0 0 0 Heck. Nanc 12/24/2011 Household ;1 28.06 7.02 35.08 Heck INancy Household 1 $35.08 1 $0.00 0 0 0 Hicks, Jeffre 11/212009 Adult/Adult 2 20.69 1 5.17 1 25.86 Hicks Jeff Adult, Adult $25.86 2 $0.00 o 0 0 Hollander, Gre 2/12/2010 Adult/Adull '2. 20.69 15.17 25.86 IHDllander Adult, Adult $25.86 2 $0.00 0 0 0 Hollibeu Michael 7/6/2007 [Household 1 26.08 7.02 ..K augh JMichael Household $35.08 1 $0.00 0 0 0 Keelin Adriene 7/13/2011 Adult 1 10.34 2.59 g Adrienne Adult $12.93 1 $0.00 0 o 0 Kirb Kurt 1 1/13/2011 Household 1 30.00 5.08 Kurt Household $35.08 1 $000 0 0 0 Lefollelle, Sall 6/8/2007 Household i 28.06 17.02 ette Gary Household $35.08 1 $0.00 0 0 0 Little ohh, David 1/27/2012 (Adult 1 10.34 2.59 12.07 Litlle'Ohn David Adult $12.93 1 1 $0.00 0 0 0 Locke, Robert 6/82007 (Household i 1 28.06 7.02 35.08 (Locke Robert Household 1 s 35 .08 1 I I $0.00 I 0 0 0 Luper, Michael 13/14/2008 [Adult 1 10.34 2.59 12.031 Lup II [Michael 1 Adult $12.93 1 _111 $0.00 o 0 0 Maki. Sue 11/7 /2011 Adult 1 10.34 2.59 12.03 _Maki [Suzanne Adult $12.93 1 $000 0 0 0 Marsh, Michael 1025/2011 Adult 1 10.34 2.59 1 12.93 Marsh Michael Adult i $1 2.93 1 50.00 0 0 0 Mascari, John 10/12/2007 lAdult 1 10.34 12.59 1 12.93 Mascan John Adult I $12.93 1 $0.00 0 0 0 Messing Rand 6/12/2008 Adult 1 10.34 2.59 12.83 Massing Randy Adult $12.93 1 $000 o 0 0 Mast, Darien 7/6/2007 Adult 1 10.34 2.59 12.83 Mast Damon Adult $12.93 1 $0.00 r o 0 0 McCoy, David 11/14/2011 Household 1 28.06 7.02 35.08 McCoy David Household $35.08 1 $0.00 0 0 0 McNeb. John 1122009 Adult i 10.34 2.59 12.83 1McNab John Adult $12.93 1 $0.00 o o T Miller, Adam 7/8/2007 Adult 1 10.34 2.59 12.83 Miller Adam Adult 7 $12.93 1 $0.00 0 0 0 Miller, Kan 4/2312 Senior /Adult 1 1 17.14 4.29 21.43 _Miller Ken Senior /Adult 1 $21.43 1 1 $0.00 0 a o I Mishler, Nick 1913/2010 1 28.08 7.02 35.08 Mishler Nick Household $35.08 1 $0.00 0 0 0 Morg Trent 11115/2010 Adult 1 10.34 2.59 12.93 Morgan Trent Adult $12.93 1 $0.00 0 0 0 My ers, Brad 12/1/2008 Household 1 28.06 7.02 35.08 M am Brady_ Household $35.08 1 0 0 0 Neville, Katie 1115/2010 Adult 1 10.34 2.59 12.93 Neville Katie Adult $12.93 1 50.00 0 0 0 Orange, Doug 10/10/2008 Adult 1 10,34 2.59 12.93 Orange Doug Adult $12.93 1 $0.00 0 0 2 Petty Dawn 1 6/8/2007 Household 1 28.06 7.02 35.08 Pattyn Davin Household $35.08 1 $0.00 0 0 0 Pickett, Libb 8123/2011 Adult 1 10.34 2.SB 12.93 [Pickett Libby Adult $12.93 1 $0.00 0 o o Pitman, Michael 2/122010 Household .1 28,08 7.02 35.08 Pitman Michael Household $35.08 1 $0.00 0 0 0 Platt. Jace 6/8/2007 Adult 1 10.34 2.59 12.93 Platt Jace Adult $12.93 1 S0.00 0 0 0 Rhodes, Kenneth 6/8/2007 Adult/Adult 2 20,89 5.17 25.86 Rhodes Kenneth Adult, Adult $25.86 2 $0.00 0 0 0 Rider, Kevin 2/12008 Adult/Adult 2 20.69 5.17 25.86 Rider Kevin Adult, Adult $25.86 2 $0.00 0 0 0 Schriner, Adam 12/2009 Household 1 28.06 7.02 35.08 Schriner Adam Household $35.08 1 50,00 0 o a Sharp, Rick 10/10/2008 (Household 1 28.06 7.02 35.08 Sharp Rick Household $35.08 1 $0.00 0 0 0 Smith, Jer ry 2/1/2008 Household 1 28.08 7.02 35.08 Smiley Landry Household $35.08 f $0.00 0 0 0 Smiley, Landry 1/15/2010 Househo 1 28.06 7.02 35.08 Smith Jerry Household $35.08 1 $0.00 0 0 0 Steury, Kent 3/1/2009 Adult 1 10.34 2.59 12.83 Steury Kent Adult $12.93 1 $0.00 0 0 0 Thomas, John 17/3/2008 Household 1 28.08 17.02 35.08 IThomas John Household $35.08 1 $0.00 0 0 0 Thorderson, Eric 1025/2011 Adult Adult 2 20.69 5.17 25.86 Thordarson Erik Adult, Adult $25.86 2 $0.00 0 0 0 Tierney, Scott 6/a/2007 Household 1 28.06 7.02 35.08 Tierney Scott Household $35.08 1 $0.00 0 0 0 Tolan, Brien 929/2010 Adult 1 10.34 2.50 12.93 Tolan Brian Adult $12.93 f $0.00 0 0 0 Utzi Chad 8/8/2007 Household 1 28.06 7.02 35.08 Ulzig Chad Household $35.08 5 1,778.28 ,J 42 5 34 1424.33 353.95 1778.28 Total E1,778_28 42 5 34 50.00 I 1405.39 372.86 1778028 SUNGARD PENTAMATION, INC. PAGE NUMBER: 191 DATE: 03/06/2012 CITY OF CARMEL MODULE NUM: PAYCHK43 TIME: 15:15:44 DEDUCTION REGISTER CHECK DATE 03/09/2012 PAY RUN 205 PR 1205 #5 2012 361 MONON CENTER PAYROLL DED EMPLOYEE EMPLOYER EMPLOYEE EMPLOYEE NAME---- SUBJECT WAGES ACCOUNT DEPARTMENT DEDUCTION CONTRIBUTION ARREARS 765 ALVEY RICHARD 1,718.93 1602 28.06 .00 .00 250 ARNONE JANET 2,026.26 1115 17.14 .00 .00 3744 BARNES DAVID 2,389.78 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 2,671.24 1120 28.06 .00 .00 2603 BREEDLOVE KAREN 1,526.96 1602 28.06 .00 .00 75 CALLAHAN MARK 3,284.21 1120 28.06 .00 .00 2364 CARTER MARK 1,838.06 2201 28.06 .00 .00 610 CARTER RONALD 620.00 1401 17.14 .00 .00 2285 COFFEY TIM 1,708.84 2201 10.34 .00 .00 456 COOPER JEFFREY 2,636.96 651 28.06 .00 .00 2336 COX JUSTIN 2,846.44 •1.120 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 1,724.27 2201 28.06 .00 .00 21.7 DAWSON GREGORY 2,576.12 1110 17.14 .00 .00 954 DEITSCH MARC 3,322.09 1120 28.06 .00 .00 316 DIETZ AARON 3,417.35 1110 10.34 .00 .00 413 DRAKE CARL 3,777.40 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 ,s 278 FAUCETT JOSEPH 2,630.34 651 26.06 .00 .00 2354 GILBERT WILLIAM 2,215.96 1110 20.68 .00 .00 670 GIPSON BRUCE 3,370.57 1120 28.06 .00 .00 39 GREEN TIMOTHY 4,199.26 1110 28.06 .00 .00 2167 GRIFFIN TIMOTHY 2,347.11 1120 28.06 .00 .00 2177 GRIFFITHS PAMELA 2,348.40 1202 28.06 .00 .00 566 GRIMES JEFFREY 2,693.17 1120 10.34 .00 .00 4766 HARRINGTON MICHELLE 1,31C.00 1120 28.06 .00 .00 822 HECK NANCY 3,794.27 1203 28.06 .00 .00 1020 HICKS JEFFREY 1,744 -99 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 2,592.57 1192 10.34 .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 2,541.38 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 3,416.34 1120 10.34 .00 .00 2063 MASCARI JOHN 2,179.54 1602 10.34 .00 .00 841 MASSINGILL RANDY 2,059.84 1601 10.34 .00 .00 2286 MAST DARREN 2,267.68 1192 10.34 .00 .00 1057 MCCOY DAVID W. 2,210.00 1202 28.06 .00 .00 874 MCNAB JOHN 3,107.23 1120 10.34 .00 .00 575 MILLER ADAM, 7_,657.19 1110 1.1.08 .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 1,382.68 1602 10.34 .00 -00 961 MYERS BRADY 2,741.03 1110 28 -06 .00 .00 4326 NEVILLE KATHERINE 1,756.56 2200 10.34 .00 .00 2176 ORANGE DOUGLAS 2,323.11 1120 10.34 .00 .00 SUNGARI) PENTAMATION, INC. PAGE NUMBER: 192 DATE: 03/06/2012 CITY OF CARMEL MODULE NUM: PAYCHK43 TIME: 15:15:44 DEDUCTION REGISTER CHECK DATE 03/09/2012 PAY RUN 205 PR 1205 #5 2012 361 MONON CENTER PAYROLL DED EMPLOYEE EMPLOYER EMPLOYEE EMPLOYEE NAME---- SUBJECT WAGES ACCOUNT DEPARTMENT DEDUCTION CONTRIBUTION ARREARS 817 PATTYN DAWN 1,683.46 1120 28.06 .00 .00 2113 PICKETT ELIZABETH 1,999.83 2200 10.34 .00 .00 962 PITMAN MICHAEL 2,498.30 1110 28.06 .00 .00 94 PLATT JACE 3,225.47 1120 10.34 .00 .00 2369 RHODES KENNETH 2,934.64 1602 20.69 .00 .00 3383 RIDER KEVIN 620.00 1401 20.69 .00 .00 1005 SCHRINER ADAM 2,456.33 1192 28.06 .00 .00 2140 SHARP RICHARD 620.00 1401 28.06 .00 .00 3450 SMILEY LANDRY 2,027.04 1110 28.06 .00 .00 2038 SMITH IV JERRY 2,143.14 1.602 28.06 .00 .00 422 STEURY KENT 2,726.06 1120 10.34 .00 .00 2952 THOMAS JOHN 2,398.24 2200 28.06 .00 .00 4762 THORDARSON ERIK 1,979.75 1120 20.69 .00 .00 225 TIERNEY SCOTT 3,342.93 1120 28.06 .00 .00 2258 TOLAN BRIAN 2,806.14 1602 10.34 .00 .00 941 UTZIG CHAD 3,905.71 1120 28.06 .00 .00 TOTAL EMPLOYEES 70 168,856.15 1,405.39 .00 .00 ri 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)) 03/09/12 2012 -129 $372.89 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 N ALLOWED 20 Carmel Clay Parks and Recreation Monon Ce C/o Audrey Kostrzewa IN SUM OF 1411 E. 116th St. Carmel, IN 46032 $372.89 ON ACCOUNT OF APPROPRIATION FOR Carmel HR Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 21668 2012 -129 43- 419.80 $372.89_ 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 Monday, March 12, 2012 Director, HR Title Cost distribution ledger classification if claim paid motor vehicle highway fund