HomeMy WebLinkAbout209085 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: L2367 Page 1 of 1
�s 0 ONE CIVIC SQUARE CARMEL CLAY PARKS -MONON CENTEI CHECK AMOUNT: $406.74
o CARMEL, INDIANA 46032 C/O AUDREY KOSTRZEWA
CHECK NUMBER: 209085
CHECK DATE: 5/22/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 R4341980 21668 2012 -150 406.74 WELLNESS PROGRAM
U 9
Carmel Clay Invoice
Parks &Recreate ®n Date Invoice
1411 E 116th Street
Carmel, IN 46032 5/18/2012 2012 -150
Bill To
City of Carmel
One Civic Square
Carmel, IN 46032
Due Date
6/18/2012
Quantity Description Rate Amount
For May 18, 2012 Pay Date
Monon Community Center Passes
45 Adult Pass (City of Carmel) 12.93 581.85
6 Youth or Senior Pass (City of Carmel) 8.50 51.00
36 Household Pass (City of Carmel) 35.08 1,262.88
D z a
MAY 112111
By
Remit to:
Carmel Clay Parks Recreation
1411 E. 116th St. Total Due $1,895.73
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.
SUNGARD PENTAMATION, INC. PAGE NUMBER: 176
DATE: 05/16/2012 CITY OF CARMEL MODULE NUM: PAYCHK43
TIME: 11:17:12 DEDUCTION REGISTER CHECK DATE 05/18/2012
PAY RUN 210 PR 1210 2012
361 MONON CENTER PAYROLL DED
EMPLOYEE EMPLOYER
EMPLOYEE EMPLOYEE NAME---- SUBJECT WAGES ACCOUNT DEPARTMENT DEDUCTION CONTRIBUTION ARREARS
765 AAVEY RICHARD
2200 10.34 .00 .00
SUNGARI) PENTAMATION, INC. PAGE NUMBER: 177
DATE: 05/16/2012 CITY OF CARMEL MODULE NUM: PAYCHK43
TIME: 11:17:12 DEDUCTION REGISTER CHECK DATE 05/18/2012
PAY RUN 210 PR 1210 2012
361 MONON CENTER PAYROLL DED
EMPLOYEE EMPLOYER
EMPLOYEE EMPLOYEE NAME---- SUBJECT WAGES ACCOUNT DEPARTMENT DEDUCTION CONTRIBUTION ARREARS
2176 ORANGE DOUGLAS
1,488.99 .00 .00
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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
$406.74
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
21668 2012 -150 43- 419.80 $406.74 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, May 21, 2012
Director, HR
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
05/18/12 2012 -150 $406.74
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