216366 01/15/2013 « y,,f CITY OF CARMEL, INDIANA VENDOR: L2367 Page 1 of 1
` ONE CIVIC SQUARE CARMEL CLAY PARKS-MONON CENTEPCHECK AMOUNT: $347.78
CARMEL, INDIANA 46032 C/O AUDREY KOSTRZEWA
CHECK NUMBER: 216366
CHECK DATE: 1/15/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 R4341980 26421 2013-104 347 . 78 WELLNESS PROGRAM
Carmel (a Clay Invoice
Parks&Recreation Date Invoice#
1411 E 116th Street 1/11/2013 2013-104
Carmel, IN 46032
Bill To
City of Carmel
One Civic Square
Carmel, IN 46032
Due Date
2/11/2013
Quantity Description Rate Amount
Monon Community Center Corporate Passes
January 11, 2013 Pay Day
47 Adult Pass (City of Carmel) 12.93 607.71
5 Youth or Senior Pass (City of Carmel) 8.50 42.50
31 Household Pass (City of Carmel) 35.08 1,087.48
D
JAN 14 2013
By
Remit to:
Carmel Clay Parks & Recreation Total Due
1411 E. 116th St. $1,737.69
Carmel, IN 46032
Questions? 317-573-4025
i �> -- ---- ---- - - ------------------- -- olo ------010- o o- e�f 0--- ---�---- ---�-
e� - - - - - -_e�O .---a^.000 a . -- 1 - - -
888888888888888888888888888888888888888888888888888888888 8888888888888
Aj
rm o�m�o o�� ono m
`s
e
_ = von v =;via -a=v�a--- -- --- - „ ----
C N S S S S Q y 2 2 41 <S Q 2 2 41 2 2 2 2 2 2 41 2 2 S Q N 2 S Q S Q Q S S S S S 2 41 2 2 2
9 g r
t h L L O c q O q o O W m r m w y W --
E E- E E E= '_ g c d°m.° n m
i y E Y N S H N N d C7¢V U' F J i m F F d-ai Z-ai C� E<(7 3 tt E K p Q Y f m Y Y Y<<K W N U l7 Y
V O N Y i
t�=
j = E !•c E �_°° o LL @ of m z v_ w'>a E °o v t `m `m E E v o o E p `
J�-----------a a a z- ----- --o a --- im'C -- -- -
ssm ^sw� s� s.sN sss sss^s.� �� oN � �� �s�s. s ..... s^osxs
0
w $t4S��g
Lj
c°
E 4 �
SUNGARD PENTAMATION, INC. PAGE NUMBER: 190
DATE: 01/10/2013 CITY OF CARMEL MODULE NUM: PAYCHK43
TIME: 13:26:03 DEDUCTION REGISTER CHECK DATE 01/11/2013
PAY RUN 301 PR 1301 41 2013
361 - MONON CENTER PAYROLL DED
EMPLOYEE EMPLOYER
EMPLOYEE ----------EMPLOYEE NAME---------- SUBJECT WAGES ACCOUNT DEPARTMENT DEDUCTION CONTRIBUTION ARREARS
250 ARNONE JANET
2200 20.69 .00 .00
SUNGARD PENTAMATION, INC. PAGE NUMBER: 191
DATE: 01/10/2013 CITY OF CARMEL MODULE NUM: PAYCHK43
TIME: 13:26:03 DEDUCTION REGISTER CHECK DATE 01/11/2013
PAY RUN 301 PR 130141 2013
361 - MONON CENTER PAYROLL DED
EMPLOYEE EMPLOYER
EMPLOYEE ----------EMPLOYEE NAME---------- SUBJECT WAGES ACCOUNT DEPARTMENT DEDUCTION CONTRIBUTION ARREARS
962 PITMAN MICHAEL
1,369.22 .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))
01/11/13 2013-104 $347.78
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
$347.78
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
26421 2013-104 43-419.80 $347.78 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, January 14, 2013
Director, HR
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund