217678 02/13/2013 CITY OF CARMEL, INDIANA VENDOR: L2367 Page 1 of 1
ONE CIVIC SQUARE CARMEL CLAY PARKS-MONON CENTER
io CARMEL, INDIANA 46032 C/O AUDREY KOSTRZEWA CHECK AMOUNT: 21707 8
CHECK NUMBER: 217078
CHECK DATE: 2/1312013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 R4341980 26421 2013-116 347 . 78 WELLNESS PROGRAM
2_LAZ\ Carmel • Cla y Invoice
Parks&Recreation Date Invoice#
1411 E 116th Street
Carmel, IN 46032 2/8/2013 2013-116
Bill To
City of Carmel
One Civic Square
Carmel, IN 46032
Due Date
3/8/2013
Quantity Description Rate Amount
Monon Community Center Corporate Passes
Pay Day February 8, 2013
46 Adult Pass (City of Carmel) 12.93 594.78
5 Youth or Senior Pass (City of Carmel) 8.50 42.50
33 Household Pass (City of Carmel) 35.08 1,157.64
D Q a
FEB 11 2013
By
Remit to:
Carmel Clay Parks& Recreation Total Due
1411 E. 116th St. $1,794.92
Carmel, IN 46032
Questions? 317-573-4025
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SUNGARD PENTAMATION, INC. PAGE NUMBER: 195
DATE: 02/05/2013 CITY OF CARMEL MODULE NUM: PAYCHK43
TIME: 16:12:43 DEDUCTION REGISTER CHECK DATE 02/08/2013
PAY RUN 303 PR 1303
361 - MONON CENTER PAYROLL DED
EMPLOYEE EMPLOYER
EMPLOYEE ----------EMPLOYEE NAME---------- SUBJECT WAGES ACCOUNT DEPARTMENT DEDUCTION CONTRIBUTION ARREARS
250 ARNONE JANET
1120 28.06 .00 .00
SUNGARD PENTAMATION, INC. PAGE NUMBER: 196
DATE: 02/05/2013 CITY Or CARMEL MODULE NUM: PAYCHK43
TIME: 16:12:43 DEDUCTION REGISTER CHECK DATE 02/08/2013
PAY RUN 303 PR 1303
361 - MONON CENTER PAYROLL DED
EMPLOYEE EMPLOYER
EMPLOYEE ----------EMPLOYEE NAME---------- SUBJECT WAGES ACCOUNT DEPARTMENT DEDUCTION CONTRIBUTION ARREARS
2113 PICKETT ELIZABETH
1,409.57 .00 .00
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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))
02/08/13 2013-116 $347.78
1 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 2013-116 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, February 11, 2013
Director, HR
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund