HomeMy WebLinkAbout230192 03/12/14 a` CITY OF CARMEL, INDIANA VENDOR: 355549
® zl ONE CIVIC SQUARE Y M C A CHECK AMOUNT: $**.....261.75*
CARMEL, INDIANA 46032 615 N ALABAMA ST SUITE 200 CHECK NUMBER: 230192
��''�roN�°'r INDIANAPOLIS IN 46204-1359 CHECK DATE: 03/12/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 2424252 261.75 OTHER EXPENSES
TM
(::::::3/5/2014
YMCA of Greater Indianapolis �� i
the 615 N Alabama St Suite 200 - !
V,
(317) 266-9622 fax: (317) 266-2845 2424252
Indianapolis IN 46204-1359 Invoice No. i
INVOICE
Bill to: City of Carmel 317-571-5850 1
Attn: J. Spelbring
Human Resources, 1 Civic Square FSubrnitted To
Carmel, IN 46032
YMCA membership fees for the month of 10 2014
March 2014
Clerk `b'reesurer
Name YMCA# Employee Employer Type Date of Birth Remarks
Akers, Bill
Subtotals 0:00 261.75
Page 1 l..
YMCA membership fees for the month of
t March 2014
Name YMCA# Employee Employer Type Date of Birth Remarks
22 employees Total Due $261.75
Please remit to:
YMCA of Greater Indianapolis Terms: Net 30 days
615 N.Alabama Street
Indianapolis, IN 46204
Please note: Accounts more than 90 days in arrears will be
assessed a 10% late fee of the total amount due
Additions this period:
Hobbs, James
lJoined 2-10-14
Cancellations this period:
None
Page 2
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No.201(Rev.1995)
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
YMCA Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
0310511 24242512 Monthly membership - March 2014
.75
Total it2g, 7r
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
20Clerk-Treasurer
VOUCHER roll f1�WARRANT NO.
YIVICA of Greater Indianapolis ALLOWED 20
.Alabama Street, Ste 200 IN SUM OF $
Indianapolis,IN 46294-1432
$261.75
ON ACCOUNT OF APPROPRIATION FOR
301 MEDICAL FUND
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# 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
20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund