HomeMy WebLinkAbout233379 06/04/14 gyy.4,gv CITY OF CARMEL, INDIANA VENDOR: 355549
�'l ONE CIVIC SQUARE Y M C A CHECK AMOUNT: $*******240.45*
1, ,a; CARMEL, INDIANA 46032 615 N ALABAMA ST SUITE 200 CHECK NUMBER: 233379
+,,ETON INDIANAPOLIS IN 46204-1359 CHECK DATE: 06/04/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 2480064 240.45 OTHER EXPENSES
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'��� 5/10/2014
YMCA of Greater Indianapolis.
the 615 N Alabama St Suite 200
Indianapolis IN 46204-1359 Invoice No.
(317)266-9622 fax: (317) 266-2845 1 2480064
INVOICE
Bill to: City of Carmel 317-571-5850 g
Attn: J. Spelbring
Submitted '�'®
Human Resources, 1 Civic Square
Carmel, IN 46032 JUN U 2 2014
YMCA membership fees for the month of
May 2014 Clerk 'measurer
Name YMCA# Employee Employer Type Date of Birth Remarks
Akers, Bill
r
Subtotals 0.00 240.45
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YMCA membership fees for the month of
May 2014
Name YMCA# Employee Employer Type Date of Birth Remarks
21 employees Total Due $240.45
Please remit to:
I
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:
None
Cancellations this period:
Gugel , Mark 0.00 1 12.601 Adult HH (2) TCancelled 4-16-14
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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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
05/10/1 248006 ----Monthly membership - May 2014 $240.45
Total $240.45
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.
06/0271-4-
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YMCA of Greater Indianapolis ALLOWED 20
IN SUM OF $
615 N. Alabama Street, Ste 200
Indianapolis, 46204-1432
$ $240.45
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
2480064 301 $240.45 materials or services itemized thereon for
which charge is made were ordered and
received except
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20
Signature
Cost distribution ledger classification if
� Title
claim paid motor vehicle highway fund