HomeMy WebLinkAbout233902 06/18/14 4�r..4�q�F!
�., CITY OF CARMEL, INDIANA VENDOR: 355549
; i• ONE CIVIC SQUARE Y M C A CHECK AMOUNT: S*******258.02*
s, ,��a; CARMEL, INDIANA 46032 615 N ALABAMA ST SUITE 200 CHECK NUMBER: 233902
yM,r TON G°` INDIANAPOLIS IN 46204-1359 CHECK DATE: 06/18/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 2507824 258.02 OTHER EXPENSES
6/4/2014 Q
YMCA of Greater Indianapolis
;the 615 N Alabama St Suite 200
I `Q Indianapolis IN 46204-1359 _ Invoice No. _
(317) 266-9622 fax: (317) 266-2845 ` �wy 2507824 -�-
INVOICE 4
9 •1 5
Bill to: City of Carmel �� {"L�' � r�r� 317-571-5850
Attn: J. Spelbring
Human Resources, 1 Civic Square SubmiitedTo
Carmel, IN 46032
JUN 16 2014
YMCA membership fees for the month of
June 2014
Clerk - r eaaurer
I Name YMCA# Employee Employer Type Date of Birth Remarks
Akers, Bill
I
Subtotals 0.00 258.02
Page 1
E• YMCA membership fees for the month of
4' June 2014
Name YMCA#'
Employee Employer Type Date of Birth Remarks
22 employees Total Due $258.02
Q 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
B Additions this period: I
fi
M ers, Felicia 0.00 12.60 Adult HH 2) 1 lJoined 5-19-14
Cancellations this period:
None
i
Page 2
i I
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
vnnrn Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
06/04/14 2507824 Monthly membership - June 2014 $258.02
Total $258.02
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 NR)&j& NARRANT NO.
CA of Greater Indianapolis ALLOWED 20
615 N. Alabama Street, Ste 200 IN SUM OF $
lRdianapolis, IN 46204-1432
$ $258.02
ON ACCOUNT OF APPROPRIATION FOR
301 MEDICAL FUND
I
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
58-0 i materials or services itemized thereon for
" which charge is made were ordered and
received except
i
20
I nature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund