HomeMy WebLinkAbout236086 08/13/14 %' \� CITY OF CARMEL, INDIANA VENDOR: 355549
�l• ONE CIVIC SQUARE Y M C A
CHECK AMOUNT: $*******290.85*
f. ,=a. CARMEL, INDIANA 46032 615 N ALABAMA ST SUITE 200 CHECK NUMBER: 236086
, INDIANAPOLIS IN 46204-1359 CHECK DATE: 08/13/14
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 2562741 290.85 OTHER EXPENSES
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8/5/2014
YMCA of Greater Indianapolis
'the 615 N Alabama St Suite 200
j Indianapolis IN 46204-1359 Invoice No. �,�
(317)266-9622 fax: (317) 266-2845 _ _ 2562741
& INVOICE
Bill to: City of Carmel 317-571-5850
Attn: J. Spelbring Submitted To
Human Resources, 1 Civic Square
Carmel, IN 46032
� AUG 112014
{ YMCA membership fees for the month of
August 2014 Clerk Treasurer
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Name YMCA# Employee Employer Type Date of Birth Remarks
d
Akers, Bill
Page 1
J
YMCA membership fees for the month of
August 2014
i ,
Name YMCA# Employee Employer Type Date of Birth Remarks
Young, Andrew 0.00 12.60 Adult HH (2)
I �
Subtotals 0.00 290.85
I
25 employees Total Due $290.85
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:
None
Cancellations this period:
Huffman, Karen 15-147939 0.00 12.60 Adult HH (2) 1 07/09/1965 ICancelled 7-31-14
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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
o Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5 f`I ku
Total
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.
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ALLOWED 20
C r
M&A IN SUM OF $
lQ Cs lIN IA&
ON ACCOUNT OF APPROPRIATION FOR
cat
Board Members
PO#or
DEPT# INVOICE NO. ACCT#!TITLE AMOUNT I hereby certify that the attached invoice(s), or
,2 ( 0 �o-�5� 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
I
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Signature� �
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Cost distribution ledger classification if Title
claim paid motor vehicle highway fund