HomeMy WebLinkAbout237067 09/10/14 �%�o,A�f. CITY OF CARMEL, INDIANA VENDOR: 355549
ONE CIVIC SQUARE Y M C A CHECK AMOUNT: $*******265.65*
,, ,�; CARMEL, INDIANA 46032 615 N ALABAMA ST SUITE 200 CHECK NUMBER: 237067
+.,;�.___,.. INDIANAPOLIS IN 46204-1359 CHECK DATE: 09/10/14
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 2589091 265.6.5 OTHER EXPENSES
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9/3/2014
YMCA of Greater Indianapolis
the 615 N Alabama St Suite 200
Indianapolis IN 46204-1359 Invoice No.
(317) 266-9622 fax: (317) 266-2845 2589091
INVOICE
Bill to: City of Carmel 317-571-5850
Attn: J. Spelbring
Human Resources, 1 Civic Square Submitted To
Carmel, IN 46032
SEP 0 82014
YMCA membership fees for the month of
September 2014
Clerk Treasurer
Name YMCA# Employee Employer Type Date of Birth Remarks
Akers, Bill
Page 1
YMCA membership fees for the month of
September 2014
Name YMCA# Employee Employer Type Date of Birth Remarks
Subtotals 0.00 278.25
12.60) K. Huffman's August dues (billed in error)
24 employees Total Du<::
$265.65
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:
None
I
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))
09/03/1 . _ 2589091 Monthly membership -Sept 2014 $265.65
Total $265.65
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.
09
ALLOWED 20
08114
YMCA of Greater Indianapolis
IN SUM OF $
615 N. Alabama Street, Ste 200
Indianapolis, IN 46204-1432
$ $265.65
ON ACCOUNT OF APPROPRIATION FOR
301 MEDICAL FUND
i
j Board Members
PO#or DEPT.# INVOICE NO. ACCT#!TITLE AMOUNT I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
2589091 301 $Z(jb. 51 materials or services itemized thereon for
which charge is made were ordered and
received except
20
�ignatur�, I+P--
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund