HomeMy WebLinkAbout239408 11/19/14 CITY OF CARMEL, INDIANA VENDOR: 355549
ONE CIVIC SQUARE Y M C A CHECKAMOUNT: $*******253.05*
CARMEL, INDIANA 46032 615 N ALABAMA ST SUITE 200 CHECK NUMBER: 239408
(9,
INDIANAPOLIS IN 46204-1359 CHECK DATE: 11/19/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 2640976 253.05 OTHER EXPENSES
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YMCA of Greater Indianapolis
,the 615 N Alabama St Suite 200
`� Indianapolis IN 46204-1359 Invoice No.
�� (317) 266-9622 fax: (317) 266-2845 2640976
INVOICE
Bill to: City of Carmel 317-571-5850
Attn: J. Spelbring
Human Resources, 1 Civic Square
Carmel, IN 46032
YMCA membership fees for the month of
I
November 2014
6
Name YMCA# Employee Employer Type Date of Birth Remarks
Akers, Bill
Subtotals 0:00 253.05 -Page 1
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YMCA membership fees for the month of
Y November 2014
Name YMCA# Employee Employe Type Date of Birth Remarks
22 employees Total Due $253.05
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:
Hobbs, James
ICancelled 10-31-14
t
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Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Forth 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))
4/14 264097.6- Monthly membership -Nov 2014 _
Total .
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
, 20
'I Clerk-Treasurer
VOUCHER NO. WARRANT NO.
11/17/14
YMCA of Greater Indianapolis ALLOWED 20
IN SUM OF $
615 N. Alabama Street, Ste 200
Indianapolis, IN 46204-1432
$253.05
ON ACCOUNT OF APPROPRIATION FOR
301 MEDICAL FUND
Board Members
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PO#or INVOICE NO. ACCT#/TITLE AMOUNT 1
DEPT.# I hereby certify that the attached invoice(s),
or bill(s) is (are) true and correct and that.
2640976 301 $253.05 1the materials or services itemized thereon
for which charge is made were ordered and
received except
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20
Signature
Lv� ®-e
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund