HomeMy WebLinkAbout240159 12/09/14 "A+, CITY OF CARMEL, INDIANA VENDOR: 355549
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�, ONE CIVIC SQUARE YMCA CHECK AMOUNT: $*******258.00*
CARMEL, INDIANA 46032 615 N ALABAMA ST SUITE 200 CHECK NUMBER: 240159
9y�roN�°;_' INDIANAPOLIS IN 46204-1359 CHECK DATE: 12/09/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 2666903 258.00 OTHER EXPENSES
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12/2/2014 '
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YMCA of Greater Indianapolis r
the 615 N Alabama St Suite 200
`Q Indianapolis IN 46204-1359 Invoice No.
(317) 266-9622 fax: (317) 266-2845 1 2666903
INVOICE
Bill to: City of Carmel 317-571-5850
Attn: J. Spelbring SUNP-Itted To
Human Resources, 1 Civic Square
Carmel, IN 46032
DEC 0r82014
YMCA membership fees for the month of j
December 2014 Clerk i �`eesurer
Name YMCA# Employee Employer Type Date of Birth Remarks
Akers, Bill
' . -
Subtotals _ 0.00. 258.00 -
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YMCA membership fees for the month of
December 2014
Name YMCA# Employee Employer Type Date of Birth Remarks 1
22 employees Total Due $258.00
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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
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
MCA Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/02/14 . 2666903 Monthly membership -Dec 2014 $258.00
Total $258.00
1 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
Clerk-Treasurer
VOUCHER �(�/G&t4WARRANT NO.
MCA of Greater Indianapolis ALLOWED 20
615 N. Alabama Street, Ste 200 IN SUM OF $
Indianapolis, IN 46204- 1432
$ $258.00
ON ACCOUNT OF APPROPRIATION FOR
301 MEDICAL FUND
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1
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
2686903 301 -$2ZB o C the materials or services itemized thereon
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for which charge is made were ordered and
received except
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund