HomeMy WebLinkAbout241186 1 /13/2015 z CITY OF CARMEL, INDIANA VENDOR: 355549
d ONE CIVIC SQUARE Y M C A CHECK AMOUNT: S****...258.00*
CARMEL, INDIANA 46032 615 N ALABAMA ST SUITE 200 CHECK NUMBER: 241 186
INDIANAPOLIS IN 46204-1359 CHECK DATE: 01/13/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 2692497 258.00 OTHER EXPENSES
7
YMCA of Greater Indianapolis
the 615 N Alabama St Suite 200
`Q Indianapolis IN 46204-1359 Invoice No.
(317) 266-9622 fax: (317) 266-2845 F 2692497
INVOICE
Bill to: City of Carmel 317-571-5850
Attn: J. Spelbring
Human Resources, 1 Civic Square
Carmel, IN 46032
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6
I YMCA membership fees for the month of j
January 2015
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Name YMCA# Employee Employer Type Date of Birth Remarks
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Akers, Bill
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k
Subtotals 0.00 258.00 Page 1
1
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YMCA membership fees for the month of
January 2015
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$k M
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Name YMCA# Employee Employer Type Date of Birth Remarks
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22 employees Total Due $258.00
P
z Please remit to:
YMCA of Greater Indianapolis Terms: Net 30 days
615 N. Alabama Street
R Indianapolis, IN 46204
Please note: Accounts more than 90 days in arrears will be
d assessed a 10% late fee of the total amount due
I
Additions this period:
None
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Cancellations this period:
None y
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
YMCA Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
01/07/151 2692497 Monthly membership -Jan 2015 $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 NO. WARRANT NO.
01/12-IT5—
ALLOWED 20
YMCA of Greater Indianapolis
IN SUM OF $
615 N. Alabama Street, Ste 200
Indianapolis, IN 46204-1432
$ $258.00
ON ACCOUNT OF APPROPRIATION FOR
301 MEDICAL FUND
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
692497 301 $258.00 the materials or services itemized thereon
for which charge is made were ordered and
received except
20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund