HomeMy WebLinkAbout243089 03/11/15 ���� CITY OF CARMEL, INDIANA VENDOR: 355549
i ONE CIVIC SQUARE Y M C A CHECK AMOUNT: $*******232.80*
?�; CARMEL, INDIANA 46032 615 N ALABAMA ST SUITE 200 CHECK NUMBER: 243089
�,7i6N c° INDIANAPOLIS IN 46204-1359 CHECK DATE: 03/11/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 2746501 232.80 OTHER EXPENSES
1
-Lv
3/3/2015
YMCA of Greater Indianapolis
he 615 N Alabama St Suite 200
� �Q- Indianapolis IN 46204-1359
Invoice No.
(317) 266-9622 fax: (317) 266-2845 _m 2746501
INVOICE
!Bill to: City of Carmel 317-571-585'0
Attn: J. Spelbring , �
Human Resources, 1 Civic Square
Carmel, IN 46032 MAR 012015 .
YMCA membership fees for the month of
March 2015 Clerk Trees rer
k
Name YMCA# Employee Employer Type Date of Birth Remarks
i Akers, Bill
Subtotals 0.00 232.80
20 employees Total Due. $232.80 Pae 1
9
1.
YMCA membership fees for the month of
v - March 2015
r Name YMCA# Employee Employer Type Date of Birth Remarks
Please remit to:
YMCA of Greater Indianapolis Terms: Net 30 days
615 N. Alabama Street
Indianapolis, IN 46204 I
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
I Cancellations this period:
None
. I
Page 2
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))
n3/Q3/15__---2746501 Monthly membership-Mar 2015 -
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
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
n4/nQ/15 1
YMCA of Greater Indianapolis ALLOWED 20
IN SUM OF $
615 N. Alabama Street, Ste 200
Indianapolis, IN 46204-1432
$ $232.80
ON ACCOUNT OF APPROPRIATION FOR
301 MEDICAL FUND
1 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
01 301 $232.80' the materials or services itemized thereon
for which charge is made were ordered and
received except
,
I
20
Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund