HomeMy WebLinkAbout244383 4 /15/2015 J/ �. CITY OF CARMEL, INDIANA VENDOR: 355549
ONE CIVIC SQUARE Y M C A CHECK AMOUNT: $*******241.20*
,. ,?� CARMEL, INDIANA 46032 615 N ALABAMA ST SUITE 200 CHECK NUMBER: 244383
+M,=oN�, INDIANAPOLIS IN 46204-1359 CHECK DATE: 04/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 2774708 241.20 OTHER EXPENSES
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4/6/2015
YMCA of Greater Indianapolis
the 615 N Alabama St Suite 200 Invoice No_. _
Indianapolis IN 46204-1359
(317)266-9622 fax: (317) 266-2845M4� 2774708
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
April 2015
Name YMCA# Employee Employer Type Date of Birth Remarks
Akers, Bill
Subtotals 0.00 241.20 J
20 employees Total Due $241.20 Pagel I
YMCA membership fees for the month of
April 2015
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
Please note: Accounts more than 90 day&in arrears will be
assessed a 10% late fee of the total amount due
Additions this period:
Hernandez, Jesus 1 0.00 12.60 1 Adult HH (2) 1 lJoined 3-16-15
Cancellations this period:
Hoffman, Matthew 0.00 10.50 1 Adult HH (1) 1 ICancelled 3-31-15
Submitted To
APR 13 2015
Clerk `Treasured'
i
IPage 2
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Forrn 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))
04/06/15 2774708 Monthly membership -Apr 2015 $241.20
Total
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 1�I,04 �WARRANT NO.
yy �
YMCA of Greater Indianapolis ALLOWED 20
IN SUM OF $
615 N. Alabama Street, Ste 200
i
Indianapolis, 46204-1432
I
$ $241 .20
i
ON ACCOUNT OF APPROPRIATION FOR
301 MEDICAL FUND
Board Members
PO#DEPT.
INVOICE NO. ACCT#!TITLE AMOUNT
oEPr.# I hereby certify that the attached invoice(s),
or bill(s) is (are) true and correct and that
21/41U8 301 241.20
the materials or services itemized thereon
!
for which charge is made were ordered and
i received except
I
20
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund