246597 06/1 7/1 5 �+u;cAgMF
CITY OF CARMEL, INDIANA VENDOR: 355549
ONE CIVIC SQUARE Y M C A CHECK AMOUNT: $*******231.80*
CARMEL, INDIANA 46032 615 N ALABAMA ST SUITE 200 CHECK NUMBER: 246597
vy, � INDIANAPOLIS IN 46204-1359 CHECK DATE: 06/17/15
ETON
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 2830909 231.80 OTHER EXPENSES
6/2/2015
YMCA of Greater Indianapolis
615 N Alabama St Suite 200
the Indianapolis IN 46204-1359 Invoice No. I
�Q (317) 266-9622 fax: (317)266-2845 2830909
INVOICE
Bill to: City of Carmel 317-571-5850
Attn: J. Spelbring
Human Resources, 1 Civic Square
Submitted To
Carmel, IN 46032
� JUN 1 5 2015
YMCA membership fees for the month of F
June 2015 Clerk Treasurer
(
Name YMCA# Employee Employer Type Date of Birth Remarks
I
Akers, Bill
�.
I.
Subtotals 0.00 231.80
0
19 employees Total Due $231.80
Please remit to:
YMCA of Greater Indianapolis Terms: Net 30 days
i 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:
Gates, John 0.00 10.35 Adult(2) Only lJoined.5-11-15
II�
Cancellations this period: 'k
Decrastos, Richard 0.00 7.65 Adult 1 lCancelled 5-31-15
i
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City FormNo.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))
-- 283Q909 Monthly membership -June 2015
Total
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
VOUCHER6Q. ,,,,-WARRANT NO. I.
YMCA of Greater Indianapolis ALLOWED 20
IN SUM OF $
615 N. Alabama Street, Ste 200
Indianapolis, 462U4-1432
$ $231 .80
ON ACCOUNT OF APPROPRIATION FOR
301 MEDICAL FUND
!; Board Members
PD#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I' I hereby certify that the attached invoice(s),
} or bill(s) is (are) true and correct and that
1 the materials or services itemized thereon
for which charge is made were ordered and
received except
r
20
Signatur
�' of
Cost distribution ledger classification if f. Title
claim paid motor vehicle highway fund