HomeMy WebLinkAbout248090 07/28/15 ,CSF
1,y. `';% . CITY OF CARMEL, INDIANA VENDOR: 355549
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.;, ® il•. ONE CIVIC SQUARE YMCA CHECK AMOUNT: $ 225.00'
x._ =a CARMEL, INDIANA 46032 615 N ALABAMA ST SUITE 200 CHECK NUMBER: 248090
M,!ow"�O. INDIANAPOLIS IN 46204-1359 CHECK DATE: 07/28/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 2858743 225.00 OTHER EXPENSES
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YMCA of Greater Indianapolis
}t{.� 615 N Alabama St Suite 200
I Ie Indianapolis IN 46204-1359 invoice No. � p
(317) 266-9622 fax: (317) 266-2845 ��� 2858743��
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INVOICE
Bill to: City of Carmel 317-571-5850
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Attn: J. Spelbring
Human Resources, 1 Civic Square
Carmel, IN 46032 Submitted To
YMCA membership fees for the month of JUL 2 7 2015
July 2015
L.EClerk Treasurer i
Name YMCA# Employee Employer Type Date of Birth
Akers, Bill 15-23800 0.00 12.60 Adult HH (2) 03/26/1964
Brisco, Michael 15-36029 0.00 12.60 Adult HH (2) 04/16/1969
Carpenter, David 08-225343 0.00 12.60 Adult HH (2) 07/21/1979
Conn, Angelina 17-391480 0.00 12.60 Adult HH (2) 12/25/1979
Cromlich, Mark 15-17337 0.00 12.60 Adult HH (2) 07/06/1955
Dorsch, Jim 15-35796 0.00 12.60 Adult HH (2) 08/04/1969
Ellison, Chris 01-59211 0.00 12.60 Adult HH (2) 10/14/1974
Gates, John 15-739509 0.00 10.35 Adult (2) Only 07/01/1948
Holubik, Steve 02-215404 0.00 12.60 Adult HH (2) 07/22/1960
Klitzing, Michael 20-131827 0.00 12.60 Adult HH (2) 11/17/1970
Martin, Brian Jr. 15-501976 0.00 12.60 Adult HH (2) 06/04/1982
McManama, Carol 12-119123 0.00 7.50 Senior Adult 08/09/1947
McNair, HarlandI5-35476 0.00 12.60 Adult HH (2) 12!16/1971
Mowery, Susan 15-1194 0.00 10.50 Adult HH (1) 04/21/1958
Ransford, Brett 15-4888 0.00 12.60 Adult HH (2) 10/19/1963
Reeves, Neil 15-608308 0.00 12.60 Adult HH (2) 06/11/1979
Schlaegel, Courtney 15-202628 0.00 7.65 Adult 06/15/1980
Spearman, Ted 15-223945 0.00 12.60 Adult HH (2) 06/14/1961
Watts, Trent 15-233187 0.00 12.60 Adult HH (2) 09/06/1972
Subtotals 0.00 225.00
19 employees Total Due $225.00
Please remit to:
YMCA of Greater Indianapolis Terms: Net 30 days it
615 N. Alabama Street
Indianapolis, IN 46204 1
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
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))
2858743 Monthly membership -July 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
VOUCHE'8Y/Q'7,_WARRANT NO.
UU// LL
YMCA of Greater Indianapolis ALLOWED 20
IN SUM OF $
615 N. Alabama Street, Ste 200
Indianapolis, 462U4-1432
$ $225.00
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
2858743 301 the materials or services itemized thereon
for which charge is made were ordered and
received except
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund