HomeMy WebLinkAbout249959 09/23/15 u ��9 "
' CITY OF CARMEL, INDIANA VENDOR: 355549
.j; ® ���• ONE CIVIC SQUARE Y M C A
CHECK AMOUNT: $ .....212.40"
�`T�N�;_� CARMEL, INDIANA 46032 IN5 IN ALABAMA DIANAPOLIS OLIS IN 46SUITE
04 1359 CHECK DATE:CHECK 09//3595
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 2913344 212.40 OTHER EXPENSES
n Subtotals 0.00 212.40
4
18 employees Total Due $212.40 Ig
t
Please remit to:
YMCA of Greater Indianapolis Terms: Net 30 days
q 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:
,t
None
P 1
7
Cancellations this period:
Y
Martin, Brian Jr. 15-501976—T 0.00 12.60 Adult HH (2) 1 06/04/1982 lCancelled 8-31-15
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))
097091-19 913344 Monthly membership - Sept 2015 $212 4n
Total $212.40
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 NQ/2.�_,�WARRANT NO.
UJ
YMCA of Greater Indianapolis ALLOWED 20
IN SUM OF $
615 N. Alabama Street, Ste 200
Indianapolis, -
$ $212.40
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
2913344 40 the materials or services itemized thereon
for which charge is made were ordered and
received except
20
---CJS ��--�—
Signature � •\LV
Cost distribution ledger classification if
Title IJ
claim paid motor vehicle highway fund