HomeMy WebLinkAbout250914 10/21/15 CITY OF CARMEL, INDIANA VENDOR: 355549
it® ONE CIVIC SQUARE Y M C A CHECK AMOUNT: $*******212.40*
�• ,a. CARMEL, INDIANA 46032 615 N ALABAMA ST SUITE 200 CHECK NUMBER: 250914
INDIANAPOLIS IN 46204-1359 CHECK DATE: 10/21/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 2939963 212.40 OTHER EXPENSES
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YMCA of Greater Indianapolis 10/6/2015
615 N Alabama St Suite 200
the Indianapolis IN 46204-1359 Invoice No.
�Q1 (317) 266-9622 fax: (317) 266-2845 2939963
INVOICE
Bill to: City of Carmel 317-571-585
Attn: J. Spelbring 7bmo
Human Resources, 1 Civic Square
Carmel, IN 46032
YMCA membership fees for the month ofOctober 2015 r
Name YMCA# Employee Employer Type Date of Birth Remarks
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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 I
Klitzing, Michael 20-131827 0.00 12.60 Adult HH (2) 11/17/1970
McManama, Carol 12-119123 0.00 7.50 Senior Adult 08/09/1947
McNair, Harland 15-35476 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
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Subtotals 0.00 212.40
ees
Total Due 212.40
18 employees $
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Please remit to:
YMCA of Greater Indianapolis Terms: Net 30 days
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:
None
Cancellations this period:
None
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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))
10/06/15 - -2939963 Monthly membership - Oct 2015 $212.40
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
20Clerk-Treasurer
VOUCHER Yaltq,.5-WARRANT NO.
YMCA of Greater Indianapolis ALLOWED 20
615 N. Alabama Street, Ste 200 IN SUM OF $
Indianapolis, 46204-1432
$ $212.40
ON ACCOUNT OF APPROPRIATION FOR
301 MEDICAL FUND
Board Members
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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
301 $212.40 the materials or services itemized thereon
for which charge is made were ordered and
received except
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20
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Signature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund