HomeMy WebLinkAbout253792 1/22/16 %'�,q�. CITY OF CARMEL, INDIANA VENDOR: 355549
s ® ONE CIVIC SQUARE Y M C A CHECK AMOUNT: $"'""•`194.85`
:y ?� CARMEL, INDIANA 46032 615 N ALABAMA ST SUITE 200 CHECK NUMBER: 253792
y,�TON�°' INDIANAPOLIS IN 46204.1359 CHECK DATE: 01/22/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 1521215 194.85 OTHER EXPENSES
VOUCHER NO. WARRANT NO.
ALLOWED 20
YMCA
615 N ALABAMA ST SUITE 200 IN SUM OF$
INDIANAPOLIS, IN 46204-1359
$194.85
ON ACCOUNT OF APPROPRIATION FOR
301 Medical Fund
PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT
Board Members
1521215 110-100.00 $194.85 1 hereby certify that the attached invoice(s), Or
301 I I 301 I
bill(s) is (are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Tuesday, January 19, 2016
Cost distribution ledger classification if
claim paid motor vehicle highway fund
w .3D) r
LyYMCA of Greater Indianapolis
615 N Alabama St Suite 200 r
the Indianapolis IN 46204-1359 Invoice No.Az
-
(317)266-9622 fax: (317) 266-2845E:::: 1521215
INVOICE
Bill to: City of Carmel 317-571-5850 o
Attn: J. Spelbring Submitted To
Human Resources, 1 Civic Square
Carmel, IN 46032 JAN 92016
YMCA membership fees for the month of
December 2015 Clerk i Ireasurer
#2
Name YMCA# Employee Employer Type Date of Birth Remarks
Akers, Bill 15-23800 0.00 12.60 Adult HH (2) 03/26/1964 12/16/15-1/16/16
Brisco, Michael 15-36029 0.00 12.60 Adult HH (2) 04/16/1969 12/16/15-1/16/16
Carpenter, David 08-225343 0.00 12.60 Adult HH (2) 07/21/1979 12/16/15=1/16/16
Conn,Angelina 17-391480 0.00 12.60 Adult HH (2) 12/25/1979 12/1/15-12/31/15
Cromlich, Mark 15-17337 0.00 10.50 Adult HH (1) 07/06/1955 12/16/1.5-1/16/16
Dorsch, Jim 15-35796 0.00 12.60 Adult HH (2) 08/04/1969 12/16/1.5- 1/16/16
Ellison, Chris 01-59211 0.00 12.60 Adult HH (2) 10/14/1974 12/16/15- 1/16/16
Gates, John 15-739509 0.00 10.35 Adult(2)Only 07/01/1948 12/16/15= 1/16/16
Klitzing, Michael 20-131827 0.00 12.60 Adult HH (2) 11/17/1970 12/1/15-,12/31/15
McManama, Carol 12-119123 0.00 7.50 Senior Adult 08/09/1947 12/16/15-1/16/16
McNair, Harland 15-35476 0.00 12.60 Adult HH (2) 12/16/1971 12/16/15-1/16/16
12/16/15- 1/15/16&formerly Adult
Mowery, Susan 15-1194 0.00 7.65 Adult 04/21/1958 1HH (1)
Ransford, Brett 15-4888 0.00 12.60 Adult HH (2) 10/19/1963 12/1/15-12/31/15
Reeves, Neil 15-608308 0.00 12.60 Adult HH (2) 06/11/1979 12/1/15-12/31/15
Schlaegel, Courtney 15-202628 0.00 7.65 Adult 06/15/1980 12/16/15-1/16/16
Spearman,Ted 15-223945 0.00 12.60 Adult HH (2) 06/14/1961 12/16/15-1/16/16 4
Watts, Trent 15-233187 0.00 12.60 Adult HH (2) 09/06/1972 12/1/15 12/31/15 M
.f
F—Subtotals T----O--007]-1 94.86
17 employees Total Due
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