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HomeMy WebLinkAbout302318 08/22/16 y�..�,q� CITY OF CARMEL, INDIANA VENDOR: 355549 j, .1 ONE CIVIC SQUARE Y M C A CHECK AMOUNT: $*******184.95* r. Via; CARMEL, INDIANA 46032 615 N ALABAMA ST SUITE 200 CHECK NUMBER: 302318 9���TUN�� INDIANAPOLIS IN 46204-1359 CHECK DATE: 08/22/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 301 5023990 152716 184.95 OTHER EXPENSES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) YMCA ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 615 N ALABAMA ST SUITE 200 IN SUM OF$ CITY OF CARMEL An invoice or bill to be property itemized must show:kind of service,where performed,dates service INDIANAPOLIS, IN 46204-1359 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $184.95 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# 301 Medical Fund Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 152716 50-239.90 $184.95 1 hereby certify that the attached invoice(s),or 8/9/16 152716 $184.95 301 301 301 301 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Monday,August 15,2016 I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 ,20— Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer 8/9/2016 YMCA of Greater Indianapolis 615 N Alabama St Suite 200 the Indianapolis IN 462041359 Invoice No. (317)266-9622 fax: (317)266-2845 162716 - INVOICE Bill to: City of Carmel 317-571-5850 Attn: J. Spelbring Human Resources, 1 Civic Square Submitted Carmel, IN 46032 YMCA membership fees for the month of AUG `2076 1-5 1, July 2016 Clerk Treasdrer Name YMCA# Employee Employer Type Date of Birth Remarks Akers, Bill 15-23800 0.00 12.60 Adult HH (2) 03/26/1964 Brisco, Michael 15-36029 0.00 12.60 Adult HH (2) 04/16/1969 Carpenter, David 08-225343 0.00 12.60 Adult HH(2) 07/21/1979 Dorsch, Jim 15-35796 0.00 12.60 Adult HH (2) 08/04/1969 Ellison, Chris 01-59211 0.00 12.60 Adult HH(2) 10/14/1974 Gates, John 15-739509 0.00 10.35 Adult(2)Only 07/01/1948 Giles, Greg 15.00 0.00 10.50 'Adult HH (1) Gugel, Mark 15.00 0.00 12.60 Adult HH (2) McManama, Carol 12-119123 0.00 7.50 Senior Adult 08/09/1947 McNair, Harland 15-35476 0.00 12.60 Adult HH (2) 12/16/1971 Mowery, Susan 15-1194 0.00 7.65 Adult 04/21/1958 Praden,Christopher 21.00 0.00 10.35 Adult(2)Only 7/15/16-8/14/16 Ransford, Brett 15-4888 0.00 12.60 Adult HH (2) 10/19/1963 Reeves, Neil 15-608308 0.00 12.60 Adult HH (2) 06/11/1979 Watts, Trent 15-233187 0.00 12.60 -Adult HH (2) 09/06/1972 Weintraut, Courtney 15-202628 0.00 12.60 - Adult HH(2) 06/15/1980 I Subtotals 1 0.00 184.95 16 employees Total Due F--$-18-4—.95--1 Please remit to: YMCA of Greater Indianapolis Terms: Net 30 days 616 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: jPraden, Christopher 21-00 L 0.00 1 _ 10.35 TWO(2)Only —F—_]Joined 7/15/16 Cancellations this period: Klitzing, Michael 20-131827 0.00 12.60 Adult HH (2) 11/17/1970 Cancelled