HomeMy WebLinkAbout303583 09/26/16 CITY OF CARMEL, INDIANA VENDOR: 355549
ONE CIVIC SQUARE Y M C A
u� 4` CHECK AMOUNT: $***'***184.95*
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CARMEL, INDIANA 46032 615 N ALABAMA ST SUITE 200 CHECK NUMBER: 303583
INDIANAPOLIS IN 46204-1359 CHECK DATE: 09/26/16
ON
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 152816 184.95 OTHER EXPENSES
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
YMCA ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
615 N ALABAMA ST SUITE 200 IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly 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
152816 50-239.90 $184.95 1 hereby certify that the attached invoice(s),or 9/10/16 152816 $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,September 19,2016
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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
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9/10/2016
LVYMCA of Greater Indianapolis
615 N Alabama St Suite 200 No.
the Indianapolis IN 46204-1359 Invoice
�Q (317) 266-9622 fax: (317) 266-2845 a � 1628166
INVOICE
513ill to: City of Carmel 317-571-5850
Attn: J. Spelbring
Human Resources, 1 Civic Square
Carmel, IN 46032
YMCA membership fees for the month of
August 2016
It
Name YMCA# Employee Employer Type Date of Birth Remarks
Akers, Bill 15-23800 0.00 12.60 Adult HH (2) 03/26/1964 r
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 Y
h 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 �ted To
Mowery, Susan 15-1194 0.00 7.65 Adult 04/21/1958 -
Praden, Christopher 21.00 0.00 10.35 Adult(2) Only
Ransford, Brett 15-4888 0.00 12.60 Adult HH (2) 10/19/1963 2016
Reeves, Neil 15-608308 0.00 12.60 Adult HH (2) 06/11/1979
i2 Watts, Trent 15-233187 0.00 12.60 Adult HH (2) 09/06/1972 _ w
Weintraut, Courtney 15-202628 0.00 12.60 Adult HH (2) 06/15/1980 �'° n � � ���
If
d
Subtotals 0.00 184.95
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16 employees Total Due $184.95
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 l
assessed a 10% late fee of the total amount due i
Additions this period:
i
None
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'1 Cancellations this period:
None
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