HomeMy WebLinkAbout304831 10/31/16 4
J�/ CITY OF CARMEL, INDIANA VENDOR: 355549
ONE CIVIC SQUARE Y M C A CHECK AMOUNT: $*'*****207.90*
CARMEL, INDIANA 46032 615 N ALABAMA ST SUITE 200 CHECK NUMBER: 304831
MUTON�. INDIANAPOLIS IN 46204-1359 CHECK DATE: 10/31./16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 152916 207.90 OTHER EXPENSES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
YMCA ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
615 N ALABAMA ST SUITE 200 IN SUM OF$ 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 hour;,rate per hour,number of units,price per unit,etc.
$207.90 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
152916 50-239.90 $207.90 1 hereby certify that the attached invoice(s),or 10/10/16 152916 $207.90
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, October 24,2016
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
r
LVTM 10/10/2016
YMCA of Greater Indianapolis v
615 N Alabama Suite
4
tf1e Indianapolis IN 46204-135959 aInvoice No.
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�vQ (317) 266-9622 fax: (317) 266-2845 152916
INVOICE
Bill to: City of Carmel 317-571-5850
Attn: J. Spelbring
Human Resources, 1 Civic Square Submitted �®
Carmel, IN 46032_
OCT 2 4 2016
YMCA membership fees for the month of
September 2016 Clerk Treasurer
Name YMCA# Employee Employer Tvpe Date of Birth Remarks
Akers, Bill 15-23800 0.00 12.60 Adult HH (2) 03/26/1964
Anderson, Ross 4.00 0.00 10.35 Adult(2) Only 9/1/16-9/30/16
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, Angelica 17.00 0.00 12.60 Adult HH (2) 9/1/16-9/30/16
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
s
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
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 j
Weintraut, Courtney 15-202628 0.00 12.60 Adult HH (2) 06/15/1980
•
I
Subtotals 0.00 207.90
18 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:
r.
jAnderson, Ross 1 4.00 1 0.00 10.35 1 Adult(2) Only 6
Conn, Angelica 17.00 0.00 12.60 Adult HH (2) lJoined 9-1-16
Cancellations this period:
None El