HomeMy WebLinkAbout305709 11/28/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 355549
ONE CIVIC SQUARE Y M C A CHECKAMOUNT: $*******207.90*
CARMEL, INDIANA 46032 615 N ALABAMA ST SUITE 200 CHECK NUMBER: 305709
INDIANAPOLIS IN 46204-1359 CHECK DATE: 11428/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 1521016 207.90 OTHER EXPENSES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
YMCA ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
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615 N ALABAMA ST SUITE 200 N SUM OF$ 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,bywhom,rates perday,numberof hours,rate perhour,numberof units,price,perunit,etc.
$207.90 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
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
1521016 50-239.90 $207.90 1 hereby certify that the attached invoice(s),or 11/10/16 1521016 $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, November 21,2016
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
TF LV 4
11/10/2016
YMCA of Greater Indianapolis
{.� 615 N Alabama St Suite 200
t1 1e Indianapolis IN 46204-1359 Invoice No. �
Q (317)266-9622 fax: (317)266-2845
INVOICE
Bill to: City of Carmel 317-571-5850 -
Attn: J. Spelbring N3; g T9,
Human Resources, 1 Civic Square ` t
Carmel, IN 46032NOV 2 1 2016
YMCA membership fees for the month of �
October 2.016
Name YMCA# Employee Employer Type 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
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)
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
Gu el, 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 15-11.94 . 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 I
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
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Subtotals 0.00 1 207.90
18 employees Total Due $207.90
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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