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HomeMy WebLinkAbout308704 02/28/17 a4A� CITY OF CARMEL, INDIANA VENDOR: 355549 ` CHECK AMOUNT: $*******248.40* .I � �l• ONE CIVIC SQUARE Y M C A CARMEL, INDIANA 46032 615 N ALABAMA ST SUITE 200 CHECK NUMBER: 308704 INDIANAPOLIS IN 46204-1359 CHECK DATE: 02/28/17 t ETON DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 301 5023990 152117 248.40 OTHER EXPENSES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 355549 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER YMCA IN SUM OF$ CITY OF CARMEL 615 N ALABAMA ST SUITE 200 An invoice or bill to be property itemized must show!kind of service,where performed,dates service rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. INDIANAPOLIS, IN 46204-1359 Payee $248.40 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# 301 Medical Fund Terms 301 Medical Fund Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE•# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 152117 50-239.90 $248.40 1 hereby certify that the attached invoice(s),or 2/10/17 152117 $248.40 301 301 301 301 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 Tuesday, February 21,2017 Lamb, Barbara Director 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 YMCA of Greater Indianapolis 2/10/2017 615 N Alabama St Suite 200 the Indianapolis IN 46204-1359 Invoice No. (317)266-9622 fax: (317)266-2845 152117 INVOICE Bill to: City of Carmel 317-571-5850 Attn: J. Spelbring Human Resources, 1 Civic Square Submitted To Carmel, IN 46032 FEB 21 2017 YMCA membership fees for the month of January 2017 Clerk Treasurer Name YMCA# Employee Employer Type Date of Birth Remarks Akers, Bill 15-23800 0.00 12.60 Adult HH (2) 03/26/1964 Alverson, Jonathan 15.00 0.00 7.65 Adult 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 Castaneda;.Aldwin- 15.00.. 0.00 12.60 Adult HH (2) DeWald, Gre 0.00. 7 g -.65 Adult... 08/19/1969 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) Holubik, Steve 0.00 12.60 Adult HH (2) Livingston, Courtney 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 .::21:00 _ ! 0.00; 10.35 Adult 2 Only Praden; Christopher_-'. ( ) y Ra�sford;:Brett' : 15-4888 : :_0.00; 12.60: AdultHH`(2). : .x.1.0/19/1963; _ J r 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 Subtotals 0.00 248.40 - I I 22 employees Total Due $248.40 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: Alverson, Jonathan 15.00 0.00 7.65 Adult Joined 1/5/17 Castaneda,Aldwin 15.00 0.00 12.60 Adult HH (2) Joined 1/31/17 Livingston, Courtney 1 15.00 0.00 12.60 1 Adult HH (2) Joined 1/14/17 Cancellations this period: None