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