319908 12/21/17 CITY OF CARMEL; INDIANA VENDOR: 355549,
,'r ONE CIVIC SQUARE _ Y M C W . . CHECK AMOUNT: $**'*...171.90*
Q CARMEL, INDIANA 46032 615 N ALABAMA ST SUITE 200 CHECK NUMBER: 319908
INDIANAPOLIS IN 46204-1359 CHECK DATE: 12/21/17
DEPARTMENT ACCOUNT PO NUMBER_ ,INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 1521117 171.90 OTHER EXPENSES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 355549 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
YMCA IN SUM OF$ CITY OF CARMEL
615 N ALABAMA ST SUITE 200 An invoice or bill to be properly 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 462044359
Payee
$171.90
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
1521117 50-239.90 $171.90 1 hereby certify that the attached invoice(s),or 12/10/17 1521117 $171.90
301 301 301 301
bill(s)is(are)true and correct and that the
materials or services item ized.thereon for
which charge is made were ordered and
received except
Thursday, December 14,2017
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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
YMCA of Greater Indianapolis 12/10/2017
the
N Alabama St Suite 200
e�the Indianapolis IN 46204-1359 Invoice No.
(317)266-9622 fax: (317)266-2845 1521117
INVOICE
!i
Bill to: City of Carmel 317-571-5850
Attn: J. Spelbring
a Human Resources, 1 Civic Square
+I Carmel, IN 46032
EMAIL: jpspelbring@Carmel.in.gov
YMCA membership fees for the month of
November 2017
1�
Name YMCA# Employee Employer Type Date of Birth Remarks
I
d
kers, Bill 15-23800 0.00 12.60 Adult HH 2 03/26/1964
Alverson, Jonathan 15.00 0.00 7.65 Adult
Illi risco, Michael 15-36029 0.00 12.60 Adult HH 2 04/16/1969
IiCastaneda,Aldwin 15.00 0.00 12.60 Adult HH 2
Conn,Angelina 0.00 12.60 Adult HH 2
Dorsch, Jim 15-35796 0.00 12.60 Adult HH 2 08/04/1969
v'Blison, Chris 01-59211 0.00 12.60 Adult HH 2 10/14/1974 r
Gu el, Mark 0.00 12.60 Adult HH 2 ---- :-r a
V'Holubik, Steve 0.00 7.65 Adult
is1,Livingston, Courtney 15.00 0.00 7.65 Adult ''�`E�3���t�� q To
,rader, Kelly 21.00 0.00 10.35 Adult 2 Onlyg
Ransford, Brett 15-4888 0.00 12.60 Adult HH 2 10/19/1963 nF
eeves, 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 _
I� a^ a, Weintraut, Courtney 15-202628 0.00 12.60 Adult HH 2 06/15/1980 �.,, G;g �R, � �`�,,,a w
�� Subtotals 0.00 171.90
i�
! 15 employees Total Due $171.90
�I
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:
A
A
I�
Cancellations this period:
I'
iivMcManarna, Carol 12-119123 0.00 7.50 Senior Adult 08/09/1947
I
chair, Harland15-35476 0.00 12.60 Adult HH 2 12/16/1971