HomeMy WebLinkAbout323644 04/04/18 CITY OF CARMEL, INDIANA VENDOR: 355549'
obi ONE CIVIC SQUARE Y M CACHECK AMOUNT: $*******192.30*
CARMEL, INDIANA 46032 615 N ALABAMA ST SUITE 200 CHECK NUMBER: 323644
v, INDIANAPOLIS IN 46204-1359 CHECK DATE: 04/04/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 1520118 192.30 OTHER EXPENSES
VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995)
Vendor# 355549 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
YMCA IN SUM OF$ 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 46204-1359
Payee
$192.30
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
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
1520118 50-239.90 $192.30 1 hereby certify that the attached invoice(s),or 4/2/18 1520118 $192.30
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,April 02,2018
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 2/10/2018
615 N Alabama St Suite 200
the Indianapolis IN 46204-1359 Invoice No.
(317)266-9622 fax: (317)266-2845 . 1520118
INVOICE
Bill to: City of Carmel 317-571-5850
Attn: J. Spelbring
Human Resources, 1 Civic Square
Carmel, IN 46032
EMAIL: jpspelbring@Carmel.in.gov
YMCA membership fees for the month of
January 2018
Name YMCA# Employee Employer Type Date of Birth Remarks
y kers, Bill 15-23800 0.00 12.90 Adult HH 2 03/26/1964
Iverson,Jonathan 15.00 0.00 7.80 Adult
risco, Michael 15-36029 0.00 12.90 Adult HH 2 04/16/1969
astaneda,Aldwin 15.00 0.00 12.90 Adult HH 2
loud, Sonsee 0.00 10.65 Adult 2 Only
,,Conn,Angelina 0.00 10.65 Adult 2 Only
ecrastos, Richard 0.00 10.65 Adult 2 Only 03/30/1959
iallo,Amadou 0.00 12.90 Adult HH 2 12/15/1962
orsch,Jim 15-35796 0.00 12.90 Adult HH 2 08/04/1969
Ellison, Chris 01-59211 0.00 12.90 Adult HH 2 10/14/1974
'Gugel, Mark 0.00 12.90 Adult HH 2
rader, Kelly 21.00 0.00 10.65 Adult 2 Only
ansford, Brett 15-4888 0.00 12.90 Adult HH 2 10/19/1963
Reeves, Neil 15-608308 0.00 12.90 Adult HH 2 06/11/1979
Watts,Trent 15-233187 0.00 12.90 Adult HH 2 09/06/1972
eintraut, Courtney 15-202628 0.00 12.90 Adult HH 2 06/15/1980
Subtotals 0.00 192.30
16 employees Total Due $192.30
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:
Cloud, Sonsee 0.00 10.65 Adult 2 Only
iallo,Amadou 0.00 12.90 Adult HH 2 12/15/1962
Cancellations this period:
ivin ston, Courtney 15.00 0.00 7.80 Adult