HomeMy WebLinkAbout324198 04/18/18 0<<;, ,.� - CITY OF CARMEL, INDIANA VENDOR: 355549 CHECK AMOUNT: $*******168.75*
d i. ONE CIVIC SQUARE Y M C A
CARMEL, INDIANA 46032 615 N ALABAMA ST SUITE 200 CHECK NUMBER: 324198
b_TnN co: INDIANAPOLIS IN 46204-1359 CHECK DATE: 04/18/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 1520318 168.75 OTHER EXPENSES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 355549 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
YMCA IN SUM OF$ 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
$168.75
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
1520318 50-239.90 $168.75 1 hereby certify that the attached invoice(s),or 4/10/18 1520318 March 2018 $168.75
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
Thursday,April 12,2018
Crider,James
Administration
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 4/10/2018
615 N Alabama St Suite 200
the Indianapolis IN 46204-1359 Invoice No.
(317)266-9622 fax: (317)266-2845 1520318
INVOICE
.. .0 _
Bill to: City of Carmel 317-571-5850 EA
Attn: J. Spelbring T
Human Resources, 1 Civic SquareCarmel, IN 46032 ��EMAIL: jpspelbring@Carmel.in.gov �� 8
YMCA membership fees for the month of
March 2018 r k T re.i c e
Name YMCA# Employee Employer Tvpe Date of Birth Remarks
Akers, 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
onn,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
Dorsch,Jim 15-35796 0.00 12.90 Adult HH 2 08/04/1969
Ilison, Chris 01-59211 0.00 12.90 Adult HH 2 10/14/1974
rader, Kelly 21.00 1 0.00 10.65 Adult 2 Only
ansford, Brett 15-4888 0.00 12.90 Adult HH 2 10/19/1963
eeves, Neil 15-608308 0.00 12.90 Adult HH 2 06/11/1979
alts, 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 0.00 168.75
14 employees Total Due $168.75
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:
Cancellations this period:
Gu el, Mark 0.00 12.90 Adult HH 2