HomeMy WebLinkAbout331456 10/25/18 CITY OF CARMEL, INDIANA VENDOR: 355549
�1 ONE CIVIC SQUARE Y M C A CHECK AMOUNT: $*******145.20*
CARMEL, INDIANA 46032 615 N ALABAMA ST SUITE 200 CHECK NUMBER: 331456
MdioN-�o. INDIANAPOLIS IN 46204-1359 CHECK DATE: 10/25/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 1520919 145.20 OTHER EXPENSES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 355549 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
_ YMCA IN SUM OF$ 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
$145.20
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
1520919 50-239.90 $145.20 1 hereby certify that the attached invoice(s),or 10/20/18 1520919 Sept 2018 $145.20
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, October 25,2018
CA-4�
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
i rM
YMCA of Greater Indianapolis 10/20/2018
615 N Alabama St Suite 200
the Indianapolis IN 46204-1359 Invoice No.
(317)266-9622 fax: (317)266-2845 1520919
INVOICEni
Bill to: City of Carmel 317-571-5850
Attn: J. Spelbring
Human Resources, 1 Civic Square
Carmel, IN 46032
EMAIL: jpspelbring@Carmel.in.gov ; OCT 2 .
YMCA membership fees for the month of
September 2018
°park T
I Name YMCA# Employee Employer Tvpe Date of Birth Remarks
Iverson,Jonathan 15.00 0.00 7.80 Adult
Brisco, Michael 15-36029 0.00 12.90 Adult HH 2 04/16/1969
'Conn,Angelina 0.00 10.65 Adult 2 Only
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
jEllison, Chris 01-59211 0.00 12.90 Adult HH 2 10/14/1974
raves, Glenn 0.00 12.90 Adult HH 2
u el, Mark 0.00 12.90 Adult HH 2 May and June
NaLle ,Angie 0.00 12.90 Adult HH 2
Prader, Kelly 21.00 0.00 10.65 Adult 2 Only
-R6'evesNeil 15-608308 0.00 12.90 Adult HH 2 06/11/1979
eintraut, Courtney 15-202628 0.00 12.90 Adult HH 2 06/15/1980
Subtotals 0.00 145.20
15 Employees Total Due $145.20
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:
Castaneda,Aldwin 15.00 0.00 12.90 Adult HH 2 Cancellation
Decrastos, Richard 0.00 10.65 Adult 2 Only- 03/30/1959 Cancellation
Ransford, Brett 15-4888 0.00 12.90 1 Adult HH(2) 10/19/1963 Cancellation