HomeMy WebLinkAbout333423 12/14/18 J`%�"p',';'� CITY OF CARMEL, INDIANA VENDOR: 355549
ONE CIVIC SQUARE Y M C A CHECK AMOUNT: $*******140.78*
9` �r` CARMEL, INDIANA 46032 615 N ALABAMA ST SUITE 200 CHECK NUMBER: 333423
�'dTuN"c�. INDIANAPOLIS IN 46204-1359 CHECK DATE: 12/14/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
301 5023990 1521118 140.78 OTHER EXPENSES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 355549 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
YMCA IN SUM OF$ 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
$140.78
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
1521118 50-239.90 $140.78 1 hereby certify that the attached invoice(s),or 11/20/18 1521118 Nov 2018 $140.78
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
Wednesday, December 12,2018
LA_4 dcl �
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
TM
YMCA of Greater Indianapolis 12/20/2018
615 N Alabama St Suite 200
the Indianapolis IN 46204-1359 Invoice No.
�� (317)266-9622 fax: (317)266-2845 1521118
V
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
November 2018
1
Name YMCA# Employee Employer Type Date of Birth Remarks
Alverson,Jonathan 15.00 0.00 7.80 Adult
risco, Michael 15-36029 0.00 12.90 Adult HH 2 04/16/1969
"Conn, Angelina 0.00 10.65 Adult 2 Only
Diallo,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
t,33raves, Glenn 0.00 12.90 Adult HH 2
V,Gugel, Mark 0.00 12.90 Adult HH 2
Molubik, Steve 0.00 7.80 Adult
Ile , Marcus 0.00 12.90 Adult HH(2).
Prader, Kelly 21.00 0.00 10.65 Adult 2 Only
eeves, Neil 15-608308 0.00 12.90 Adult HH 2 06/11/1979
Weintraut, Courtney 15-202628 0.00 12.90 Adult HH 2 06/15/1980
Subtotals 0.00 1 153.00
(12.22) Credit on Account _=
15 Employees Total Due
a
a
a DEC 12 2018
1:1:t STA
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:
Holubik, Steve 0.00 7.80 Adult
Cancellations this period: