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HomeMy WebLinkAbout334452 01/18/19 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 $140.10 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 1521218 50-239.90 $140.10 1 hereby certify that the attached invoice(s),or 1/20/19 1521218 Dec 2018 $140.10 301 301 301 301 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,January 16,2019 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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer 7M YMCA of Greater Indianapolis 1/20/2019 615 N Alabama St Suite 200 he Indianapolis IN 46204-1359 � Invoice No. (317)266-9622 fax:(317)266-2845 1521218 INVOIC- ;Bill to: City of Carmel 317-571-5850 To Attn:J.Spelbring Submitted Human Resources, 1 Civic Square ' Carmel, IN 46032 EMAIL: jpspelbring@Carmel.in.gov BAN 18 2019 YMCA membership fees for the month of December 2018 ClettTranwa Name YMCA# Employee Employer Type Date of Birth Remarks ( E: Alverson,Jonathan 15.00 0.00 7.80 Adult Brisco, Michael 15-36029 0.00 12.90 Adult HH 2 04/16/1969 Conn,Angelina V 0.00 10.65 Adult 2 Only r Diallo,Amadou 0.00 12.90 Adult HH 2 12/15/1962 Dorsch,Jim Y" 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 Gu el, Mark ✓ 0.00 12.90 Adult HH 2 Holubik, Steve 0.00 7.80 Adult Nalle , Marcus 0.00 12.90 Adult HH 2 Prader, Kell 21.00 0.00 10.65 Adult 2 Only Reeves, 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 0.00 140.10 t 12 Employees Total Due $140.10 Please remit to: YMCA of Greater Indianapolis Terms: Net 30 days a 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: s t $} n' Cancellations this period: Graves, Glenn 0.001 12.90 1 Adult HH 2