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