HomeMy WebLinkAbout184547 04/14/2010 CITY OF CARMEL, INDIANA VENDOR: 355549 Page 1 of 1
ONE CIVIC SQUARE Y M C A CHECK AMOUNT: $231.60
CARMEL, INDIANA 46032 615 N ALABAMA ST SUITE 200
INDIANAPOLIS IN 46204 -1359 CHECK NUMBER: 184547
CHECK DATE: 4/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4341980 1274266 231.60 WELLNESS PROGRAM
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YMCA of Greater Indianapolis 4c2i2o10
615 N Alabama St Suite 200
Indianapolis IN 46204 -1359 Invoice No. 1274266 r
(317) 266 -9622 fax: (317) 266 -2845
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INVOICE
®ICE E
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;Bill to: City of Carmel 317 -571 -5850 I
Attn: Michele Whittington
Human Resources, 1 Civic Square
Carmel, IN 46032
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YMCA membership fees for the month of t
April 2010
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Name YMCA Employee Employer Type Date of Birth Remarks
Allen, Brad i 18 0.00 10.95 Adult HH 2
Baskerville, Anthony 7 0.00 10.95 Adult HH 2
Baskerville, Steve 2 0.00 8.85 Adult HH 1 i
Borowicz, Paul 0.00 10.95 Adult HH 2 C
Brisco, Michael 0.00 10.95 Adult HH 2 C t
Conn, Angie 1 0.00 10.95 Adult HH 2 1
Dewald, Greg 0.00 10.95 Adult HH 2 C
Dorsch, Jim 0.00 10.95 Adult HH 2 0
I Duncan, Gary Jr. 0.00 10.95 Adult HH 2 1
Ellison, Chris 0.00 10.95 Adult HH 2 1':
Giles, Greg 0.00 10.95 Adult HH 2 0
Gu el, Mark 3 0.00 10.95 Adult HH 2 0 1
Hoffman, Matthew 0.00 7.35 Adult 1 1
Huffman, David a 0.00 21.90 Adult HH (2) 0 1
Liggett, Brent 3 0.00 10.95 Adult HH 2 0 1
E McManama, Carol 3 0.00 7.35 Adult 0 1
E McNair, la,land 0.00 10.95 Adult HH (2) 1 1
Ransford, Brett 0.00 10.95 Adult HH 2 1 1
Spearman, Ted 0.00 10.95 Adult HH 2 C i
t Steele, Jeff re 0.00 10.95 Adult HH 2 1
Stindle, Kevin 0.00 10.95 Adult HH 2
Subtotals 0.00 231.60
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21 employees Total Due $231.60
Please remit to: APR 1 2 2010
YMCA of Greater Indianapolis Terms: Net 30 days
615 N. Alabama Street
Indianapolis, IN 46204 By
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YMCA membership fees for the month of
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Name YMCA Employee Employe Type Date of Birth Remarks
Additions this period:
E:uff: David OOO
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VOUCHER NO. WARRANT NO.
ALLOWED 20
YMCA of Greater Indianapolis
IN SUM OF
615 N. Alabama St., Suite 200
Indianapolis, IN 46204 -1359
$231.60
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOIJNT Board Members
1201 1274266 I 43- 419.80 $231.60 f hereby certify that the attached invoice(s), or
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
Friday, April 09, 2010
Director, HR
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
04/02/10 1274266 Wellness Program $231.60
1 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
Clerk- Treasurer