HomeMy WebLinkAbout186569 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 355549 Page 1 of 1
ONE CIVIC SQUARE YMCA
CARMEL, INDIANA 46032 615 N ALABAMA ST SUITE 200 CHECK AMOUNT: $265.17
INDIANAPOLIS IN 46204 -1359 CHECK NUMBER: 186569
CHECK DATE: 6/9/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 R4341980 19344 1314341 265.17 WELLNESS PROGRAM
YMCA of Greater Indianapolis
615 N Alabama St Suite 200
Indianapolis IN 46204-1359 invoice No. F
(317) 266-9622 fax: (317) 266-2845
INVOICE
B[Il to: City of Carmel 317-571-5850
Attn: Michele Whittington
Human Resources, 1 Civic Square
Carmel, IN 46032
JUN 0 7 2010
YMCA membership fees for the month of
June 2010 By
Name YMCA Employee Employe Ty
pe Date of Birth Remarks
Allen, Brad 3 18 0.00 10.95 Adult HH (2)
Baskerville, Anthony 1, 7 0.00 10.95 Adult HH (2)
Baskerville, Steve �4 0.00 8.85 Adult HIH (1)
Borowicz, Paul )2 0.00 11095 Adult HH (2)
Brisco, Michael oo' 0.00 10.95 Adult HH (2)
Conn, Angie 14 0.00 10.95 Adult HIH (2�
Dewald, Greg )81 0,00 10.95 Adult HIH (2)
Dorsch, Jim T9 0.00 10.95 Adult HIH (2)
Duncan. Gary Jr. C 0.00 1095 Adult HH (2)
Ellison, Chris ?1 0.00 10.95 Adult HH (2)
Giles, Greg 321 0.00 10.95 Adult HH (2)
Gordon, Peggy '0 0.00 7.35 Adult
Hoffman, Matthew 4 ,7 0.00 7.35 Adult
Lenzejed 0.00 15.27 Adult HH (2)
Liggett, Brent 1 000 10.95 Adult HH (2)
McManama, Carol 1 0.00 7.35 Adult
McNair, Harland 4 0.00 10.95 Adult HH (2)
Ransford, Brett �E 0.00 10.95 Adult HH (2)
Steve, Holubilk 5� 0.00 10.95 Adult HH (2)
Whitaker, Charles 0.00 10.95 Adult HH (2)
25 employees Total Due
YMCA of Greater Indianapolis Terms: Net 3Ddays
Pagel
YMCA membership fees for the month of
June 2010
Name YMCA Employee Employe Tvr)e Date of Birth Remarks
615 N. Alabama Street
Indianapolis, IN 46204
Additions this period:
ISteve, Holubik 1 0.00 10.95 Adult HH (2)] Joined 6 -1 -10
11-enze, Ted_ Joined 5 -19 -10
Cancellations this period:
None
Page 2
VOUCHER NO. WARRANT NO.
ALLOWED 20
YMCA of Greater Indianapolis
IN SUM OF
615 N. Alabama St., Suite 200
Indianapolis, IN 46204 -1359
$265.17
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
19344 I 1314341 I 43- 419.$0 1 $265.17 1 hereby certify that the attached invoice(s), or
1
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
Monday, June 07, 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))
06/01/10 I 1314341 I $265.17
l 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