HomeMy WebLinkAbout196615 04/13/2011 CITY OF CARMEL, INDIANA VENDOR: 355549 Page 1 of 1
ONE CIVIC SQUARE YMCA
CHECK AMOUNT: $271.12
CARMEL, INDIANA 46032 615 N ALABAMA ST SUITE 200
INDIANAPOLIS IN 46204 -1359 CHECK NUMBER: 196615
CHECK DATE: 4113/2011
DEPARTMENT ACCOUNT P N UMBER INVOICE NUMBE AMO UNT DESCRIPTION
1201 4341980 1512815 271.12 WELLNESS PROGRAM
YMCA of Greater Indianapolis 415!2011
615 N Alabama St Suite 200
e Indianapolis IN 46204 -1359 invoice No. a 15128
�cg (317) 266 -9622 fax: (317) 266 -2845
INVOICE
Bill to: City of Carmel 317 -571 -5850 1�3
Attn: Michele Whittington
Human Resources, 1 Civic Square ly- PR 1
Carmel, IN 46032
YMCA membership fees for the month of
April 2011
I
Name YMCA Employee Employer Type Date of Birth Remarks
Allen, Brad 07- 167698 0.00 11.40 Adult HH 2
Subtotals 0.00 271.12
25 employees Total Due $271.12
Please remit to:
YMCA of Greater Indianapolis Terms: Net 30 days
Page 1
YMCA membership fees for the month of
April 2011
Name YMCA Employee Employer Type Date of Birth Remarks
615 N. Alabama Street
Indianapolis, IN 46204
Additions this period:
Mast, Darren 15- 181913 0. 11.4 1 A dult H H 2 lJoined 3 -11
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
$271.12
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
19344 I 1512815 I 43- 419.80 $271.12 1 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
Monday, April 11, 2011
a—
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))
04/05/11 1512815 $271.12
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