HomeMy WebLinkAbout197444 05/11/2011 CITY OF CARMEL, INDIANA VENDOR: 355549 Page 1 of 1
e ONE CIVIC SQUARE Y M C A
CARMEL, INDIANA 46032 615 N ALABAMA ST SUITE 200 CHECK AMOUNT: $270.00
INDIANAPOLIS IN 46204 -1359
CHECK NUMBER: 197444
CHECK DATE: 5/1112011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4341980 1535223 270.00 WELLNESS PROGRAM
TM
YMCA of Greater Indianapolis 5/4!2011
the 615 N Alabama St Suite 200
1 Indianapolis IN 46204 -1359 Invoice No. 1535223
(317) 266 -9622 fax: (317) 266 -2845
IN VOICE
Bill to: City of Carmel 317 571 -5850
Attn: Michele Whittington
Human Resources, 1 Civic Square
Carmel, IN 46032
WACA men lip fees for the month of
May 2011
Name YMCA Employee Emolover Typ Date of Birth Remarks
Allen, Brad 07 167698 0.00 11.40 Adult HH 2 11/19/1976
Baskerville, Anthony 15- 312277 0.00 7.65 Adult 07/31/1971
Borowicz, Paul 15 -92292 0.00 11.40 Adult HH 2 05/24/1978
Brisco, Michael 15 -36029 0.00 11.40 Adult HH 2 04/16/1969
Conn, Angie 12- 391480 0.00 11.40 Adult HH 2 12/25/1979
Decrastos, Richard 15 -18979 0.00 11.40 Adult HH 2 03/30/1959
Delon g, Mike 15- 485527 0.00 11.40 Adult HH 2 11/28/1975
Dewald, Greg 15- 259817 0.00 11.40 Adult HH 2 08/19/1969
Dorsch, Jim 15 -35796 0.00 11.40 Adult HH 2 08/04/1969
Duncan, Gary Jr. 08- 223938 0.00 11.40 Adult HH 2 12/07/1970
Ellison, Chris 01 -59211 0.00 11.40 Adult HH 2 10/14/1974
Giles, Greg 15 -32620 0.00 11.40 Adult HH 2 04/13/1969
Gordon, Peggy 08 -91202 0.00 7.65 Adult 03/20/1952
Gu el, Mark 15- 177563 0.00 11.40 Adult HH 2 09/26/1968
Hoffman, Matthew 15 -40575 0.00 7.65 Adult 11/28/1966
Holubik, Steve 12- 215404 0.00 11.40 Adult HH 2 07/22/1960
Li ett, Brent 15- 333338 0.00 11.40 Adult HH 2 09/09/1974
Mast, Darren 15- 181913 0.00 11.40 Adult HH 2 03/23/1967
McManama, Carol 12- 119123 0.00 7.65 Adult 08/09/1947
McNair, Harland 15 -35476 0.00 11.40 Adult HH 2 12/16/1971
Ransford, Brett 15 -4888 0.00 11.40 Adult HH 2 10/19/1963
Spearman-, Ted 15- 223945 0.00 11.40 Adult HH 2 06114/1961
Watts, Trent 15- 233187 0.00 11.40 Adult HH 2 09106/1972
Whitaker, Charles 15- 449142 0.00 11.40 Adult HH 2 07/06/1955
Wrin, Kerri 15 -40142 0.00 11.40 Adult HH 2 08/08/1976
Subtotals 0.00 270.00
25 employees Total Due $270.00 L�-=
Please remit to: D9 MAY 0 9 2011
YMCA of Greater Indianapolis Terms: Net 30 days
By
Page 1
YMCA membership fees for the month of
May 2011
Name YMCA Employee Employer Type Date of Birth Remarks
615 N. Alabama Street
Indianapolis, IN 46204
Additions this period:
None
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
$270.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1201 I 1535223 I 43- 419.80 I $270.00 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, May 09, 2011
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))
05/04/11 1535223 $270.00
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