HomeMy WebLinkAbout198835 06/22/2011 CITY OF CARMEL, INDIANA VENDOR: 355549 Page 1 of 1
ONE CIVIC SQUARE YMCA
i CHECK AMOUNT: $254.70
CARMEL, INDIANA 46032 615 N ALABAMA ST SUITE 200
INDIANAPOLIS IN 46204 -1359 CHECK NUMBER: 198835
CHECK DATE: 6/22/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 R4341980 21668 1557542 254.70 WELLNESS PROGRAM
TM
YMCA of Greater Indianapolis C EED
the 615 N Alabama St Suite 200
Indianapolis IN 46204 -1359 Invoice No. 1557542
�cP (317) 266 -9622 fax: (317) 266 -2845
INVOICE
Bill to: City of Carmel 317 571 -5850
Attn: Michele Whittington a
Human Resources, 1 Civic Square f1
Carmel, IN 46032 U
JUN 20 2011
YMCA membership fees for the month of B
June 2011 Y
Name YMCA Employee Employer Type of Birth Remarks
Allen, Brad 07- 167698 0.00 11.40 Adult HH 2
Subtotals 0.00 254.70
23 employees Total Due $254.70
Please remit to:
YMCA of Greater Indianapolis Terms: Net 30 days
615 N. Alabama Street
Indianapolis, IN 46204
Page 1
YMCA membership fees for the month of
June 2011
Name YMCA Employee Employer Type Date of Birth Remarks
Additions this period:
None
Cancellations this period:
Baskerville, A nthon y 15- 312277 0.00 7.65 Adult
"Cariceiiea'5 :3i =1
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
$254.70
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
21668 I 1557542 43- 419.80 I $254.70 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, June 20, 2011
Y
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 PAY,^:BLE VOUCHER.
CITY OF CARMEL
An invoice or bill to be properly itemized must shoe, kind of service. vihere performed, dates service rendered by
v, -horn, 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))
06/06/11 I 1557542 I $254.70
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
Clerk- Treasurer