HomeMy WebLinkAbout156363 02/06/2008 CITY OF CARMEL, INDIANA VENDOR: 355549 Page 1 of 1
ONE CIVIC SQUARE YMCA
e CARMEL, INDIANA 46032 615 N ALABAMA ST SUITE 200 CHECK AMOUNT: $228.83
INDIANAPOLIS IN 46204 -1359
CHECK NUMBER: 156363
CHECK DATE: 21612008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AM OUNT DESCRIPTION
1201 4341980 722728 228.83 WELLNESS PROGRAM
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YMCA of Greater Indianapolis 1/10/2008
615 N Alabama St Suite 200
Indianapolis IN 46204 -1359 Invoice No. 722728
(317) 266 -9622 fax: (317) 266 -2845
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INVOICE
k
;Bill to: City of Carmel (317) 571 -5850
Attn: Michele Whittington
Human Resources
1 Civic Square
Carmel IN 46032
YMCA membership fees for the month of
January 2008
Name YMCA Employee Employer Type Date of Birth Remarks
Allen, Brad 07- 167698 0.00 10.65 Adult HH (2) 11/19/1976
Baskerville, Anthony 15- 312277 0.00 10.65 Adult HH (2) 07/31/1971
Brant, Kenneth 01- 122897 0.00 4.35 Adult HH (1) 05/14/1962
Brewer, Scott 12- 190199 0.00 4.35 Adult HH (1) 05/15/1958
Brisco, Michael 15 -36029 0.00 10.65 Adult HH (2) 04/16/1969
Cromlich, Mark 15 -17337 0.00 10.65 Adult HH (2) 04/04/1969
Delon g, Krist 15- 269993 0.00 5.33 Adult HH (2) 12/27/1974
Dorsch, Jim 15 -35796 0.00 10.65 Adult HH (2) 08/04/1969
Duncan. Gary Jr. 08- 223938 0.00 10.65 Adult HH (2) 12/07/1970
Ellison, Chris 01 -59211 0.00 10.65 Adult HH (2) 02/25/1974
Giles, Greg 15 -32620 0.00 10.65 Adult HH (2) 05/10/1973
Gu el, Mark 15- 177563 0.00 10.65 Adult HH (2) 09/26/1968
Hoffman, Matthew 15 -40575 0.00 7.20 Adult 11/28/1966
Holubik, Steve 12- 215404 0.00 10.65 Adult HH (2) 07/22/1960
Lux, Pamela 15- 217795 0.00 8.70 Adult HH (1) 12/26/1958
McManama, Carol 12- 119123 0.00 7.20 Adult 08/09/1947
McNair, Harland 15 -35476 0.00 10.65 Adult HH (2) 12/16/1971
Ransford, Brett 15 -4888 0.00 10.65 Adult HH (2) 10/19/1963
Schlae el, Courtney 12- 202628 0.00 10.65 Adult HH (2) 06/15/1980 3
Sombke, Brad 15 -7754 0.00 10.65 Adult HH (2) 08/12/1963
Spearman, Ted 15- 223945 0.00 10.65 Adult HH (2) 06114/1961
Steele Jeffrey 12 -99967 0.00 10.65 Adult HH (2) 10/23/1963
Stindle, Kevin 15 -34987 0.00 10.65 Adult HH (2) 03/17/1978
Wynn, Barb 15 -41643 0.00 10.65 Adult HH (2) 04/29/1967
Subtotals 0.00 228.83
24 employees Total Due $228.83
Please remit -to:
YMCA of Greater Indianapolis Terms: Net 30 days
615 N. Alabama Street
Page 1
YMCA membership fees for the month of
January 2008
Name YMCA Employee Employer Type Date of Birth Remarks
Indianapolis, IN 46204
Additions this period:
None
Cancellations this period:
Felix, Paul 12= 285857 0.00 10.65 Adult HH (2) 10!03/1969 'Cancelled'i -1 -0 g
Brant, Kenneth 01- 122897 0.00 8.70 Adult HH (1) 05/14/1962 Cancelled 1 -16 -08
Brewer, Scott 12- 190199 0.00 8.70 Adult HH (1) 05/15/1958 Cancelled 1 -16 -08
Delon g, Krist 15- 269993 0.00 10.65 Adult HH (2) 12/27/1974 Cancelled 1 -16 -08
Page 2
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
YMCA Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Jam $228.83
Total
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
VOUCHER rQ. /04/og_WARRANT NO.
YMCA ot Greater Indianapolis ALLOWED 20
615 N. Alabama Street, Ste 200 IN SUM OF
Indianapolis, IN 46204 1432
$228.83
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1201 Human Resources
Board Members
PO# or
DEPT. INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
1901 799798 419-20 3 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
20
Sign tuKe
Me
Cost distribution ledger classification if
claim paid motor vehicle highway fund