HomeMy WebLinkAbout165485 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: 355549 Page 1 of 1
ONE CIVIC SQUARE YMCA
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CARMEL, INDIANA 46032 615 N ALABAMA ST SUITE 200 CHECK AMOUNT: $184.80
INDIANAPOLIS IN 46204 -1359 CHECK NUMBER: 165485
CHECK DATE: 10/29/2008
DEPARTMEN A PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4341980 920402 184.80 WELLNESS PROGRAM
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YMCA of Greater Indianapolis 10/6/2008
615 N Alabama St Suite 200
Indianapolis IN 46204 -1359 Invoice No. 920402
(317) 266 -9622 fax: (317) 266 -2845
INVOIC
'Bill to: City of Carmel (317) 571 -5850
Attn: Michele Whittington
Human Resources
1 Civic Square
Carmel IN 46032
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YMCA membership fees for the of r
October 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
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
Dorsch,, Jim 15 -35796 0.00 10.65 Adult HH (2) 08/04/1969
Duncan: Ga Jr. 08- 223938 0.00 10.65 Adult HH (2) 12/07/1970.
Edwards, Steven 15- 162725 0.00 10.65 Adult HH (2) 01/10/1970
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
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
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
Spearman, Ted 15- 223945 0.00 10.65 Adult HH (2) 06/14/1961
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 0.00 184.80
18 employees Total Due $184.80
Please remit to:
YMCA of Indianapolis Terms:. Net 30 d s
z
615 N.-Alabama Street..
Indianapolis, -.IN -46204
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YMCA membership fees for the month of
October 2008
Name YMCA Employee Employer Type Date of Birth Remarks
Additions this period:
None
Cancellations this period:
Gu el, Mark 15- 177563 0.00 10.65 Adult HH (2) 09/26/1968 lCancelled 9 -30 -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))
0
Total
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
VOUCHER M 27/08 WARRANT NO.
ure ter Inianapolis ALLOWED 20
Al abama Street, Ste 200 IN SUM OF
Indiana olis, IN 4 69 0 4_1432
$184.80
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1201 Human Resources
Board Members
PO# or D PT. INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or
1201 920402 19 -8 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
>P
Sign tu�el
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund