HomeMy WebLinkAbout163059 08/20/2008 CITY OF CARMEL INDIANA VENDOR: 355549 Page 1 of 1
ONE CIVIC SQUARE Y M C A CHECK AMOUNT: $227.40
CARMEL, INDIANA 46032 615 N ALABAMA ST SUITE 200
INDIANAPOLIS IN 46204 -1359 CHECK NUMBER: 163059
CHECK DATE: 8/20/2008
DEPARTMENT ACCOUNT PO NUMBER I NVOICE NUMBER AMOUNT DESCRIPTION
1201 4341980 879445 227.40 WELLNESS PROGRAM
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YMCA of Greater Indianapolis 8/4/2008
615 N Alabama St Suite 200
t.' Indianapolis IN 46204 -1359 Invoice No 879445
t (317) 266 -9622 fax: (317) 266- 2845
0 INVOICE
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 month of
August 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
Gu el, Mark 15- 177563 0.00 10.65 Adult HH (2) 09126/1968
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
u man, are 15- 147939 0.00 8.70 Adult HH (1) 07/09/1965
ig 15- 333338 0.00 10.65 Adult HH (2) 09/09/1974
'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
Stauder, Don 15 -15496 0.00 10.65 Adult HH (2) 10/15/1946
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
W nn, Barb 15 -41643 0.00 10.65 Adult HH (2) 04/29/1967
Subtotals 0.00 236.10
23 empl`oyees"`" Total Due $236.10
Please remit�,to: M
YMCA of Greater Indianapolis Terms:.. Net da
615 N. Street
Indianapolis, IN '46204
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YMCA membership fees for the month of
August 2008
Name YMCA Employee Employer Type Date of Birth Remarks
Additions this period:
None
Cancellations this period:
Lenze, Ted 1 15- 357004 1 0.00 1 10.65 1 Adult HH (2) 03/02/1976 lCancelled 8 -1 -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.
i
Payee
YMCA Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Q If% A I^ Q A A 1- Monthly menibership August 2008 $2-27.40
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 88 18108 WARRANT NO.
s r I ALLOWED 20
Al abama Street Ste 200 IN SUM OF
Indianapolis, IN 46204 -143
$227.40
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
1201 879445 419 80 $227.4 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
Si ature�
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund