HomeMy WebLinkAbout162117 07/23/2008 F CITY OF CARMEL, INDIANA VENDOR: 355549 Page 1 of 1
ONE CIVIC SQUARE YMCA
is
2 CARMEL, INDIANA 46032 615 N ALABAMA ST SUITE 200 CHECK AMOUNT: $252.75
INDIANAPOLIS IN 46204 -1359 CHECK NUMBER: 162117
CHECK DATE: 7123/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4341980 858185 252.75 WELLNESS PROGRAM
E` YMCA of Greater Indianapolis 7/2/2008
615 N Alabama St Suite 200
Indianapolis IN 46204 -1359 Invoice No 858185
e (317) 266 -9622 fax: (317) 266 -2845
INVOICE
;Bill to: City of Carmel (317) 571 -5850
Attn: Michele Whittington
Human Resources
1 Civic Square
Carmel IN 46032
a
YMCA membership fees for the month of
July 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. Gary Jr. 08- 223938 0.00 10.65 Adult HH (2) 12/07/1970
Edwards, Steven 15- 162725 0.00 17.30 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
Gugel, Mark 15- 177563 0.00 18.70 Adult HH (2) 09/26/1968
Hoffman, Matthew 15 -40575 0.00 7.20 Adult 11/28/1966
Hoiubik a 12- 215404 0.00 10.65 Adult HH (2) 07/22/1960
uffman, Karen 15- 147939 0.00 8.70 Adult HH (1) 07/09/1965
enze, Ted 15- 357004 0.00 21.30 Adult HH (2) 03/02/1976
Liggett, Brent 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
Schiae 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
tauder, Don 15 -15496 0.00 10.65 Adult HH (2) 10/15/1946
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 0.00 272.10
t 24 employees 3 Total Due
Please remit.to
YMC_ A.of Greater Indianapolis Ter s: Net3Days
61'N:'Alabama. Street
Pagel
YMCA membership fees for the month of
July 2008
r Name YMCA Employee Employer Type Date of Birth Remarks
E
Indianapolis, IN 46204
Additions this period:
Edwards, Steven 15- 162725 0.00 10.65 Adult HH (2) 01/10/1970 Joined 6 -11 -08
Gu el, Mark 15- 177563 0.00 10.65 Adult HH (2) 09/26/1968 Joined 6 -7 -08
Lenze, Ted 15- 357004 0.00 10.65 Adult HH (2) 03/02/1976 Joined 6 -1 -08
Cancellations this period:
None
s
Page 2
d
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))
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
%ARRANT NO.
Inclian ALLOWED 20
615 N. Alabama St mot_ IN SUM OF
Indianapolis, IN 4620 -1432
$252.75
ON ACCOUI'GffNBRWOFPJAT�N FOR
1201 Human Resources
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
$252.75 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
ignat eZ
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund