HomeMy WebLinkAbout160138 05/28/2008 CITY OF CARMEL, INDIANA VENDOR: 355549 Page 1 of 1
ONE CIVIC SQUARE Y M C A CHECK AMOUNT: $225.45
r' CARMEL, INDIANA 46032 615 N ALABAMA ST SUITE 200
INDIANAPOLIS IN 46204 -1359 CHECK NUMBER: 160138
CHECK DATE: 5/28/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4341980 814198 225.45 WELLNESS PROGRAM
S
YMCA of Greater Indianapolis 5/6/200$
615 N Alabama St Suite 200
Indianapolis IN 46204 -1359 Invoice No 814198 A
(317) 266 -9622 fax: (317) 266 -2845 p�
4
I
&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
May 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 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
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
Huffman, Karen 15- 147939 0.00 8.70 Adult HH (1) 07/09/1965
f
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
s 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
Wynn, Barb 15 -41643 0.00 10.65 Adult HH (2) 04/29/1967
Subtotals 0.00 225.45
22 employees Total Due
P.lease remit•to:
YMCA of Greater Indianapolis
Terms:, 30.'days
61'5:N Alabama Street
Indianapolis'.]N -46204
Page 1
YMCA membership fees for the month of
May 2008
Name YMCA Employee Employer Type Date of Birth Remarks
t
Additions this period:
None
Cancellations this period:
None
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))
05,106510 8 198 Monthly membership May 2008 $)2205.45
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 "/23/08 WARRANT NO.
OT rea er Indianapolis ALLOWED 20
IN SUM OF
-315 N. Alabama Street, Ste 200
Indianapolis, IN 46204 1432
$225.45
ON ACCOUNT OF APPROPRIATION FOR
GENERAL FUND
1201 Human Resources
Board Members
PO# or
DEPT INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or
1201 814198 41 A- 5 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
Signa re /J
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund