HomeMy WebLinkAbout159128 04/30/2008 CITY OF CARMEL, INDIANA VENDOR: 355549 Page 1 of 1
ONE CIVIC SQUARE Y M C A
0 CARMEL, INDIANA 46032 615 N ALABAMA ST SUITE 200 CHECK AMOUNT: $238.20
INDIANAPOLIS IN 46204 -1359 CHECK NUMBER: 159128
CHECK DATE: 4/30/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4341980 791345 238.20 WELLNESS PROGRAM
c'
..xm.s...+...us., >.�......u...s wwm +....«.+..s..+.. a,gmx��
YMCA of Greater Indianapolis 4/10/2008
615 N Alabama St Suite 200
Indianapolis IN 46204 -1359 Invoice No 791345
(317) 266 -9622 fax: (317) 266 -2845
s
y INVOICE
Bill to: City of Carmel (317) 571 -5850
Attn: Michele Whittington
Human Resources
a 1 Civic Square
Carmel IN 46032
s
Ylv1CA membership fees for the month of
April 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
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 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
f
Huffman, Karen 15- 147939 0.00 8.70 Adult HH {1) 07,09/1965
Liggett, Brent 15- 333338 0.00 10.65 Adult HH (2) 09/09/1974
Lux, Pamela 15- 217795 0.00 4.35 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
Schlaegel, Courtney 12- 202628 0:00 10.6 Ad HH (2) 06!15/1.980
SpeaFina 15- 223945 0.00 10.65 Adult HH (2) 06/14/1961
Stauder, Don 15 -15496 0.00 19.05 Adult HH (2) 10/15/1946
e 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 0.00 238.20
23 employees Total Due $238.20
Please remit to:
YMCA of Greater Indianapolis Terms: Net 30 days,.
615 N. Alabama Street
Indianapolis, IN 46204
Page 1
i
YMCA membership fees for the month of
April 2008
Name YMCA Employee Employer Type Date of Birth Remarks
Additions this period:
Stauder, Don 15 -15496 0.00 19.05 1 Adult HH (2) 10/15/1946 lJoined 3 -7 -08
Cancellations this period:
Lux, Pamela 15- 217795 0.00 3.70 Adult HH (1) 12126 /1958 Canceiied 4 =16 :08
Page 2
rs
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
'MCA Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
04/10/08 791345) IVIUI Rilly membership April 2000 $238
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 N/28`0 WARRANT NO.
YMCA of Greater Indianapolis ALLOWED 20
6 N. Alabama Street, Ste 200 IN SUM OF
lRd I N 46204-1432
$238.20
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
bill(s) is (are) true and correct and that the
1901 7-91345 41989
materials or services itemized thereon for
which charge is made were ordered and
received except
20
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund