HomeMy WebLinkAbout200693 08/17/2011 CITY OF CARMEL, INDIANA VENDOR: 355549 Page 1 of 1
ONE CIVIC SQUARE Y M C A
CARMEL, INDIANA 46032 615 N ALABAMA ST SUITE 200 CHECK AMOUNT: $291.14
INDIANAPOLIS IN 46204 -1359
CHECK NUMBER: 200693
CHECK DATE: 8/17/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 R4341980 21668 1606372 291.14 WELLNESS PROGRAM
1
TM
YMCA of Greater Indianapolis 8/2/2011
the 615 N Alabama St Suite 200
Indianapolis IN 46204 -1359 Invoice No. 1606372
�c3 (317) 266 -9622 fax: (317) 266 -2845
F INVOICE
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
August 2011
Name YMCA Employee Employer Type Date of Birth Remarks
Allen, Brad 07- 167698 0.00 11.40 Adult HH 2
Subtotals 0.00 291.14
25 employees Total Due $299.14
Please remit to: D AUG 1 2011
YMCA of Greater Indianapolis Terms: Net 30 days
By
Pagel
YMCA membership fees for the month of
August 2011
Name YMCA Employee Employer Type Date of Birth Remarks
615 N. Alabama Street
Indianapolis, IN 46204
Additions this period:
Borowicz, Paul 15 -92292 0.00 11.40 1 Adult HH 2
Joine -d. 7- 1.8 -1 -1-
Cancellations this period:
None
Page 2
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
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
A n-EGR IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. 1 hereby certify that the attached invoice(s), or
z%-V (p �yl �b F l 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 e
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund