HomeMy WebLinkAbout177461 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 355549 Page 1 of 1
ONE CIVIC SQUARE YMCA CHECK AMOUNT: $216.84
CARMEL, INDIANA 46032 615 N ALABAMA ST SUITE 200
INDIANAPOLIS IN 46204 -1359 CHECK NUMBER: 177461
CHECK DATE: 9/15/2009
DEPA ACCOUNT PO NUMBER INVOIC NUMBER AMOUNT DESCRIPTION
1201 4341980 1141907 216.84 WELLNESS PROGRAM
A
may
LV YMCA of Greater Indianapolis sI3/2oos
615 N Alabama St Suite 200
Indianapolis IN 46204 -1359 Invoice No. 1341907
(317) 266 -9622 fax: (317) 266 -2845
p 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
September 2009
Name YMCA Employee Employer Type Date of Birth Remarks
Allen, Brad 07- 167698 0.00 10.95 Adult HH 2
Subtotals 0.00 216.84
20 employees Total Due $216.84
Please remit to:
YMCA of Greater Indianapolis Terms: Net 30 days
615 N. Alabama Street
Indianapolis, IN 46204
Page 1
YMCA membership fees for the month of
September 2009
Name YMCA Employee Employer Type Date of Birth Remarks
Additions this period:
Hill, Nathaniel 15- 417185 1 0.00 1 10.95 1 Adult HH 2
lCancelled 8 -31 -09
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))
September 2009 $216.84
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 Nn /14109 WARRANT NO.
YIVIUA of Greater indianapons ALLOWED 20
6Nb N. Alabama Street, Ste 200 IN SUM OF
Indiana poles, IN 46224- 1412
$216.84
ON ACCOUNT OF APPROPRIATION FOR
GENERALFUND
1201 Human Resources
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1201 1141907 419 -80 $216, 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
Signa e
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund