HomeMy WebLinkAbout173609 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 355549 Page 1 of 1
ONE CIVIC SQUARE YMCA
CARMEL, INDIANA 46032
615 N ALABAMA ST SUITE 200 CHECK AMOUNT: $228.15
INDIANAPOLIS IN 46204 -1359 CHECK NUMBER: 173609
CHECK DATE: 6/10/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4341980 1081477 228.15 WELLNESS PROGRAM
Ak
YMCA of Greater Indianapolis 6 /v2oo9
615 N Alabama St Suite 200
Indianapolis IN 46204 -1359 Invoice No. 1081477
(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
YMCA membership fees for the month of
June 2009
Name YMCA Employee Employer Tvpe Date of Birth Remarks
Allen, Brad 07- 167698 0.00 10.95 Adult HH 2
Subtotals 0.00 228.15
21 employees Total Due $228.15
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
June 2009
Name YMCA Employee Employer Type Date of Birth Remarks
Additions this period:
Lenze, Theodore 15- 357004 0.00 10.95 1 Adult HH 2
lCancelled 5 -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))
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
VOUCHE%� 810 a ---WARRANT NO.
YMCA of Greater Indianapolis ALLOWED 2
IN SUM OF
615 N. Alabama Street, Ste 200
Indianapolis, IN 46204-1432
$228.15
ON ACCOUNT OF APPROPRIATION FOR
GENERAL FUND
1201 Human Resources
Board Members
PO4 or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
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
Signatu
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund