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HomeMy WebLinkAbout208100 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 355549 Page 1 of 1 0 ONE CIVIC SQUARE Y M C A CARMEL, INDIANA 46032 615 N ALABAMA ST SUITE 200 CHECK AMOUNT: $264.75 INDIANAPOLIS IN 46204 -1359 CHECK NUMBER: 208100 ro• co CHECK DATE: 4/10/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1201 R4341980 21668 1805158 264.75 WELLNESS PROGRAM TM mob.,. o e. �r..+- 4.....+. r... rr cx� rn.-.. .C�+..- T......... y L. 4/4/2012 YMCA of Greater Indianapolis the 615 N Alabama St Suite 200 `Q Indianapolis IN 46204 -1359 Invoice No. (317) 266 -9622 fax: (317) 266 -2845 1805185 IN Bill to: City of Carmel 011 317 571 -5850 Attn: Michele Whittington Human Resources, 1 Civic Square Carmel, IN 46032 APR 0 9 2012 YMCA membership fees for the month of 4 April 2012 By Name YMCA Employee Employer Type Date of Birth Remarks t Akers, Bill 15 -23800 0.00 11.85 Adult HH (2) Page 1 YMCA membership fees for the month of I T April 2012 Name YMCA Employee Employer Type Date of Birth i Remarks I Subtotals 0.00 264.75 23 employees Total Due $264.75 Please remit to: i YMCA of Greater Indianapolis Terms: Net 30 days 615 N. Alabama Street Indianapolis, IN 46204 Please note: Accounts more than 90 days in arrears will be assessed a 10% late fee of the total amount due t Additions this period: None Cancellations this period: None Page 2 VOUCHER NO. WARRANT NO. ALLOWED 20 YMCA of Greater Indianapolis IN SUM OF 615 N. Alabama St., Suite 200 Indianapolis, IN 46204 -1359 $264.75 ON ACCOUNT OF APPROPRIATION FOR Carmel HR Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 21668 1805185 43- 419.80 $264.75 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 Monday, April 09, 2012 Director, HR Title Cost distribution ledger classification if claim paid motor vehicle highway fund 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 04/04/12 1805185 $264.75 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