HomeMy WebLinkAbout228757 1/28/2014 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: $227.85
o� INDIANAPOLIS IN 46204-1359 CHECK NUMBER: 228757
CHECK DATE: 1/28/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1201 4341980 2370045 227 . 85 WELLNESS PROGRAM
TM
1/10/2014
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 2370045
INVOICE
Bill to: City of Carmel 317-571-5850
Attn: J. Spelbring
Human Resources, 1 Civic Square
Carmel, IN 46032
YMCA membership fees for the month of
January 2014
Name YMCA# Employee Employer Type Date of Birth Remarks
Akers, Bill
1
T a-a ph r
Subtotals 0.00 227.85
Page 1 .
YMCA membership fees for the month of
January 2014
Name YMCA# Employee Employer Type Date of Birth Remarks
20 employees Total Due $227.85
Please remit to:
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
Additions this period:
None
Cancellations this period:
None
r
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 property 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.
i
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
01/10/14 2370045 $227.85
1 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
YMCA of Greater Indianapolis
IN SUM OF $
615 N. Alabama St., Suite 200
Indianapolis, IN 46204-1359
$227.85
ON ACCOUNT OF APPROPRIATION FOR
Carmel HR Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1201 I 2370045 I 43-419.80 I $227.85 1 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, January 27, 2014
Director, HR
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund