183003 03/03/2010 CITY OF CARMEL, INDIANA VENDOR: 354829 Page 1 of 1
f ONE CIVIC SQUARE JEREMY J SOUTH
o CARMEL, INDIANA 46032 5151 SUNNYMEADE LANE CHECK AMOUNT: $291.00
INDIANAPOLIS IN 46208
CHECK NUMBER: 183003
CHECK DATE: 31312010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4340800 13 235.00 ADULT CONTRACTORS
1096 4340800 18 56.00 ADULT CONTRACTORS
Jeremy S u the r
515 unny. La ne
�ndianapdis
46208
Invoice No: X 18-
317- 924 -4808 Date:. =11_Feb.20a.0_
317- 514 -8469
claymansouth@gmaii.com
rockyrippledayworks. o rg
E�
Bill To: FEB
Carmel Clay Parks And Recreation
BY
Description. Quantity Rate Amount
inter wonderland workshop 4. $14.00 $56.00
PurchaseW Gf�&efP a 0 11 f1VOIL2
a v
Description
P.O. w g"o� D2
0.L.# I U,0: 103(P-3a. (t3 U00 y�.yoo.33o.y3�lo$00
L
Line Descr
Purchaser Date C
Approval Date U
Indicates non taxable item
4 kids at $14 each Subtotal $56.00
Includes Tax (0.00 $0.00
Total $56.00
Paid $0.00
Balance Due C::- 556:00-
Page 1 or i
C�JeremySouth. �o
5 51-Sunny,MeadeLane I nvoice
Indianapolis. IN
C -46208 Invoice No b :13-)
317 924 -4808 GDate: 25 Jan 2010
317- 514 -8469
claymansouth @gmail.com
rocky ripplecla yworks. org
Bill To:
Carmel Clay Parks And Recreation
Description Quantity Rate Amount
Kids pottery evening 5.0 $47.00 $235.00
Purchase
Descri 1lel�t r 1 nU 0 t C�
ption
P.O. P r F o
G.L. t H 7 9 ��0''I�' I3c(C1`
Bud PC�CIYCW (�,y� �1'(lCtars
Line Descir
Purchaser V"Llbate f 1 Q
Approval Date 1 U FEB 1 6 2010
i 3 ye
Indicates non taxable item
animals of the jungle Subtotal $235.00
6:15 -7:15 p. m. Tax (0.00 $0.00
Total $235.00
Paid $0.00
Balance Due 1 $235:00
Page 1 of 1
ACCOUNTS PAYABLE VOUCHER
r° CITY OF CARMEL
An invoice of 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.
354829 South, Jeremy Terms
5151 Sunny Meade Ln
Indianapolis, IN 46208
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
2/11/10 18 Winter Wonderland pottery 22868 p 56.00
1/25/10 13 Kids pottery 22868 235.00
Total 291.00
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.
354829 South, Jeremy Allowed 20
5151 Sunny Meade Ln
Indianapolis, IN 46208
In Sum of
291.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -32 18 4340800 56.00 1 hereby certify that the attached invoice(s), or
1096 -42 13 4340800 235.00 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
25 -Feb 2010
Signature
291.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund