183460 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 354829 Page 1 of 1
h ONE CIVIC SQUARE JEREMY J SOUTH CHECK AMOUNT: $325.00
s: za CARMEL, INDIANA 46032 6151 SUNNYMEADE LANE
INDIANAPOLIS IN 46208 CHECK NUMBER: 183460
CHECK DATE: 3116/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4340800 19 325.00 ADULT CONTRACTORS
W'_1_
Jeremy South
5151 Sunny Meade Lane Inv
Indianapolis. IN
46208 Invoice No: 19
317- 924 -4808 Date: 28 Feb 2010
317 -514 -8469
claymansouth @gmail.com
rockyrippleclayworks.org
Bill To:
Carmel Parks And Recreation
Description Quantity Rate Amount
W inter wonderland pottery for kids 13.00 $25.0 $325.00
Purchase
Descriptio
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P.O.# �F
G. L. 4'I 0 201
Bud get r 1 art tLckrS
Line DescX
Date
rCpn 3 a a
r BY
Purchase
Approval
DateV
Indicates non taxable item
Subtotal $325.00
Includes Tax (0.00 $0.00
Total $325.00
Paid $0.00
Balance Due $325.00
Page 1 011
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must sh hour. ow,kind of s units, price perorm d dates service rendered, by
whom, rates per day, number of hours, rate per
Payee Purchase Order No.
Terms
354829 South, Jeremy
5151 Sunny Meade Ln
Indianapolis, IN 46208
Invoice Invoice Description PO Amount
Date Number (or note attached invoice(s) or bill(s)) 22868 325.00
2128110 19 Winder wonderland pottery
Total 325.00
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
r.
325.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -42 19 4340800 325.00 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
11 -Mar 2010
Signature
325.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund