183682 03/25/2010 *f CITY OF CARMEL, INDIANA VENDOR: 354829 Page 1 of 1
•i� ONE CIVIC SQUARE JEREMY J SOUTH CHECK AMOUNT: $56.00
CARMEL, INDIANA 46032 5151 SUNNYMEADE LANE
INDIANAPOLIS IN 46208 CHECK NUMBER: 183682
CHECK DATE: 3125/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4340800 24 56.00 ADULT CONTRACTORS
Jeremy South
5151 Sunny Meade Lane Mv
c e
Indianapolis. IN
46208 Invoice No: 24
317 924 -4808 Date: 13 Mar 2010
317 -514 -8469
claymansouth@gmail_cam
rockyripplecl ayworks. org
Bill To:
Carmel Parks And Recreation
Description Quantity Rate Amount
pring preschool workshop 4.0 $14.00 $56.00
Purchase I CC
Description
P o
P.O. r F
G.L. MAR 1 5 2010
Budget t' rar k�f
Line Descr
Purchaser Date .BY
Approval Data G
Indicates non taxable item
Subtotal $56.00
Includes Tax (0.00 $0.00
Total $56.00
Paid $0.00
Balance Due $56.00
Page 1 of 1
ACCOUNTS PAYABLE VOUCHER
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
3/13110 24 Spring preschool pottery 22868 56.00
Total 56.00
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
Voucher No. Warrant No.
354829 South, Jeremy Allowed 20
5151 Sunny Meade Ln
Indianapolis, IN 46208
In Sum of
56.
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -32 24 4340800 56.00 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
25 -Mar 2010
A�
Signature
56.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund