187033 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 354829 Page 1 of 1
ONE CIVIC SQUARE JEREMY J SOUTH
0 CHECK AMOUNT: $965.00
i•� r' CARMEL, INDIANA 46032 5151 SUNNYMEADE LANE
`o INDIANAPOLIS IN 46208 CHECK NUMBER: 187033
CHECK DATE: 6/23/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4340800 37 85.00 ADULT CONTRACTORS
1096 4340800 38 550.00 ADULT CONTRACTORS
1096 4340800 41 225.00 ADULT CONTRACTORS
1096 4340800 42 105.00 ADULT CONTRACTORS
Jeremy South
5151 Sunny Meade Lane Invoice
Indianapolis. IN
46208 Invoice No: 37
317- 924 -4808 Date: 10 Jun 2010
317 514 -8469
claymansouth@gmail-com
rockyrippleclayworks org
Bill To:
Carmel Parks And Rec
Description Quantity Rate Amount
C lay mirrors -kids workshop 5.0 $17.0 $85.00
Purchm
DamflPtIon Yet 1 al C� p
P.O.! F J U N p0 1 2- Q.L jj9 r �rrnlrn�' "O��p �Ultl d 20
a n
Le Des cT p t P ltr C?tv
Purchas ki ate By
Approval D8 1 U
Indicates non taxable item
Subtotal $85.00
Includes Tax (0.00 $0.00
Total $85.00
Paid $0.00
Balance Due $85.00
Page 1 of i
Jeremy South
5151 Sunny Meade Lane Invoice
Indianapolis. IN
46208 Invoice No: 38
317- 924 -4808 Date: 10 Jun 2010
317 514 -8469
claymansouth @gmail.com
rockyrippleclayworks. org
Bill To:
Carmel Clay Parks And Rec
Description Quantity Rate Amount
C lay sculpture camp 5.00 $110.00 $550.00
D 9V
JUN 1 5 2010
Purchase 1 l \161
Description X01 Q
P.Q. P r F
G.L qQ5P
cr u4"
Line Ues
Purchaser to o
Approval Dat6
r Indicates non taxable item
Subtotal $550.00
Includes Tax (0.00 $0.00
Total $550.00
Paid $0.00
Balance Due $550.00
Page 1 of 1
Jeremy South
5151 Sunny Meade Lane Invo
Indianapolis. IN
46208 Invoice No: 41
317 -924 -4808 Date: 10 Jun 2010
317 514 -8469
claymansouth @gmail.com
rockyrippleclayworks. org
Bill To:
Carmel Clay Parks And Re(;
Description Quantity Rate Amount
Pottery vases 5.0 $45.00 $225.00
q� JUN 5 2010
Purchase nifm w ok l fwo u
Description d� ffi
P.O.A Mid f arF
Bud get ,r
Line Descr 1 4 ra d
Purchase ate l fQ
Approval Date Q
Indicates non taxable item
Subtotal $225.00
Includes Tax (0.00 $0.00
Total $225.00
Paid $0.00
Balance Due $225.00
Page 1 of 1
Jeremy South
5151 Sunny Meade Lane I
Indianapolis. IN
46208 InvoiceNo 42
date 10 Jun 2010
317- 924 -4808 I
317 -514 -8469
claymansouth @gmail.com
rockyrippleclayworks.org
s w e c
Carmel Clay Parks And Rec
yh Quantity Hate' A" "mount
Descript
Wall sculpture multimedia pottery w 3.00 $35.00 $105.00
JUN 1 5 2010
BY:..
Purchase
Description ?0
P.O. o e r R
x.1..0 j0g (P- 3a- �39 o $CC
Budget
Une Qescr P
Purchaser Date
Approval Date
Indicates non taxable item
S u btota 1 $105.00
Includes Tax (0.00 $0.00
Total $105.00
Paid $0.00
Balance Due: $145.00
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.
Terms
354829 South, Jeremy
5151 Sunny Meade Ln
Indianapolis, IN 46208
Invoice Invoice Description
Date Number
or note attached invoice 2868 85.00
s) or bill(s)) PO Amount
2
6110110 37 Clay mirrors kids workshop 550.00
6110110 38 Clay sculpture camp 22868
22868 225.00
6110110 41 Pottery vases 105.00
6110110 42 Wall sculpture multimedia pottery 22868
Total 965.00
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
965.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# Dept or Board Members
Dept INVOICE NO. ACCT #frITLE AMOUNT
1096 -42 37 4340800 85.00 1 hereby certify that the attached invoice(s), or
1096 -42 38 4340800 550.00 bill(s) is (are) true and correct and that the
1096 -42 41 4340800 225.00 materials or services itemized thereon for
1096 -32 42 4340800 105.00. which charge is made were ordered and
received except
17 -Jun 2010
A
Signature
965.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund