188062 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 354829 Page 1 of 1
ONE CIVIC SQUARE JEREMY J SOUTH
CARMEL, INDIANA 46032 5151 SUNNYMEADE LANE CHECK AMOUNT: $1,650.00
INDIANAPOLIS IN 46208 CHECK NUMBER: 188062
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4340800 45 1,650.00 ADULT CONTRACTORS
Jeremy South
5151 Sunny Meade Lane Invoice
Indianapolis. IN
46208 Invoice No: 45
317- 924 -4808 Date: 27 Jun 2010
317 -514 -8469
claymansouth @gmail.com
rocky rip pleclayworks. org
Bill To:
Carmel Clay Parks And Recreation
Description Quantity Rate Amount
laymania Pottery Camp 15.0 $110.00 $1,650.00
JUN 2 9 2010
Purchase
Description W0 cp BY
P.O. i Q a-9 ayj JLP76r IF
G.L# I k _�11_ L f&ga
Budget 4c) ok(a Cq 4ey
Line Desor
Purchas 6_42/1 C)
Approval Da 0 10
Indicates non taxable item
Subtotal $1,650.00
Includes Tax (0.00 $0.00
Total $1,650.00
Paid $0.00
Balance Due $1,650.00
Page t 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
6/27110 45 Claymania Pottery camp 22868 1,650.00
Total 1,650.00
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
1,650.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE N0. ACCT #!TITLE AMOUNT Board Members
Dept
1096 -42 45 4340800 1,650.00 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
15 -Jul 2010
Signature
1,650.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund