190476 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 354829 Page 1 of 1
ONE CIVIC SQUARE JEREMY J SOUTH CHECK AMOUNT: $150.00
CARMEL, INDIANA 46032 5125 CROWN STREET
INDIANAPOLIS IN 46208 CHECK NUMBER: 190476
CHECK DATE: 9/2912010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4340800 62 150.00 ADULT CONTRACTORS
Jeremy South
5151 Sunny Meade Lane Invoice
Indianapolis. IN
46208 Invoice No: 62
317 924 -4808 Date: 17 Sep 2010
317 -514 -8469
claymansouth @gmail.com
rocky rippleclayworks. org
°'Bill.To:
Carmel Parks And Rec
Description Quantity Rate Amount
Gi ngerbread houses 6.0 $25.00 $150.00
Purchase r gVl So' I�JOICC
Descrlptfon
G.L lOa -`-1ST 9 o
Budqet Y_
Line Destx
Purchaser Ut t 1 ,6at lic)
Approv Oats a Lo b
Indicates non taxable item
Subtotal $150.00
Includes TAX (0.00 $0.00
Total $15000
Paid $0.00
Balance Due $150.00
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
5125 Crown Street
Indianapolis, IN 46208
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
9117110 62 Gingerbread houses 22868 150.00
Total 150.00
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
5125 Crown Street
Indlanapolis, IN 46208
*NEW ADDRESS In Sum of
150.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO #or INVOICE NO. ACCT /TITLE AMOUNT Board Members
Dept
1096 -42 62 4340800 150.00 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
23 -Sep 2010
Signature
150.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund