191840 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 354829 Page 1 of 1
ONE CIVIC SQUARE JEREMY J SOUTH CHECK AMOUNT: $133.00
CARMEL, INDIANA 46032 5125 CROWN STREET
INDIANAPOLIS IN 45208 CHECK NUMBER: 191840
CHECK DATE: 11/10/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4340800 4 133.00 ADULT CONTRACTORS
Jeremy South Invo
5125 Crown Street
Indianapolis IN. 46208
Invoice No: 4
317 -514 -8469 Date: 01 Nov 2010
claymansouth@gmail.com
rockyrippleclayworks. org
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Carmel Clay Parks And Rec
kids in gobbling clay turkeys m 7.0 $19.0 $133.00
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BY;
Indicates non -taxable item
Subtotal $133.00
TAX (0.00 $0.00
Total $133.00
Paid $0.00
Purchase Balance Due $133.00
Description U 4 Y1Y0 e
P.O. If P r F
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Purchaser Date U
APPS Date
Page 7 of 7
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
1111110 4 clay turkeys 22868 133.00
Total 133.00
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
1
Voucher No, Warrant No.
354829 South, Jeremy Allowed 20
5125 Crown Street
Indianapolis, IN 46208
In Sum of
133.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -32 4 4340800 133.00 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
4 -Nov 2010
Signature
133.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund