193222 12/22/2010 CITY OF CARMEL, INDIANA VENDOR: 354829 Page 1 of 1
0 ONE CIVIC SQUARE JEREMY J SOUTH CHECK AMOUNT: $275.00
CARMEL, INDIANA 46032 5125 CROWN STREET
INDIANAPOLIS IN 46208 CHECK NUMBER: 193222
CHECK DATE: 12/22/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4340800 9 275.00 ADULT CONTRACTORS
Jeremy South I
5125 Crown Street
Indianapolis IN. 46208
Invoice No: 9
317 514 -8469 Date: 21 Nov 2010
claymansouth @gmail.com
rockyrippleclayworks.org
Carmel Clay Parks And Rec
o-
adults in pottery 5.0 $55.0 $275.00
Purchase
Description iG Y I E( 5 20 1 0
P.O. 2 r P
G.L. 9�9c�,SG�o SrG �p
Budget Y
Line Des V
Purchaser Date 7 h,
Approv Date
Indicates non taxable item
Subtotal $275-00
TAX (0.00 $0.00
Total $275.00
Paid $0.00
Balance Due $275.00
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)) Amount
11/21/10 9 Adult clay pottery 22288 68 275.00
Total 275.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and 1 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
Indianapolis, IN 46208
In Sum of
275.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or Board Members
Dept
INVOICE NO. ACCT #/TITLE AMOUNT
1096 -50 9 4340800 275.00 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
16 -Dec 2010
Ile Signature
275.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund