205602 01/17/2012 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
'c, oN 6a INDIANAPOLIS IN 46208 CHECK NUMBER: 205602
CHECK DATE: 1/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4340800 150.00 ADULT CONTRACTORS
Invoice
Invoice No: 10 Rocky Ripple Clayworks
Date: 14 Dec 2011 5125 Crown Street, Indpts, IN, 46208
Terms: Net 30 Traveling Pottery Classes, Workshops And Presentations
Due Date: 13 Jan 2012
317- 51.4 -8469
claymansouth @g mai l,com
rockyrippleclayworks.org
Bill To: Carmel Clay Parks And Rec
Description Quantity Rate Amount
Adult social pottery night 6.00 $25.00 $150.00
9 1 0 9 E 1d/
nU 2 9 1011
BYe
Indicates non- taxable item
Subtotal $150.00
Tax 1 (0.00 $0.00
Purchase Total $150.00
Description Paid $0.00
P.o. #_ML W '37" r Balance Due $150.00
Budget
Line Descr
Purchaser Date
Approval Date 1 2- 3 t t
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
12/14/11 10 Adult pottery classes 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
Indianapolis, IN 46208
In Sum of
150.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -50 10 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
11 -Jan 2012
Signature
150.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund