207220 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: 354829 Page 1 of 1
ONE CIVIC SQUARE JEREMY J SOUTH
CARMEL, INDIANA 46032 5125 CROWN STREET CHECK AMOUNT: $170.00
INDIANAPOLIS IN 46208
CHECK NUMBER: 207220
CHECK DATE: 3/13/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4340800 120.00 ADULT CONTRACTORS
1096 4340800 22 50.00 ADULT CONTRACTORS
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Jeremy South
Invoice
Invoice No: 21 Rocky Ripple Clayworks
Date: 23 Feb 2012 5125 Crown Street Indpls, IN, 46208
Terms: Net 30 Traveling Pottery Classes, Workshops And Presentations
Due Date: 24 Mar 2012
317 -514 -8469
claymansouth @gmail.com
rockyri p p I ecla yworks. org
Bill To: Carmel Parks And Rec
Description Quantity Rate Amount
Family pottery night 4.00 $30.00 $120.00
1202
13 ye
Indicates non taxable item
Subtotal $120.00
Tax 1 (0.00%) $0.00
Total $120.00
Purchase
Description 1 volt nn Paid $0.00
P.o.# o'1b p„ Balance Due $120.00
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Invo
Invoice No: 22 Rocky Ripple Clayworks
Date: 23 Feb 2012 5125 crown street Indpls, IN, 46208
Terms: Net 30 Traveling Pottery Classes, Workshops And Presentations
Due Date: 24 Mar 2012
317 -514 -8469
daymansouth@gmail.com
rockyri pplecla yworks.org
Bill To: Cannel Clay Parks And Rec I 11
20121
BY
Description Quantity Rate Amount
Tiny tots st patricks day class 5.00 $10.00 $50.00
.u� X50.00
bt'.,�a 0,00
Total $50.00
Purchase Paid $0.00
Description 0 YLVo i -e „�D,�;>r $50.00
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���;ii'T YANI E AZV FOR invcice 1- 1 on 23 Feb 2012 Pioase detach and send With remiiiance to:
''Ret A\Jed Ft6m' Carmel Clay Parks And Pec Jeremy South
3alanc Due_ $N1 rn Pncky Rit ple I.
Amount raid: 5125 0ro,^dn S;'rcet, indois, 1N, 46208
Traveling Pottery- Classes, Workshops And Presentations
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
2/23/12 21 Family pottery night 120.00
2/23/12 22 Tiny tots St. Patricks day class 50.00
Trotald 170.00
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
170.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -42 21 4340800 120.00 1 hereby certify that the attached invoice(s), or
1096 -32 22 4340800 50.00 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
8 -Mar 2012
Signature
170.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund