178871 10/28/2009 a CITY OF CARMEL, INDIANA VENDOR: 354829 Page 1 of 1
Q� ONE CIVIC SQUARE JEREMY J SOUTH
CARMEL, INDIANA 46032 5151 SUNNYMEADE LANE CHECK AMOUNT: $430.00
INDIANAPOLIS IN 46208 CHECK NUMBER: 178871
CHECK DATE: 10/28/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4340800 9/15/09 430.00 ADULT CONTRACTORS
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ORDER NO.
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NAME
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SOLD BY
CASH C.O.D. PAID OUT 7
CHARGE MERCHANDISE RETURNED
DESCRI PTION
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NC2581 SIGNATURE
ALL CLAIMS AN R URNED QOODS MUST BE ACCOMPANIED BY THIS BILL.
GENE PURPOSE
�Ilpj DATE No.
ORDER NO'
NAME
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ADDRESS'
SOLD
Q CASH E] C O D. Q PAID OUT
Q CHARGE; F1 MERCHANDISE RETURNED
DESCRIPTION
DATE
ORDER NO.
NAME
ADDR
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SOLD BY
[:]CASH C.O.D. F] PAID OUT
F J CHARGE F� MERCHANDISE RETURNED
QUANTITY
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NC2581 SIGNATURE
ALL CLAIM AND ETURNED GOO S E COMPANIED BY THIS BILL,
GE L PURPOSE
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.
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Payee
Purchase Order No.
354829 South, Jeremy Terms
5151 Sunny Meade Ln
Indianapolis, IN 46208
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
9/15/09 9/15/09 Pre school pottery classes 9/1- 9/15/09 20714 p 70.00
9/15/09 9/15/09 Home school pottery classes 9/1- 9/15/09 20714 p 180.00
9/15/09 9/15/09 Kids pottery classes 9/1- 9/15/09 20714 p 180.00
Total 430.00
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
5151 Sunny Meade Ln
Indianapolis, IN 46208
In Sum of
430.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 9/15/09 4340800 70.00 1 hereby certify that the attached invoice(s), or
1047 9115/09 4340800 180.0 bill(s) is (are) true and correct and that the
1047 9/15/09 4340800 180.00 materials or services itemized thereon for
which charge is made were ordered and
received except
22 -Oct 2009
Signature
430.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund