178395 10/14/2009 CITY OF CARMEL, INDIANA VENDOR 354829 Page 1 of 1
ONE CIVIC SQUARE JEREMY J SOUTH
CARMEL, INDIANA 46032 5151 SUNNYMEADE LANE CHECK AMOUNT: $300.00
INDIANAPOLIS IN 45208
CHECK NUMBER: 178395
CHECK DATE: 10/1412009
DEP ARTMENT ACCOUN PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1047 4340800 1006 300.00 ADULT CONTRACTORS
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NAME
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Approval
NC2581 SIGNATURE
ALL CLAIMS D RETU ED ODDS MIDST BE ACCOMPANIED BY THIS BILL.
GE RAI URPOSE
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
5151 Sunny Meade Ln
Indianapolis, IN 46208
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
8/5/09 1006 Pottery classes 20714 p 300.00
Total 300.00
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
f
Voucher No. Warrant No.
354829 South, Jeremy Allowed 20
5151 Sunny Meade Ln
Indianapolis, IN 46208
In Sum of
300.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 1006 4340800 300.00 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
7 -Oct 2009
Signature
300.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund