175142 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: 354829 Page 1 of 1
ONE CIVIC SQUARE JEREMY J SOUTH CHECK AMOUNT: $1,625.00
CARMEL, INDIANA 46032 5151 SUNNYMEADE LANE
�o.• INDIANAPOLIS IN 46208 CHECK NUMBER: 175142
CHECK DATE: 7122/2009
DEPARTME A CCOUNT PO NUMBER I NVOICE NUMBER AMOUNT DESCRIPTION
1047 4340800 1003 1,045.00 ADULT CONTRACTORS 1047 4340800 1004 360.00 ADULT CONTRACTORS
1047 4340800 1005 220.00 ADULT CONTRACTORS
i
I
a
s
DATE DESCRIPTION F CHAR G CREDITS BALANCE
MAI 1 M
tax 02;MV 1 4
®i �rrr Y15' «ice
4 J
DA
M-110118T WINED 11.1w,163,11. MoOMOINI'Mol-Ilk :144:11,11
�.�5 'A c
DATE DESCRIPTIONNa;: ti WARGES 'CREDITS BALANCE'
I
11W40 M-A
M 6
3
���l'IirYr�
l
hF 1MI 7 IMV
BALANCE
DATE DESCRIPTION CHARGES CREDITS
MEN
71, MWA.4
MEN MEEN
NO 04=0
MEN
MEN
MEN
100�
MEN r
m ap
offla-
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
6117109 1003 Pottery classes 20714 p 1,045.00
6117109 1004 Pottery classes 20714 p 360.00
6117109 1005 Pottery classes 20714 p 220.00
Total 1,625.00
1 hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with 2 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
1,625.00
ON ACCOUNT OF APPROPRIATION FOR
104 Program
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 1003 4340800 1,045.00_ 1 hereby certify that the attached invoice(s), or
1047 1004, 4340800 360.00 bill(s) is (are) true and correct and that the
1047 1005 4340800 220.00 materials or services itemized thereon for
which charge is made were ordered and
received except
16 -Jul 2009
Signature
1,625.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund