210548 07/05/2012 CITY OF CARMEL, INDIANA VENDOR: 354829 Page 1 of 1
0 ONE CIVIC SQUARE JEREMY J SOUTH
CARMEL, INDIANA 46032 5125 CROWN STREET CHECK AMOUNT: $245.00
INDIANAPOLIS IN 46208 CHECK NUMBER: 210548
CHECK DATE: 7/5/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4340800 48 245.00 ADULT CONTRACTORS
000000000000060000000000000000000000
000100000000*000000000699019910099
6100010011410000000000100100000
Invoice
Invoice No: 48 5125 crown street Indpls, IN 46208
Date: 13 Jun 12 Traveling pottery classes, workshops and presentations
Terms: Net 30
Due Date: 13 Jul 12
317 -514 -8469
claymansouth @gmail.com
rockyripplecl ayworks. org
Bill To: Carmel Parks And Rec
Description Quantity Rate Amount
Vases in clay pottery 7.00 $35.00 $245.00
Purchase n
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Purchaser Date I
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Please make check to Jeremy South u btot 245.00
Tax 1 0.00 °rb $0.00
Tota 1 $245.00
Paid $0.00
Balance Due $245.00
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Click hone to pay
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
6/13/12 48 Pottery program 245.00
Total 245.00
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
245.00
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1096 -50 48 4340800 245.00 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
28 -Jun 2012
Signature
245.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund