211050 07/17/2012 �.F CITY OF CARMEL, INDIANA VENDOR: 354829 Page 1 of 1
4J� ONE CIVIC SQUARE JEREMY J SOUTH CHECK AMOUNT: $1,560.00
CARMEL, INDIANA 46032 5125 CROWN STREET
o� INDIANAPOLIS IN 46208 CHECK NUMBER: 211050
CHECK DATE: 7117/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4340800 49 1, 425 . 00 ADULT CONTRACTORS
1096 4340800 50 135 . 00 ADULT CONTRACTORS
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Invoice
Invoice No: 49 5125 Crown Street,Indpls,IN,46208
Date: 13 Jun 2012 Traveling pottery classes,workshops and presentations
Terms: Net 30
Due Date: 13 Jul 2012
317-514-8469
claymansouth @gmail.com
rockyri pplecl ayworks.org
Bill To: Carmel Clay Parks and Rec.
.......................................................................................................I..................
Description Quantity Rate Amount
Pottery wheel Mania 15.00 $95.00 $1,425.00
Purchase
Description Y-e" S 'A) YWO)
P.O.# 11N1 C'00- 0 t L Po OF
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Budget
Line Descr C�`1'�
Purchase
Approv Date. 2
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..........................................................................................................................
Please make check to Jeremy South Subtotal $1,425.00
Tax 1 (0.00%) $0.00
Total $1,425.00
Paid $0.00
Balance Due $1,425.00
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Page 1 of 1
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REMITTANCE ADVICE FOR Invoice#49 on 13 Jun 2012 Please detach and send with remittance to:
Received From: Carmel Flay Parks and Rec. Jeremy South
Balance Due. $1,425 00 5125 Crown Street. Indpds, IN, 46208
Amount Paid: Traveling pottery classes,workshops and presentations
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Invoice
Invoice No: 50 5125 Crown Street,Indpls,IN,46208
Date: 13 Jun 2012 Traveling pottery classes,workshops and presentations
Terms: Net 30
Due Date: 13 Jul 2012
317-514-8469
clay mansouthogm ail.com
-- rockyrippleclayworks.org
Bill To: armel Clay Parks and Rec C
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JUL 0 2 ZM
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..................................................................................................... ...... ...............
Description Quantity Rate Amount
3 preschoolers 3.00 $45.00 $135.00
Indicac .s.non-laxable.Jte.m....... ........ ... ... ......... ......... .... .. ....
Please make check to Jeremy South Subtotal $135.00
Tax 1 (0.00%. $0.00
Total $135.00
Paid $0.00
Balance Due $135.00
Purchase �� Soullrt 1nv�ice
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Page 1 of 1
Approval Date 2
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 49 Youth pottery program 30981 $ 1,425.00
6/13/12 50 Preschool pottery program $ 135.00
Total $ 1,560.00
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$
$ 1,560.00
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-42 49 4340800 $ 1,425.00 1 hereby certify that the attached invoice(s), or
1096-32 50 4340800 $ 135.00 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
12-Jul 2012
Signature
$ 1,560.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund