212373 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 354829 Page 1 of 1
ONE CIVIC SQUARE JEREMY J SOUTH
s CHECK AMOUNT: $1,065.00
%o CARMEL, INDIANA 46032 5125 CROWN STREET
INDIANAPOLIS IN 46208 CHECK NUMBER: 212373
CHECK DATE: 8/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4340800 70 570 . 00 ADULT CONTRACTORS
1096 4340800 71 495 . 00 ADULT CONTRACTORS
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Invoice
Invoice No: 70 5125 Crown Street,Indpls,IN,46208
Date: 06 Aug 2012 Traveling pottery classes,workshops and presentations
Terms: Net 30
Due Date: 05 Sep 2012
317-514-8469
claymansouth @gmail.com
rockyrippleclayworks.otg
Bill To: Carmel Parks And Recreation
..........................................................................................................................
Description Quantity Rate Amount
Time travelers pottery 6.00 $95.00 $570.00
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AUG 0 9 2012
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Please make check to Jeremy South Subtotal $570.00
Tax 1 (0.00 0/c,) $0.00
Tota 1 $570.00
Paid $0.00
Balance Darin $570.00
Purchase
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Invoice
Invoice No: 71 5125 crown Street,Indpls,IN,46208
Date: 06 Aug 12 Traveling pottery classes,workshops and presentations
Terms: Net 30
Due Date: 05 Sep 12
317-514-8469
claymansouth@grnail.com
rockyrippleclayworks.org
Bill To: Carmel Clay Parks And Recreation
..........................................................................................................................
Description Quantity Rate Amount
Tiny tots pottery 11.00 $45.00 $495.00
AUG 0 9 2012
LIndic'zlos non-t<3xable item
. .......................................................................................................................
Please make check to Jeremy South qubtotai $495.00
Tax 1 (0.009/o) $0.00
Total $495.00
Paid $0.00
Balance Due $495.00
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Page 1 of PUfChaS
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
8/6/12 70 Time travelers pottery 31137 $ 570.00
8/6/12 71 Tiny tots pottery 31138 $ 495.00
Total $ 1,065.00
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$
$ 1,065.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-42 70 4340800 $ 570.00 1 hereby certify that the attached invoice(s), or
1096-32 71 4340800 $ 495.00 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
23-Aug 2012
-- Signature
$ 1,065.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund