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214081 10/23/2012 CITY OF CARMEL, INDIANA VENDOR: 354829 Page 1 of 1 ` ONE CIVIC SQUARE JEREMY J SOUTH CARMEL, INDIANA 46032 5125 CROWN STREET CHECK AMOUNT: $930.00 INDIANAPOLIS IN 46208 CHECK NUMBER: 214081 CHECK DATE: 10/23/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4340800 80 40 . 00 ADULT CONTRACTORS 1096 4340800 82 560 . 00 ADULT CONTRACTORS 1096 4340800 83 330 . 00 ADULT CONTRACTORS ••o•eog00000• •000000000000000000000 00000000.000000 00000000000000. 00 • 0000000 0000 • 0••0••00 ••0i•• • n ii i AdIlIkAdilk i EMMIM= 0 Invoice Invoice No: 80 5125 Crown Street,Indpls,IN,46208 Date: 01 Oct 2012 Traveling pottery classes,workshops and presentations Terms: Net 30 Due Date: 31 Oct 2012 317-514-8469 claymansouth @gmail.com rockyrippleclayworks.org Bill To: Carmel Parks and Recreation Department .......................................................................................................................... Description Quantity Rate Amount 3-Kids at 20 dollars each 2.00 $20.00 $40.00 Purchase C Description r � J Q L�� N Qu i P.O.# oo P F G.L.# CO 0 Bud et `�,, � Y'0_, Line Descr Ot��Vt Purchaser—lk: l ate jQ S� Approval Date Indicates non-taxable item ............................................................................................................................. Please make check to Jeremy South Subtotal $40.00 Tax 1 (0.00%) $0.00 Tota 1 $40.00 Paid $0.00 Balance Due $40.00 Pay Paf F H,C77'5-TFD Click here to pay OCT 0 9 2012 BY: Page 1 of 1 .............................................................................................................l�o REMITTANCE ADVICE FOR Invoice#80 on 01 Oct 2012 Please detach and send with remittance to: Received From: Carmel Parks and Recreation Department Jeremy South Balance Due: $40.00 5125 Crown Street, Indpls, IN,46208 Amount Paid: Traveling pottery classes,workshops and presentations 000000000000000000000000000000000000 000000000001000000000109969089999 00 0000000 000 ® 0000 *o 01010 ®® ,mks&& a 101onesIM110 low s s Invoice Invoice No: 82 5125 Crown Street,Indpls,IN,46208 Date: 10 Oct 2012 Traveling pottery classes,workshops and presentations Terms: Net 30 Due Date: 09 Nov 2012 317-514-8469 claymansouth @gmail.com rockyri ppleclayworks.org Bill To: Carmel Clay Parks And Rec .......................................................................................................................... Description Quantity Rate Amount Clay to remember tiny tots 14.00 $40.00 $560.00 Purchase \ tm Description L P.O.# 3� a q,,P ore Budget S�r�LC ln['i[1 �(�Qr �cjm m 1 Line Descr••�-� Purchaser�/iS ate-" Approval Date_Wfit- Indicates non-taxable item ............................................................................................................................ Please make check to Jeremy South Subtotal $560.00 Tax 1 (0.00%) $0.00 Total $560.00 Paid $0.00 Balance Due $560.00 Payftf C11ck here to pay Page I of I ............................................................................................................ REMITTANCE ADVICE FOR Invoice#82 on 10 Oct 2012 Please detach and send with remittance to: Received From: Carmel Clay Parks And Rec Jeremy South Balance Due: $560.00 5125 Crown Street, Indpls, IN, 462.08 Amount Paid: Traveling pottery classes,workshops and presentations . 000000000000000000000000006000000009 000000001000000000000109966960909 00 0 000®!1►• •0a 100100®say 0** sees a 1111111111 Amn III!ease i v s ® Invoice Invoice No: 83 5125 Crown Street,Indpls,IN,46208 Date: 10 Oct 12 Traveling pottery classes,workshops and presentations Terms: Net 30 Due Date: 09 Nov 12 317-514-8469 claymansouth @gmail.com rockyrippleclayworks.org Bill TO: Carmel Clay Parks And Rec .......................................................................................................................... Description Quantity Rate Amount Kids night pottery wheel mania 1.00 $330.00 $330.00 5x$60 And 1 x$30 purchase 1 Q �� r Description Y*ewtq 'T %_ f njdi �- P.O.# M C M 3 y 2$ Poo G.L# Ivaco-gD.- y3yogoo Budget ..1 (_ n_n�c.�- Line`bestx V l"�l �.,t1 Purchaser nO�SU�� ate d t f y-31 Approval/) Date ff Indicates non-taxable item co Iq ........................................................................................................................... Please make check to Jeremy South Subtotal $330.00 Tax 1 (0.00%) $0.00 Total $330.00 Paid $0.00 Balance Due $330.00 PayPal-' Click begs to pay Page 1 of 1 .................................................. ....................................................... a REMITTANCE ADVICE FOR Invoice#83 on 10 Oct 12 Please detach and send with remittance to: Received From: Carmel Clay Parks And Rec Jeremy South Balance Due: $330.00 5125 Crown Street,Indpls,IN,46208 Amount Paid: Traveling pottery classes,workshops and presentations 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 10/1/12 80 Kids pottery $ 40.00 10/10/12 82 Preschool pottery program 29074 $ 560.00 10/I 0112 83 Youth.pottery.program 290.72 ___$ _ ___330.00 Total $ 930.00 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$ $ 930.00 ON ACCOUNT OF APPROPRIATION FOR 109 -Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1096-42 80 4340800 $ 40.00 1 hereby certify that the attached invoice(s),or 1096-32 82 4340800 $ 560.00 bill(s) is (are)true and correct and that the 1096-42 83 4340800 $ 330.00 materials or services itemized thereon for which charge is made were ordered and received except 18-Oct 2012 o Signature $ 930.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund