215179 12/04/2012 CITY OF CARMEL, INDIANA VENDOR: 354829 Page 1 of 1
ONE CIVIC SQUARE JEREMY J SOUTH
0 CHECK AMOUNT: $150.00
CARMEL, INDIANA 46032 5125 CROWN STREET
•+ o� INDIANAPOLIS IN 46208 CHECK NUMBER: 215179
CHECK DATE: 12/4/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4340800 150 . 00 ADULT CONTRACTORS
•®a ®o000®®0e 00000 000000 •000 00®
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® Invoice
Invoice No: 100 5125 Crown Street,Indpls,IN,46208
Date: 07 Nov 2012 Traveling pottery classes,workshops and presentations
Terms: Net 30
Due Date: 07 Dec 2012
317-514-8469
claymansouth @gmail.com
rockyrippleclayworks.org
Bill To: Carmel Clay Parks And Rec
..........................................................................................................................
Description Quantity Rate Amount
kids holiday pottery class 5.00 $30.00 $150.00
Purchase f I�, O[ ,
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Line Descr (�,y�l �ftC��" NOV 16 2012
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Approval Date t /7f'//� -- '1
Indicates non-taxable item
..........................................................................................................................
Please make check to Jeremy South Subtotal $150.00
Tax 1 (0.00%) $0.00
Total $150.00
Paid $0.00
Balance Due $150.00
PayP-al
Click hers 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
11/7/12 100 Kids Holiday Pottery class $ 150.00
Total $ 150.00
I 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$
$ 150.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-42 100 4340800 $ 150.00 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
29-Nov 2012
Signature
$ 150.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund