218231 03/13/2013 CITY OF CARMEL, INDIANA VENDOR: 354829 Page 1 of 1
ONE CIVIC SQUARE JEREMY J SOUTH CHECK AMOUNT: $660.00
CARMEL, INDIANA 46032 5125 CROWN STREET
INDIANAPOLIS IN 46208 CHECK NUMBER: 218231
CHECK DATE: 3/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4340800 117 660 . 00 ADULT CONTRACTORS
000000000000000000000000000000060990
00000000000000000000106000960909 00
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Invoice
Invoice No: 117 5125 Crown Street,Indpls,IN,46208
Date: 20 Feb 2013 C ', ✓T ED Traveling pottery classes,workshops and presentations
Terms: Net 30 FEB cp C n
Due Date: 22 Mar 2013 EB 2 5 2013
V 317-514-8469
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--- claymansouth @gmail.com
rockyrippleclayworks.org
Bill To' Carmel clay parks and recreation department -
..........................................................................................................................
Description Quantity Rate Amount
kids pottery wheel mania 12.00 $55.00 $660.00
Purchase
Description v
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Purchaseru Date_� (�
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Indicates non-taxable item
..........................................................................................................................
Please make check to Jeremy South Subtotal $660.00
Tax 1 (0.00%) $0.00
Total $660.00
Paid $0.00
Balance Due $660.00
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Click hora 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
2/20/13 117 Kids pottery wheel mania 29477 $ 660.00
Total $ 660.00
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$
$ 660.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or Board Members
Dept# INVOICE NO. ACCT#/TITLE AMOUNT
1096-42 117 4340800 $ 660.00 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
7-Mar 2013
j&�YYW7
Signature
$ 660.00 _ Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund