219037 04/09/2013 CITY OF CARMEL, INDIANA VENDOR: 354829 Page 1 of 1
ONE CIVIC SQUARE JEREMY J SOUTH
CHECK AMOUNT: $330.00
CARMEL, INDIANA 46032 5125 CROWN STREET
INDIANAPOLIS IN 46208 CHECK NUMBER: 219037
CHECK DATE: 4/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4340800 124 330 . 00 ADULT CONTRACTORS
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696900909900090106900996961060009 00
0*0000*00000000000000000
Almosd%& Slam a Oak
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Invoice
Invoice No: 124 A�
MAR
5125 Crown Street,Indpls,IN,46208
Date: 19 Mar 2013 'v'HR 7 �01� Traveling pottery classes,workshops and presentations
Terms: Net 30
Due Date: 18 Apr 2013
317-514-8469
claymansouth @gmail.com
rockyrippleclayworks.org
Bill To: Carmel Clay Parks And Rec
..........................................................................................................................
Description Quantity Rate Amount
Kids night pottery class 6.00 $55.00 $330.00
Purchase .'l
Description rem 0l4"�1 /A
P.O. # CCs Porn
G.L. # ? 2 Q
Budget ,,,�"
Line Descr v i h VN f -
Purchaser L Date f
Approval Date-��
*Indica..tes non-taxable.ite. m
..... ............ .....................................................................................................
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
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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
3/19/13 124 Kids night pottery class 29591 $ 330.00
Total $ 330.00
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$
$ 330.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-42 124 4340800 $ 330.00 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
4-Apr 2013
Signature
$ 330.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund