222163 07/17/2013 CITY OF CARMEL, INDIANA VENDOR: 354829 Page 1 of 1
ONE CIVIC SQUARE JEREMY J SOUTH CHECK AMOUNT: $475.00
CARMEL, INDIANA 46032 5125 CROWN STREET
INDIANAPOLIS IN 46208 CHECK NUMBER: 222163
CHECK DATE: 7/17/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4340800 172 475 . 00 ADULT CONTRACTORS
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Invoice
Invoice No,:; 172 RECEIVED 5125 Crown Street,Indpls,IN,46208
Date: 'i 13 Jun 13 Traveling pottery classes,workshops and presentations
Terms: Net 30 JUN 2 6 2013
Due Date: 13 Jul 13
BY: 317-514-8469
1 claymansouth @gmail.com
rockyrippleclayworks.org
Bill To: Carmel Parks And Rec
..........................................................................................................................
Description Quantity Rate Amount
Kids pottery making Mania Purchase 5.00 $95.00 $475.00
Description je Y> �'Ck4u
P.O. # L� 1
G.L. # f (p _ P Oro
Budget �J
Line Descr /0 L) -
Purchaser
r
`Indicates non-taxable item
.................................................................................... .................................
Please make check to Jeremy South Subtotal $475.00
Tax 1 (0.00%) $0.00
Total $475.00
Paid $0.00
Balance Due $475.00
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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
6/13/13 172 Kids pottery making mania 29990 $ 475.00
I '
Total $ 475.00
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$
$ 475.00
ON ACCOUNT OF APPROPRIATION FOR
109 - Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-42 172 4340800 $ 475.00 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
10-Jul 2013
Signature
$ 475.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund