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223207 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 354829 Page 1 of 1 ONE CIVIC SQUARE JEREMY J SOUTH CHECK AMOUNT: $975.00 o CARMEL, INDIANA 46032 5125 CROWN STREET INDIANAPOLIS IN 46208 CHECK NUMBER: 223207 CHECK DATE: 8113/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1096 4340800 173 405 . 00 ADULT CONTRACTORS 1096 4340800 201 570 . 00 ADULT CONTRACTORS o 0000011 *so* go " AG ME s e zi - Invoice Invoice No: 173 5125 Crown Street,Indpls,IN,45208 Date: 13 Jun 13 Traveling pottery classes,workshops and presentations Terms: Net 30 Due Date: 13 Jul 13 ( r G✓y. 11AA t ;9 317-514-8469 claymansouth @gmail.com rockyrippleclayworks.org Bill To: Carmel Parks And Rec JUL 18 Z013 ........................................................................................................................... Description Quantity Rate Amount Tiny Tots Madness J 9.00 $45.00 $405.00 Purchase 1 Description (t 5(h 01. q r 1 rP)A M –� P.O.#- 10 L 0 0 L13,.7 5' P orp c.L.# io9 L.3a ti3y goo Budget v ✓q rot Y�1 Line Descr Purchaser M)XC ✓ a�+ Date -7 17113 Approval Date—l"(3 Indicates non-taxable item ........................................................................................................................... Please make check to Jeremy South Subtotal $405.00 Tax 1 (0.00%) $0.00 Total $405.00 Paid $0.00 Balance Due ✓ $405.00 a at - Cllck here to pay Page 1 of 1 0 0o o 0 s Invoice Invoice No: 201 5125 Crown Street,Indpls,IN,46208 Date: 23 Jul 13 Traveling pottery classes,workshops and presentations Terms: Net 14 Due Date: 06 Aug 13 317-514-8469 claymansouth@gmaii.com roc kyri p pledayworks.o rg Bill To: Carmel clay parks and rec j +� AUG - 7 2013 ............................................................................................................................. Description Quantity Rate Amount animals big and small pottery for kids 6.00 $95.00 $570.00 Purchase 4zY ` Description P.O.# I G Tq o P orD G.L.# _ Budget Line Descr Purchaser Date„�/13 Indicates non-taxable item �pprOYal ,..,.., ate-£� ........... ............. ...... Please make check to Jeremy South Subtotal $570.00 Tax 1 (0.00%) $0.00 Total $570.00 Paid $0.00 Balance Due $570.00 C 9-41 Click here 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 6/13/13 173 Tinty tots preschool art program 30066 $ 405.00 - 7/23/13 201 Youth pottery $ 570.00 Total $ 975.00 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$ $ 975.00 ON ACCOUNT OF APPROPRIATION FOR 109 - Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1096-32 173 4340800 $ 405.00 1 hereby certify that the attached invoice(s), or 1096-42 201 4340800 $ 570.00 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 8-Aug 2013 Signature $ 975.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund