225562 10/23/2013 CITY OF CARMEL, INDIANA VENDOR: 354829 Page 1 of 1
ONE CIVIC SQUARE JEREMY J SOUTH
CARMEL, INDIANA 46032 5125 CROWN STREET CHECK AMOUNT: $684.00
INDIANAPOLIS IN 46208 CHECK NUMBER: 225562
CHECK DATE: 10/23/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4340800 684 . 00 ADULT CONTRACTORS
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nvoo ce
Jeremy South
5125 Crown Street Invoice No: 11
Indianapolis
Indiana. 46208 Date: Sep 12, 2013
Terms: NET 14
3175148469 Due Date: Sep 26, 2013
claymansouth@gmaii.com
rockyrippleclayworks.org
Traveling pottery programs
BIII To: Carmel Clay Parks And Rec
Description Quantity Rate Amount
Kids night pottery classes 12.00 $57.00 $684.00
Purchase l(e _
Description �t�-YV` 44,n, 1',Vd
P.O. #-Aq&OO �D a- P 00)G.L. # T ,(p — Y;?-- O
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Purchaser L,1� ►� Date(O /3
Approv _ Date I 3
..........................................................................................................................
Total $684.00
Paid $0.00
Balance Due $684.00
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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
9/12/13 11 Kids night pottery classes 36224 $ 684.00
Total $ 684.00
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$
$ 684.00
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1096-42 11 4340800 $ 684.00_ 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
17-Oct 2013
Signature
$ 684.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund