227113 12/11/2013 CITY OF CARMEL, INDIANA VENDOR: 354829 Page 1 of 1
ONE CIVIC SQUARE JEREMY J SOUTH
CARMEL, INDIANA 46032 5125 CROWN STREET CHECK AMOUNT: $120.00
�.�'•� INDIANAPOLIS IN 46208
CHECK NUMBER: 227113
CHECK DATE: 12/11/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1096 4340800 44 120 . 00 ADULT CONTRACTORS
-
• C I F
www.artlabindy.com —
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MOBILE �Jeremy South E-
5125 Crown Street `�' ' �`���� D InVOICe NO: 44
Indianapolis
Indiana 46208 I DEC 0 3 2013 Date: Nov 19, 2013
Terms: NET 14
317-514-8469
= Due Date: Dec 3, 2013
Traveling Pottery Programs
rockyri ppleclayworks.com
BIII To: Carmel Clay Parks And Rec
Description Quantity Rate Amount
Family pottery 4.00 $30.00 $120.00
Purchase
Description P 0 tiE"��[ wn ITGt�c�
P.O.# P1 c 4 VLZ P or e
G.L.#_ MG.
Budget �C S
Line DesAot 41__�
Purchase Date 12 /l3
Approval Date13
Total $120.00
Paid $0.00
Balance Due $120.00
Click here to pay.
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
11/19/13 44 Family pottery $ 120.00
I
Total $ 120.00
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
120
Clerk-Treasurer
Voucher No. Warrant No.
354829 South, Jeremy Allowed 20
5125 Crown Street
Indianapolis, IN 46208
In Sum of$
$ 120.00
ON ACCOUNT OF APPROPRIATION FOR
109 -Monon Center
PO#or Board Members
Dept#
INVOICE NO. ACCT#/TITLE AMOUNT
1096-50 44 4340800 $ 120.00 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
5-Dec 2013
Signature
$ 120.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund