HomeMy WebLinkAbout238900 11/05/14 Coq
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ac CITY OF CARMEL, INDIANA VENDOR: 236175
® ONE CIVIC SQUARE PARKSIDE ANIMAL HOSPITAL CHECK AMOUNT: $*******236.13*
_� CARMEL, INDIANA 46032 12962 PUBLISHERS DRIVE CHECK NUMBER: 238900
4M,�TON-�o� FISHERS IN 46038 CHECK DATE: 11/05/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4357600 223174 236.13 ANIMAL SERVICES
PARKSIDE ANIMAL HOSPITAL 10/28/2014
11:50 AM
12962 Publishers Drive Invoice: 223174
Fishers,IN 46038
(317)849-1440
Ace.No: 322
Phone: (317)571-2500
Phone2: (317)571-2512
Police De Carmel Patient: KASEY DOB: 12/30/2003
3 Civic Square Species: Canine Age: 10 yr 9 mo
Breed: Dutch Sheperd Sex: FEMALE SPAYED
Carmel, IN 46032 Color: Black Brindle Tag: 90785
Weight: 44.50 lb
Client:Police De Carmel
'Species 'CanirieBreed: Dutch Sheperd Weight: ' 44.50]b
Provider Service/Item Date Qty Price Amount
Mike Havens,D.V.M. Annual Wellnes Physical Exam' 10/28/2014 1.00 $49.00 $49.00
Line Discount:$12.25
Mike Havens,D.V.M. Dist-A2P-Parvo Annual 10/28/2014 1.00 $22.66 $22.66
Line Discount:$5.67
Mike Havens,D.V.M. Leptospirosis vaccine annual 10/28/2014 1.00 $25.98 $25.98
Line Discount:$6.50
Mike Havens,D.V.M. Leptospirosis`Vaceine-4 way 10/28/2014 1.00 $0.00 $0.00
Mike Havens,D.V.M. Bordetella Vacc Annual 10/28/2014 1.00 $21.71 $21.71
Line Discount:$5.43
Mike Havens,D.V.M. Heartworm Test Occult 10/28/2014 1.00 $40.86 $40.86
Line Discount:$10.22
Mike Havens,D.V.M. Fecal Exam Annual 10/28/2014 1.00 $29.67 $29._67
:Line Discount:$7.42
Mike Havens,D.V.M. Biological Waste Hazard fee 10/28/2014 1.00 $3.00 $3.00
Line Discount:$0.75
Mike Havens,D.V.M. Trifexis 40.1-60# 6 Months 10/28/2014 1.00 $121.99 $12-1.99 -
Line Discount:$30.50
Tax $0.00
Discount
Net Invoice $236
Previous Balance �A $269.19
Payment Q,p��� 0
Net Balance Due $505.32
Reminders for KASEY Leptospirosis vaccine-booster Overdue 10/15/2007
T4,Post Pill T495 12/22/2014
Trifexis 40.1-60# 6 Months 04/26/2015
Fecal Exam Annual 10/28/2015
Leptospirosis vaccine annual 10/28/2015
Exam Annual Wellness/Vaccine 10/28/2015
DistA P-Parvo Annual- - - -- -- -- -- - -1-0/28/2015
Heartworm Test Occult 10/28/2015
VOUCHER NO. WARRANT NO.
ALLOWED 20
Parkside Animal Hospital
IN SUM OF$ i
12962 Publishers Drive
Fishers, IN 46038
$236.13
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 223174 43-576.00 $236.13
I 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
Friday, O tober 31, 2014
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
r'
I
i
Prescribed by State Board of Accounts City Form No.201(Rev.1995)
i
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or 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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
10/28/14 223174 K9 Kasey $236.13
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