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Home My WebLink About238900 11/05/14 Coq 1y�' },f 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