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250802 10/21/15 �er �/ �1 CITY OF CARMEL, INDIANA VENDOR: 236175 ® I ONE CIVIC SQUARE PARKSIDE ANIMAL HOSPITAL CHECK AMOUNT: $*******134.97* CAq� /� CARMEL, INDIANA 46032 12962 PUBLISHERS DRIVE CHECK NUMBER: 250802 9�«Oel�� FISHERS IN 46038 CHECK DATE: 10/21/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4357600 250510 10.99 .ANIMAL SERVICES 1110 4357600 251330 100.27 ANIMAL SERVICES 1110 4357600 251603 96.82 ANIMAL SERVICES 1110 4357600 CREDIT -73.11 ANIMAL SERVICES PARKSIDE ANIMAL HOSPITAL RETURN RECEIPT 12962 Publishers Drive Account: 322 Fishers,IN 46038 Date: 10/07/2015 (317)849-1440 Page: 1/1 Police De Carmel 3 Civic Square Carmel,IN 46032 Previous Balance $834.61 10/07/2015 Miscellaneous Procedure Return $73.11 Net Balance Due $761.50 Thank You PAMIDE ANIMAL HOSPITAL 09/25/2015 12962 publishers Drive 4:36 PM Invoice: 250510 Fishers,IN 46038 (317)849-1440 Ace.No: 322 Phone: (317)571-2500 Phone 2: (317)571-25121 ' Police De Carmel patient: KASEY DOB: 12/30/2003 Species: Canine Age: 11 yr 8 mo 3 Carmel'.IN 46 geed: Dutch Sheperd Sex: FEMAL13 SPAYED Carmel;lN 46032 Color: Black Brindle Tag: 90785 Weight: 47.00 lb Client:Police De Cannel x• soul Provider ServicelItem Date Qty Price Amount Mike Havens,D.V.M, Exam-Courtesy 09/25/2015 1.00 $0.00 $0.00 Mike Havons,D.V.M. Bandage/Application-small 09/25/2015 1.00 $14.65 $14.65 LuteDdscciunt:.fc3.6d. ........................ ..........................................•..... ...... ................ .........................., ............ Tax $0.00 Discount $166 Net Invoice $10.99 Reminders for ICASEY Trifexis•40.1-60# 6 Months Overdue 04/26/2015 Focal Exam Annual 10128/2015 . Exam-Annual Wellness/Vaccine 10/28/2015 Leptospirosis vaccine annual 10/2812015 DistA2P-Parvo Annual 10/28/2015 Bordetelia'Vacc Annual 10/28/2015 Reartworm Test Occult 10/28/2015 Rabies Vaccine 3 Year 11/08/2015 T4,P6st Pill T495 11/12/2015 ' Heartgard Plus 26-50 12 mos. 09/03/2016 --We strive to provide quality and compassionate care with a personal touch! PARKSIDE ANIMAL HOSPITAL 10/05/2015 4:01 PM 12962 publishers Drive Invoice: 251330 Fishers,IN 46038 ' (317)849-1440 Acc..No: 322 Phone: (317)571-2500 Phone 2: (317)571-2512 Police De Carmel patient: WA2YR DOB:- 2/14/2008 Species: Canine Age: 7 yr 7 mo 3 Civic Square Breed: German Shepherd Sex: MALE Carmel,IN 46032 Color: Black&Tan .Tag: 91745 Weight: 76.50 lb Client:Polio De Carmel Y MA 011 i Provider Service/Itein Date Qty price Amount Mike Havens,D.V.M. Examination/Consultation 10/05!20151.00 $49.00 $49.00 ................................................................................................ :Line Discount:$12.25 Mike Havens,D.V.M. Kenalog 10mg/ml . . 10/05!2015 0.60 „„ $28.90 :Line Discount.$7.23 ............ ................... .. ..................................r....1... ...........................,.., ,.,.....................................„,.i.,,, ....................i Mike Havens,D.V.M. Ear Cleaning Soln 10/05/2015 1.00 ........ „. , $20.80 :Line Discount:$5 20 ' L........... ..................................................................... ...I...................... ... Mike Havens,D.V.M. Otomax 25gm Bottle 10/05/2015 .1.00' . $35.00 I.........................................................................................................: ;Zine Discount.$8.75 Tax $0.00 Discount . $33.43 -Net Invoice $100.27 Reminders for WAZ1R Leptospirosis vaccine annual 06/01/2016 DistAV-Parvo Annual 06/01/2016 Bordetella Vacc Annual 06/01/2016 Exam-Annual Wellness/Vaccine 66/01/2016 Fecal Exam Annual 06/01/2016 lleanworm Test Occult 06/01/2016 Rabies Vaccine 3 Year 06/03/2016 Heartgard Plus 51-100#12 mos. •09/01/2016 We strive to provide quality and compassionate care with a personal touch! 10/07/2015 PARKSIDE ANIMAL HOSPITAL 4:26 PM 12962 Publishers Drive Invoice: 251603 Fishers,IN 46038 (317)$49-1440 ACC.No 322 Phone: (317)571-2500 Phone 2: (317)571-2512 Police De Carmel Patient: "WAZIR DOB: 2/14/200$ 3 Civic Square Species: Canine Age:' 7 yr 7 mo 9 Breed: German Shepherd Sex: MALE Carmel,IN 46032 Color: Black&Tan Tag: 91.745 1Veight: 76.50 lb Client:Police De Carmel EMEMMEM OilM a Provider I Service/Item nate Qty Price Amount Craig Johnson,D.V,M, Iams Canine Intestinal Plus 30# „ 10/07/2015 „ ...............•.....2.00...... $64.55 ..... „$129.10 ne Discount:$32.28 Tax $0,00 Discount Net Invoice �` $96.82 Reminders Reminders for WAZIR Leptospirosis.vacoine annual 06/01/2016 DistA2P-Parvo'Annual 06/01/2016 hordetella'Vacc Annual 06/01/2016 Exam-Annual WellnesslVaccine 06/01/2016 Fecal Exam Annual 06/01/2016 Heartworm Test Occult 06/01/2016 -_ Rabies Vaccine 3•Year 06/03/2016 Heartgard Plus 51-100#12 mos. '09/0I/2016 We strive to provide quality and compassionate care with a personal touch( L VOUCHER NO. WARRANT NO. ALLOWED 20 Parkside Animal Hospital IN SUM OF$ 12962 Publishers Drive Fishers, IN 46038 $134.97 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 250510 43-576.00 $10.99 I hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and that the 1110 251330 43-576.00 $100.27 materials or services itemized thereon for 1110 credit 43-576.00 ($73.11) which charge is made were ordered and 1110 251603 43-576.00 $96.82 received except Thursday, October 15 2015 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form No.201(Rev.1995) 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)) 09/25/15 250510 Kasey $10.99 10/05/15 251330 Wazir $100.27 10/07/15 credit ($73.11) 10/07/15 251603 Wazir $96.82 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