HomeMy WebLinkAbout256479 03/15/16 +pr_C4q�
CITY OF CARMEL, INDIANA VENDOR: 236175
ONE CIVIC SQUARE PARKSIDE ANIMAL HOSPITAL CHECK AMOUNT: $********79.34*
x. �r4 CARMEL, INDIANA 46032 12962 PUBLISHERS DRIVE CHECK NUMBER: 256479
9�„�roN.�` FISHERS IN 46038 CHECK DATE: 03/15/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4357600 261916 28.42 ANIMAL SERVICES
1110 4357600 262846 50.92 ANIMAL SERVICES
' IPARKSYDE ANYMAL HOSPITAL 02/22/2016
12962 publishers)Drive 3:09 PM
Invoice: 262846
Fishers,IN 46038 1
(317)849-1440
Acc.No: 322
phone: (317)571-2500
(tone 2: (317)571.2512
Police De Carmel Patient: LOEN'A DOB: 2/10/2012
3 Civic Square Species: Canine Age: 4 yr 0 mo
Carmel, 46032 Breed: Belgian Malinois Sex: FEMALE SPAYED
Color: Brown Tag: 96503
WV ight; 54.0016
Client:Police De Carmel
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Provider ServiceAtem Date Qty krice Amount
Mike Havens,D.V,M, :Z8inxeamDirnsactoiuoni/;C$o1n2s:u2l5tation . 02/22/2016. . ..... ,..........,.. $49,00.. $49,00
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Mike Mavens,D.V,M. ]:nterceptor51.100 SINGLE tablet 02/22/2016 1.00 $11.52 $11.52
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;Lure baseount;X11:.52. . ........................... . ..... .... . .............. . ..... .1....,...„ .. . ............................,. ;
Mike Havens,D.V.M. Dail Trim Large Dog 02/22/2016 1.00 $18.90 $1$.90
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Line 40unt:
Tax $0.00
Discount
Net Invoice f x$5.0.92
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Remind6s for LOEN'A Heartgard Plus 51.100#12 mos. 0$/10/2016
Decal Exam Annual 07/27/2016
Heartworm Test Occult 07/27/2016
DistA2P-Parvo Annual 07/27/2016
Bordetella Vacc Annual 07/27/2016
Exam-Annual Wellness/Vaccine 07/27/2016
Leptospirosis vaccine annual i 07/27/2016
Rabies Vaccine 3 Year I 07/27/2018
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We strive to provide quality and compassionate care with a personal touch!
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PARKSIDE ANIMAL HOSPITAL 02/102016
5:29 PM
12962 publishers Drive
Invoice: 261916
Fishers,IN 46038
(317)849-1440
Ace.No: 322
phone: (317)571-2500
Phone 2: (317)571-2512
Police De Carmel Patient: KASEY IDO)3: 12/30/2003
3 Civic Square Species: Canine 'Age: 12 yr 1 mo
Carmel, q re )Breed: Dutch Sheperd Sex: FEMALE SPAYED
Color: Black Brindle Tag: 97081
Weight: 45.80 Ib
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Client:police Jae Carmel
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Provider Service/Item Date Qty Price Amount
1$0
Mike Havens,D.V.M. Soloxine 4.Srng Tabs 02/10/2016 :00 r r $37.90
Line Discount:$9,48
.........
Tax
Discount $9.48
Net Invoice
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Reminders for KASEY T4,Post Pill I 08/14/2016
Heartgard Plus 26-50#12 mos. I 09/03/2016
Recommend Dental Cleaning 02/01/2017
Heartworm Test Antigen I 02/15/2017
Leptospirosis vaccine annual f� 02/1$/2017
Bordetella Vaee Annual I 02/15/2017
DistA2p-parvo Annual 02/15/2017
Exam-Annual Wellness/Vaceine 02/15/2017
Fecal Exam Annual 02/16/2017
Rabies Vaccine 3 Year J 02/15/2019
We strive to provide quality and compassionate care with a personal touch!
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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s)or bill(s))
03/07/16 261916 Vet Services
1110 101
03/07/16 262846 Vet Services $50.92
1110 101
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
7332001. Dealer No:®fi761
invoice oto: 309120
Header 10660lNorth Michigan Road
CITY OF CARMEL STRp * Zionsville,IN 46077
3400 W 131'1§T ST 3tN��.c
PAGE 1 Wwtiv.my�ndyford.corrl
CARMEL, IN 46074-8267 PARTS&SER-:CE HOURU
Rome:317-733-2001 avail: Monday-Friday
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7:00 am-8;00 pm
SERVICE ADVISOR
KEIMQOEL VIN. *.,.. : LICENSE' ,T ,.MtLEAdE^.;IN I.OUt.'.>..
nTA"t3,.
Fl REI) CLE .09 FORD F250 1FTNP21599EB25752 52040/52040
PRODi,DA7E PARR,EXP PryOMISEO , .. ,:. RATE, YlvfENT,
NO ND ,..,•; .;,t?. PA. r <,aNV=DATE.
17JUL09 D i5JUN09 17:00 20JAN16 CASx 20JRN16
R;0 OPENED �9E,gOY , OPTIONS:W-CONP;G SOLD-STxri538x EPIGf995_5.4L EF1_V-8_ENGINE
TRV.44T S,.SPBED_AUTO,4A'C3C_TRA.NS HSL.:DEL TO_DLR_
10:44 18JA1V16 10:54 20JAN16
LINE OPCODE TECH TYPE HOURS LIST NET TOTAL
A CUSTOMER .STATES VER. WON'T START JUST CLICKS CHECK AND ADVISE
CHG1 CUSTOMER STATES VEH. WON'T START JUST CLICKS
CHECK AND ADVISE
8932 CP 59.00 59.00
E50M BATTERY REPLACEMENT
8932 CP, 16. 99 16.99
, , , ,52040 WEAK. 0.09 REPLACED BSTTERY.
*��*��*ate**,t***x,r�r,test*w,r�*eta*,�,r***sra**,►***�****+r****
B PERFORM MIJLTI-POINT INSPECTION
99P PERFORM .MULTI-POINT INSPECTION
8932ISPTS (N/C)
, , , ,52040 MAINT. .MULTIPOINT.
C*s INSTALL RADIO
8514 OWNER INSPECTION
8932 CP 194. 00 194.00
1 F2UZ'*14526*N. CIRCUIT ,BREAKER ASY 6.63 6.63 6.63
1 F2UZ*1452fi*P CIRCUIT BREAKER ASY 7:11 7.11 7.11
1 18X810 RADIO 225.00 180.00 180.00
52040 INOP. 1.50 PERFORMED PMI INSTILLATION,WOULD NOT COMMUNICATE
„ ,WITH MODULE,REPLACED 2BLOWN FUSES.RETRIED OPERATION SUCCESSFUL.
CUSTOMER PAY SHOP SUPPLIES FOR REPAIR ORDER 35.47
+****#***** ATTENTION CUSTOMER
MAKE A SERVICE APPOINTMENT FROM THE COMFORT
'OF YOUR HOME OR OFFICE ANYTIME, JUST GO TO
MYIND_YF'ORD.COM AND CLICK ON THE SERVICE TAB
IT'S QUICK, EASY AND AVAILABLE 24 HOURS A DAY
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I)MLAIMEROrWARRAhTICS i`OFSCftIE7TtON..;::. s. •S;TOTAtS
ON BEHALF OF SERVICING DEALER, I HEREBY CERTIFY THAT THE AATSLIMITATIONS OFLLSBILITY —• ---
INFORMATION CONTAINED HEREON IS ACCURATE UNLESS.OTHERWISE 71-rA7+-m-u.q,',of t*--mwn LABOR AMOUNT 269.99
SHOWN.SERVICES DESCRIBED WERE PERFORMED AT NO CHARGE TO .4 m d�b '^ MLL9 MARE3?Q
OWNER.THERE WAS NO INDICATION FROM THE APPEARANCE OF THE WARRAMYWRATMEVEA Atm,ErmfmLY PARTS AMOUNT Y 9'a.714
VEHICLE OR OTHERWISE, THAT ANY PART REPAIRED OR REPLACED rxmL Vss At wARRANiiTa EYiLER
ExpRL.iv OR r+rr WA IR[LIA J •Anti OAS,OIL,LUBE n on
.UNDER THIS CLAIM HAD BEEN CONNECTED IN ANY WAY WITH ANY o4,"MVA11L&%M6}Mf3RCfHAVTA6fI.ITY SUBLET AMDLINT
ACCIDENT, NEGLIGENCE OR MISUSE. RECORDS SUPPORTING THIS OR:msaa LOR A FAATittLA7t PURBGTE.
CLAIM ARE AVAILABLE FOR(1)YEAR FROM THE'DATE OF PAYMENT 1w—LA134A tu%4uAt1Lm1GaE"1m MISC.CHARGES
NOTIFICATION,AT THE 'SERVICING DEALER FOR INSPECTION BY IS LWNM TO TIM OMM14AL SAM PIKE
MANUFACTURER'S REPRESENTATIVE, kOA aRttaR sriML f 2 ao wR1� TOTAL CHARGES
mI &1Y LtiT7WuLDEN'rACa C6No LIIS ttAL UrY
VAMACES FOR LOST SALM LOST FROFff& LESS INSURANCE
L•arlRm%1a P6Ywm,cA PAOP@RTr OD
otxcarwwiEsoaaAwce,. SALES TAX n nn
i5{GNED) DEALER,,GENERAL MANAGES OR.AUTHORIZED PERSON IDA7[) CUSTOMER SIGNATURE PLEASE PAV:
WIS AMOUNT
` I `CUSTOMER COPY #� .
,..V...,,,�... ' 1
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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s) or bill(s))
01/14/16 308877 $2,755.03
2201 201
01/20/16 309120 $449.20
2201 201
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