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259138 05/31/16
4�u,-C;p'�F' �! CITY OF CARMEL, INDIANA VENDOR: 236175 ONE CIVIC SQUARE PARKSIDE ANIMAL HOSPITAL CHECK AMOUNT: $*******292.53* :' CARMEL, INDIANA 46032 12962 PUBLISHERS DRIVE CHECK NUMBER: 259138 ;iTON.,�_ FISHERS IN 46038 CHECK DATE: 05/31/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4357600 269518 292.53 ANIMAL SERVICES VOUCHER NO. WARRANT NO. ALLOWED 20 PARKSIDE ANIMAL HOSPITAL 12962 PUBLISHERS DRIVE IN SUM OF$ FISHERS, IN 46038 $292.53 ON ACCOUNT OF APPROPRIATION FOR Carmel Police PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Member; 269518 I 43-576.00 I $292.53 1 hereby certify that the attached invoice(s), or 1110 101 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 Monday, May 09, 2016 �/-</44 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 Date Invoice# Description Amount Dept. Fund# (or note attached invoice(s)or bill(s)) 05/03/16 269518 vet services-Leo $292.53 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 PARKSIDE ANIMAL HOSPITAL 05/03/2016 3:20 PM 12962 Publishers Drive Invoice: 269518 Fishers,IN 46038 (317)849-1440 Ace.No: 322 Phone: (317)571-2500 Phone 2: (317)571-2512 Police De Carmel Patient: LEO DOB: 12/3/2010 Species: Canine Age: 5 yr 5 mo 3 Civic Square Breed: Labrador Retriever Sex: MALE Carmel, IN 46032 Color: Black Tag: 96640 Weight: 69.30 lb ---Client:-Police De Carmel-- Sp`ecie`s ;Camne !` 'Breed T abrador Retrteuer Wei ht 30 I 69 bl L rL�_.... -.- g Provider Service/Item Date Qty Price Amount Mike Havens,D.V.M. Annual Wellnes Physical Exam 05/03/2016 1.00 $49.00 $49.00 .. ... ........... .. ........................._. .. ................ .. ........ .. ... _...... .. . .. ........ ................ .. ........ ................... .. ............................ :Line Discount:$12.25 :........... ..... .. ..... ........................ ........ ........ ... .. ........ .. ...... ..................... ..... ................ .............................................. ......... Mike Havens,D.V.M. Dist-A2P-Parvo Annual 05/03/2016 1.00 $22.66 $22.66 .......... .. .. ._.... .................... .. .. ...... .. . . . . ..... .. . ...... ....... .... .... ..... .........,... .... .. .. .. . ..,.... .. . ........... .. ....... ... .. Line Discount:$5.67 _.............. ......... ........ .. .. . .. . . ... .. . .. .. . . .... .._. ........ .. .. .. ..... . .. . ..... .. .. .............. .... .. .. .. .. _.. . Mike Havens,D.V.M. Leptospirosis vaccine,annual 05/03/2016 1.00 $25.98 $25.98 :Line Discount: $6.50 Mike Havens,D.V.M. Leptospirosis Vaccine-4 way 05/03/2016 1.00 $0.00 $0.00 Mike Havens,D.V.M. Bordetella Vacc Annual 05/03/2016 1.00 $21.71 $21.71 _.. ..... ... ....... ......... .. .. ...... .. . . . .. .. . ... . . ...... .. .. . ......_.................... ..... .. .. . .,. .... ... .. ....... .................... . Line Discount: $5.43 :. . .. . .. .- .... . - .. .. .. . . .... .. . .. .. . . ... ..... .. .. . -- I I.. ............ .. .. .. ..... ... . ... ........... ..... .. .. _. .. .. .. ... ... Mike Havens,D.V.M. Lyme Disease Vacc Annual 05/03/2016 1.00 $25.66 $25.66 . .. ......._....... ..... .. . ..... ...... . ... .. . . . .. ..... .. ..... .. .. .. .. .. .1 _...... .......- . .. ...... .....I................. ... .... .. .. .. .. .... .. :Line Discount: $6.42 :. ....... ..........-... ................. ......... .. . ...... . .. ...... ... .. . . .. ..... . ... ............ . .. ........ ... .. ........................................... .......: Mike Havens,D.V.M. Fecal Exam Annual 05/03/2016 1.00 $29.67 $29.67 ..... .. .. ...... .... .. .. . . . . . ..... . .. .. . .. ... .. . ...... .. .. . ..... .. ... . . . ... .. ... .. ......... ........ .. .. ... :Line Discount:$7.42 . .. . .. .. . . . . . . .._ Mike Havens,D.V.M. Heartworm Test Antigen 05/03/2016 1.00 $40.86 $40.86 ;Line Discount: $10.22 --- Mike Havens,D.V.M. Biological Waste Hazard fee 05/03/2016 1.00 $3.00 $3.00 ....... .............................. ........ ... _ _. .................................... ...... ---................-.............. Line Discount:$0.75 :..... ... _. ............... ... .. . .... ..... ..... .. .. ..... . .. .. ........ .. ._............... ..... ... . .... ....... ... ............... .......... ..... .. .. .. .. .. .. ..: Mike Havens,D.V.M. Interceptor 51-1001b 6 pack(White 05/03/2016 2.00 $57.24 $114.48 Box) Mike Havens,D.V.M. Nail Trim Large Dog 05/03/2016 1.00 $18.90 $18.90 Line Discount:$4.73 Tax $0.00 Discount Net Invoice $292.53 Previous Balance $44.00 Payment $0.00 Net Balance Due $336.53 Reminders for LEO Heartgard Plus 51-10011 12 rhos. Overdae- - 06/04/2014 Interceptor 51-1001b 6 pack(White Box) 10/30/2016