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300192 07/12/16
CITY OF CARMEL, INDIANA VENDOR: 236175 ONE CIVIC SQUARE PARKSIDE ANIMAL HOSPITAL CHECK AMOUNT: $*******297.79* s _?: CARMEL, INDIANA 46032 12962 PUBLISHERS DRIVE CHECK NUMBER: 300192 FISHERS IN 46038 CHECK DATE: 07/12/16 lTON GO DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4357600 272493 297.79 ANIMAL SERVICES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) PARKSIDE ANIMAL HOSPITAL ALLOWED 20 ACCOUNTS PAYABLE VOUCHER 12962 PUBLISHERS DRIVE IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service FISHERS, IN 46038 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $297.78 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Carmel Police Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 272493 43-576.00 $297.74 1 hereby certify that the attached invoice(s),or 6/3/16 272493 vet services for Leo $297.70 1110 101 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 Wednesday,July 06,2016 Tim Green Chief of Police 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 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer PARKSIDE ANIMAL HOSPITAL 06/03/2016M 6/03 2:177 PPMM 12962 Publishers Drive Invoice: 272493 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 6 mo 3 Civic Square Breed: Labrador Retriever Sex: MALE Carmel, IN 46032 Color: Black Tag: 96640 Weight: 69.80 lb Client:Police De Carmel LEO - `w { pedes Canine _ ; f Breed Labrador Retriever Weight 64 841b' Provider Service/Item Date Qty Price Amount Mike Havens,D.V.M. Exam-Courtesy 06/03/2016 1.00 $0.00 $0.00 Mike Havens,D.V.M. Preanesthetic Panel>9years 06/03/2016 1.00 $99.36 $99.36 :Line Discount:$78.49 Mike Havens,D.V.M. IV Catheterization 06/03/2016 1.00 $55.01 $55.01 ne Discount:$43.46 Mike Havens,D.V.M. Intravenous Fluid Pump/Day 06/03/2016 1.00 $36.62 $36.62 Line Discount:$28.93 Mike Havens,D.V.M. Fluid Administration Set 06/03/2016 1.00 $14.56 $14.56 Line Discount:$11.50 Mike Havens,D.V.M. IV 30"Extension Set 06/03/2016 1.00 $3.64 $3.64 :Line Discount:$2.88 Mike Havens,D.V.M. Sodium Chloride 1 Liter 06/03/20161.00 $26.85 $26.85 . ........ . .. .. _.. .. ..... .. .. ..... .. .. . .. ...._ .. . . ,Line Discount:$21.21 Mike Havens,D.V.M. Cefazolin injectable [gram 06/03/2016 1.00 $26.87 $26.87 - - - Gine Discount:$21.23 ^- --- Mike Havens,D.V.M. Propoflo Anesthetic Induction 06/03/2016 1.00 $29.71 $29.71 ..... .................................. ................ .. ..... ... :Line Discount:$23.47 Mike Havens,D.V.M. Isoflorane Gas per Minute 06/03/2016 30.00 $3.06 $91.80 .... ............. .......... ...... .............. Line Discount:$72.52 Mike Havens,D.V.M. Surgical Monitoring 06/03/2016 1.00 $13.44 $13.44 Line Discount:$10.62 Mike Havens,D.V.M. Surgical Supply Fee 06/03/2016 1.00 $9.75 $9.75 Line Discount:$7.70 Mike Havens,D.V.M. Surgery Pack Fee 06/03/2016 1.00 $12.23 $12.23 :Line Discount:$9.66 .. .. .. . .... . Mike Havens,D.V.M. Exploratory Surgery-abdomen 06/03/2016 1.00 $271.69 $271.69 '.Line Discount:$214.64 Mike Havens,D.V.M. Urinary Catheterization 06/03/2016 1.00 $46.46 $46.46 ;Line Discount:$36.70 Mike Havens,D.V.M. Radiograph-First 06/03!2016 1.00 $82.69 $82.69 Line Discount:$65.33 Client:Police De Carmel Page 2 Mike Havens,D.V.M. Radiograph-Additional(each) 06/03/2016 1.00 $43.58 $43.58 ............. .. . ... ..... ............ . 1111... . . . . 1111... .. .. .. ....... .... ........ . .. .... .. .. .. . ..._. .....,....... .......... ........... .. . ...... Line Discount:$34.43 ..... . . .. .. .. .. ..... .... .. .... .. .. .. _ .. .. : Mike Havens,D.V.M. Radiologist Consultation 06/03/2016 1.00 $63.75 $63.75 . . ............ ...... ...... ............... .. ........... ........................... ....111.............1............. Line Discount:$50.36 : . .. .. .. . . .. . ._. . . . .. .. . .. . .. . _ . .. .. . . .. .. . 1111 . . . .... . .. .. .. .. .. . .. .. . . _ .. . .. .. . .. .. .. . .. .. _ . .: Mike Havens,D.V.M. Suction Machine Fee 06/03/2016 1.00 $25.75 $25.75 ............................. ...... ....... ..... . ...... ...... ................ ...... ............... ........... .......... ...................... ........................1111 Line Discount:$20.34 Mike Havens,D.V.M. Histopathology 06/03/2016 1.00 $95.53 $95.53 .................... ......... ... ....... .. .. . .. ...................... ...................... ... ........... . ......... .................. .................................. ..... . Line Discount:$75.47 Mike Havens,D.V.M. Euthanasia>50# 06/03/2016 1.00 $74.00 $74.00 ... .. .. .. .. .. . ........ .. .. .. .. .. .. . .. . 1111 . .. .. . .. _.. . .. .. .. .. .. .. .. .. .,..... .. .. .. .. .. ..... .. . _ ����. .. .. .. .. .. .. .. ............. .. .. .. . Line Discount:$58.46 .. .. ... .. ........ .. .. .... .. ;The loss of a pet is a very difficult time. Please accept our thoughts and sympathy. :The Doctors and Staff of Parkside Animal Hospital Mike Havens,D.V.M. Cremation-Clinic Private>50 06/03/2016 1.00 $261.19 $261.19 ... .. .. .. .. .... ...... . .. .. .. .. .. .. . .. .. .. .. . .. .. .. .. ....... .... .. .. .. .. .. .. .... .. 1111. .. . .. ..... ._.... , .. . .. .. .. .. . .. .. .. . .. .. .. . Line Discount:$206.34 Mike Havens,D.V.M. Paw Print-Pet Angels 06/03/2016 1.00 $33.58 $33.58 Line Discount.$26.53 _._ ..,,. ._..._ _ -..._..._..,... .....__.:...:-. .. .:._..... .. ........ ..1111._-. . . — -.. _ .. .. . .. .. . .. .. .. .. .. .... ....... . .. . .. . .. . ._ .... .. . .. .. .. .. .. _ . ....... .. .. .. . .. .. . .. . . ..... .. . 1111 .. ... 1111 1111 1111. : Tax $0.00 Discount $1,120.27 Net Invoice $297.79 We strive to provide quality and compassionate care with a personal touch!