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322793 03/12/18
Q CITY OF CARMEL, INDIANA VENDOR: 236175 ONE CIVIC SQUARE PARKSIDE ANIMAL HOSPITA CHECK AMOUNT: $*******154.47* CARMEL, INDIANA 46032 12962 PUBLISHERS DRIVE CHECK NUMBER: 322793 FISHERS IN 46038 CHECK DATE: 03/12/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4357600 337511 154.47 ANIMAL SERVICES i VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995) Vendor# 236175 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PARKSIDE ANIMAL HOSPITAL IN SUM OF$ CITY OF CARMEL 12962 PUBLISHERS DRIVE 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. FISHERS, IN 46038 Payee $154.47 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 337511 43-576.00 $154.47 1 hereby certify that the attached invoice(s),or 2/27/18 337511 vet service-Axl $154.47 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 Tuesday, March 6,2018 Jim Barlow Chief 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 PARk'§IDE ANIMAL HOSPITAL 02/27/20182:15 2:15 PM 12962 Publishers Drive Invoice: 337511 Fishers,IN 46038 (317)849-1440 Acc.No: 322 Phone: (317)571-2500 Phone 2: (317)571-2512 Police De Carmel Patient: AXL DOB: 5/13/2015 Species: Canine Age: 2 yr 9 mo 3 Civic Square Breed: Belgian Mal nois Sex: MALE Carmel, IN 46032 Color: Black&Tar Tag: 105508 Weight: 55.30 lb Client:Police De Carmel rxa^ d 3 �^^''4°'R "x1it n",}t"O'" "�' ��4""'i"""✓ ?^�^?vt" I�^ 7r,,,",717-7, tp �CSCantn� ° rBxeed .FBelgran Malmots -�- Wetght �' S5 301b! pectes - P..:.r ....,.... ....._ , - ��� `.n 4t - -e-��.:u:�_...,.....i..;.,e^ ..._=:yr._a_......s. - _.-,...._ �.",�.L...� - �..A:�.._.��.._.w._s,.:_..___."'-__• Provider Service/Item Date Qty Price Amount Mike Havens,D.V.M. Annual Wellnes Physical Exam 02/27/2018 1.00 $53.54 $53.54 .............................$.1 .................. ........ .... .... ..,............................. ... ......... ... ......... .... ............... .......... ....... ...... ................... .......... :Line Discount. $13.39 Mike Havens,D.V.M. Rabies Vaccine 3 Year 02/27/2018 1.00 $27.63 $27.63 .............. _..................... ............ .... ...................... .. .......................................... . :Line Discount:$6.91 Mike Havens,D.V.M. Dist-A2P-Parvo Annual 02/27/2018 1.00 $24.76 $24.76 ....................................................... ........................................................... .................... ..... ................................. .._.................. . :Line Discount:$6.19 :........... .............................................. ................... ..... .. .................................. ....... ................. ..................................... ............ 'Mike Havens,D.V.M. Leptospirosis vaccine annual 02/27/2018 1.00 $28.39 $28.39 ......... i's. ................................................................................................... .................................................................................... .Line Discount:$7.10 ,Mike Havens,D.V.M. Leptospirosis Vaccine-4 way 02/27/2018 1.00 $0.00 $0.00 Mike Havens,D.V.M. Bordetella Vacc Annual 02/27/2018 1.00 $23.72 $23.72 ...... ......................... ..........I........ .... .. .. .. .._..._.......... .. ._.. ..... --.............._........................................ .. .........,... .. ..... ........ . :Line Discount:$5.93 ....................................................... ............ ...................... .............................................. ................................................ ........... Mike Havens,D.V.M. Heartworm Test Antigen 02/27/2018 1.00 $44.65 $44.65 .........................- ..................................... .. .. ................... .................................................... ...................................................... :Line Discount:$11.16 :........................................................... ........... ...................... ............................ .. ........ ................................................... .....,..... Mike Havens,D.V.M. Biological Waste Hazard fee 02/27/2018 1.00 $3.28 $3.28 ................. ........ .. ............................... ................................................ ........... .................................. ... e Discount:$0.82 -Tax $0.00 Discount $51.50 Net Invoice $154.47 Previous Balance $0.00 Payment $0.00 Net Balan a Due $154.4 Reminders for AXL Interceptor PLUS 50.1-100 lb chewable box of 6 06/11/2018 Bordetella Vacc Annual 02/27/2019 Leptospirosis vaccine annual 02/27/2019 DistA2P-Parvo Annual 02/27/2019 Exam-Annual Wellness/Vaccine 02/27/2019 Heartworm Test Antigen 02/27/2019 Rabies Vaccine 3 Year 02/26/2021