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326160 06/12/18
CITY OF CARMEL, INDIANA VENDOR: 236175 ONE CIVIC SQUARE PARKSIDE ANIMAL HOSPITAL CHECK AMOUNT: $*******154.47* CARMEL, INDIANA 46032 12962 PUBLISHERS DRIVE CHECK NUMBER: 326160 'MiioN�` FISHERS IN 46038 CHECK DATE: 06/12/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4357600 347402 154.47 ANIMAL SERVICES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 236175 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PARKSIDE ANIMAL HOSPITAL IN SUM OF$ 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 347402 43-576.00 $154.47 1 hereby certify that the attached invoice(s),or 5/31/18 347402 vet services-Bailey $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 Friday,June 1,2018 &'.. E�4� 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 018 PARKSIDE ANIMAL HOSPITAL 011:38 AMM 11962 Publishers Drive 1134 Invoice: 347402 Fishers,IN 46038 (317)849-1440 Acc.No: 322 Phone: (317)571-2500 Phone 2: (317)571-2512 Police De Carmel Patient: BAILEY DOB: 5/5/2014 Species: Canine Age: 4 yr 0 mo 3 Civic Square Breed: Labrador Retriever Sex: FEMALE SPAYED Carmel, IN 46032 Color: Yellow Tag: 106598 Weight: 56.20 lb Client:Police De Carmel jDAILEY Breed Labrador Retriever Wei htY' 56 2011 Species Provider Service/Item -Date - qty Price-` - Amount Mike Havens,D.V.M. Annual Wellnes Physical Exam 05/22/2018 1.00 $53.54 $53.54 ........................................................................................................................................................................................................ :Line Discount:$13.39 Mike Havens,D.V.M. Rabies Vaccine 3 Year 05/22/2018 1.00 $27.63 $27.63 ....................... ................................................................................................................................................................................ :Line Discount $6.91 Mike Havens,D.V.M. Dist-A2P-Parvo Annual 05/22/2018 1.00 $24.76 $24.76 _.............un...:............. ..:.............. ............................................................... .......:..... .. .............................................................. Line Discot:$6.19 :................. .......................................... ......................... ...................... ..--..... .. ,........,...... .._.................................... .. .. ......... `Mike Havens,D.V.M. Leptospirosis vaccine annual 05/22/2018 1.00 $28.39 $28.39 ........................................................................... ................................................................................:........................................... �_i ;Line Discount:$7.10 .............-.......................... ........................._................... ....._._.... .. ................ ....................._.......... ....................I-- ...... ..... like Havens,D.V.M. Leptospirosis Vaccine-4 way 05/22/2018 .1.00 $0.00 $0.00 Mike Havens,D.V.M. Bordetella Vacc Annual 05/22/2018 1.00 $23.72 $23.72 ......................................................... ........._...._. .....................................:...,.:...................... .. ...................... .......... _. :Line Discount:$5.93 Mike Havens,D.V.M. Heartworm Test Antigen 05/22/2018 1.00 $44.65 $44.65 .... ...................--.................._,...... ......... ............................... ................... ..... ...................... ....._...................................... ..... :Line Discount:$11.16 :..................................... ..............:...... ..... ..... ...................... ........... ................... .. ........... ._............................................,......... Mike Havens,D.V.M. Biological Waste Hazard fee 05/22/2018 1. ............................................. :Line Discount:$0.82 ........................................................................................................................................................:....................................... Tax $0.00 --- Discount $51.50 Net Invoice $154.47 i' Previous Balance $0.00 Payment Net Balance Due $154.47 Future Appointments: 05/22/2018 at 04:00 PM for WAZIR Reminders for BAILEY Interceptor PLUS 25.1-50 lb Chewable Box of 6 Tablets 10/14/2018 DistA2P-Parvo Annual 05/22/2019 Heartworm Test Antigen 05/22/2019 Exam-Annual Wellness/Vaccine 05/22/2019 s Leptospirosis vaccine annual 05/22/2019 Bordetella Vacc Annual 05/22/2019 Rabies Vaccine 3 Year 05/21/2021