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329121 08/22/18
``'"p''• CITY OF CARMEL, INDIANA VENDOR: 236175 { ONE CIVIC SQUARE PARKSIDE ANIMAL HOSPITAL CHECK AMOUNT: $*******178.78* :9 �_�, CARMEL, INDIANA 46032 12962 PUBLISHERS DRIVE CHECK NUMBER: 329121 �"IToii"`b�, FISHERS IN 46038 CHECK DATE: 08/22/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4357600 355146 178.78 ANIMAL SERVICES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 236175 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PARKSIDE ANIMAL HOSPITAL IN SUM OF$ 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 $178.78 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR 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 355146 43-576.00 $178.78 1 hereby certify that the attached invoice(s),or 7/25/18 355146 vet services-K9 Lolo $178.78 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,August 14,2018 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 PARKSIDE ANIMAL HOSPITAL 07/25/2018 11:11 AM 12962 Publishers Drive Invoice: 355146 Fishers,IN 46038 (317)849-1440 Ace.No: 322 Phone: (317)571-2500 Phone 2: (317)571-2512 Police De Carmel Patient: LOENA DOB: 2/10/2012 Species: Canine Age: 6 yr 5 mo 3 Civic Square Breed: Belgian Malinois Sex: FEMALE SPAYED Carmel, IN 46032 Color: Brown Tag: 106487 Weight: 61.10 lb Client:Police De Carmel �� x Species _ j 4u. � B0igtan Ivtal� axs a �We�ght �� 11Q lb �n .a...,e^..,1✓Wl�ne Y3 H 3...,,»„.....w, '.n..�.xttaawo.. ...._.. _.__is,,,�..s.....,._9>..�..a«....„a.....z,.,...u�.m,�. ,. _ .m..u..�-.«....,......,wawu...w..6iw.,,.....,.,o....,.._a Provider Service/Item Date Qty Price Amount Kristen Puls,D.V.M. Annual Wellnes Physical Exam 07/25/2018 1.00 $53.54 $53.54 :Line Discount:$13.39 ..... ..__.... ..... .. .. ........ .. . ._.. _ .. .. . _ .. .. .. . .. .. .. .. .. .. ..._ .. .. ... ..... .. .. .. . .._ .. . .. .. .. .._ _ .._. .. _. Kristen Puls,D.V.M. Rabies Vaccine 3 Year 07/25/2018 1.00 $27.63 $27.63 .....................................................................................................................................:................................ ;Line Discount:$6.91 Kristen Puls,D.V.M. Dist-A2P-Parvo Annual 07/25/2018 1.00 $24.76 $24.76 :Line Discount:$6.19 Kristen Puls,D.V.M. Leptospirosis vaccine annual 07/25/2018 1.00 $28.39 $28.39 . .. .. ........ ........ .... .. .. .. .. ............. .. .. .. . ;Line Discount:$7.10 Kristen Puls,D.V.M. Leptospirosis Vaccine-4 way 07/25/2018 1.00 $0.00 $0.00 Kristen Puls,D.V.M. Bordetella Vacc Annual 07/25/2018 1.00 $23.72 $23.72 ;Line Discount:$5.93 Kristen Puls,D.V.M. Heartworm Test Antigen 07/25/2018 1.00 $44.65 $44.65 ;Line Discount:$11.16 Kristen Puls,D.V.M. Fecal Exam Annual 07/25/2018 1.00 $32.42 $32.42 ... ...... ......... .................._..,.,...... .,.,. ..........:............ Line Discount:$8.11 Kristen Puls,D.V.M. Biological Waste Hazard fee 07/25/2018 1.00 $3.28 _ $3.28 _ ;Line Discount:$0.82 Tax $0.00 Discount $5 .6 Net Invoice87c$ Reminders for LOENA Interceptor PLUS 50.1-100 lb chewable box of 6 10/14/2018 Fecal Exam Annual 07/25/2019 DistA2P-Parvo Annual 07/25/2019 Heartworm Test Antigen 07/25/2019 Bordetella Vacc Annual 07/25/2019 Exam-Annual Wellness/Vaccine 07/25/2019 Leptospirosis vaccine annual 07/25/2019