183901 03/29/2010 CITY OF CARMEL, INDIANA VENDOR: 236175 Page 1 of 1
ONE CIVIC SQUARE PARKSIDE ANIMAL HOSPITAL
CARMEL, INDIANA 46032 12962 PUBLISHERS DRIVE CHECK AMOUNT: $184.60
FISHERS IN 46038
CHECK NUMBER: 183901
CHECK DATE: 3/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4357600 114908 184.60 ANIMAL SERVICES
T
r*? to
PAR- -KSIDE ANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 114908
Fishers, IN 46038 Date: 03/20/2010
{317) -1440 Time: 10:49 AM
Page: 1
Carmel Police De Patient: SAKA Age. 3�
3 Civic Square Species: Canine Sex ML
Carmel IN 46032 Breed: Hungarian Shepherd Tag:
Color: Black Tan Weight: 58.00
Doctor. Mike Havens, D.V.M.
Phone: one: (317)571 -2500 (317)571 -2512
Service /Item Qty Price Amount
amiExamination Diarrhea 1.00 42.00 42.00
Fecal Flotation 1.00 23.75 23.75
Lomotil Tabs 10.00 17.20
Metronidazole 500 Mg Tab 20.00 25.90
Flocillin/ Centrine 4.00 59.28
Invoice Complete v4_M1_x^ 1.00 0.00 0.00
Tax 0.00
Net Invoice 168.13
Previous Balance 0.00
Payment 0.00
Balance Due 168.13
Reminders: Nov. 25, =2009 Annual Wellnes Physical Exam
Nov. 25, 2009 Dist- A2P -Parvo Annual
Nov. 25, 2009 Bordetella Vacc Annual
Nov. 25, 2009 Leptospirosis vaccine annual
Nov. 25, 2009 Fecal Exam Annual
Nov. 25, 2009 Rabies Vaccine 3 Year
Jan. 9, 2010 Heartworm Test Occult
Jan. 9, 2010 Interceptor 51 -100# 12 tablets
Jan. 30, 2010 Interceptor 51 -100# 6 tablets
Thank You We endeavor to provide quality care with a personal touch!
0 0
PARKSIDE ANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 114909
Fishers, IN 46038 Date: 03/20/2010
(317) 849 -1440 Time: 10:54 AM
Page: 1
Carmel Police De Patient: SAKA Age: 3
3 Civic Square Species: Canine Sex: ML
Carmel IN 46032 Breed: Hungarian Shepherd Tag:
Color: Black Tan Weight: 58.00
Doctor: Over the Counter
Phone: (317)571 -2500 (317)571 -2512
Service /Item Qty Price Amount
lams K9 Intestinal 54 1.00 16.47 16.47
I
Tax 0.00
Net Invoice 16.47
Previous Balance 168.13
Payment 0.00
Balance Due 184.60
Reminders: Nov. 25, 2009 Annual Wellnes Physical Exam
Nov. 25, 2009 Dist- A2P -Parvo Annual
Nov. 25, 2009 Bordetella Vacc Annual
Nov. 25, 2009 Leptospirosis vaccine annual
Nov. 25, 2009 Fecal Exam Annual
Nov. 25, 2009 Rabies Vaccine 3 Year
Jan. 9, 2010 Heartworm Test Occult
Jan. 9, 2010 Interceptor 51 -100# 12 tablets
Jan. 30, 2010 Interceptor 51 -100# 6 tablets
Thank You
We endeavor to provide quality care with a personal touch!
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
t 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
Parkside Animal Hospital Purchase Order No.
12962 Publishers Drive Terms
Fishers, IN 46038 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3/20/10 114908 paymewnt for animal services for Saka 168.13
3/20/10 114909 payment for animal services for Saka 16.47
Total 184.60
I hereby certify that the attached invoice(s), or biil(s), is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
P arkside Animal Hospital IN SUM OF
12962 Publishers Drive
Fishers, IN 46038
184.60
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or D PT. INVOICE NO. ACCT #fTITLE AMOUNT I hereby certify that the attached invoice(s), or
1110 114908 576 168.13 bill(s) is (are) true and correct and that the
1110 114909 576 16.47 materials or services itemized thereon for
which charge is made were ordered and
received except
J
March 24 20 10
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund