184882 04/27/2010 CITY OF CARMEL, INDIANA VENDOR: 236175 Page 1 of 1
ONE CIVIC SQUARE PARKSIDE ANIMAL HOSPITAL CHECK AMOUNT: $257.89
CARMEL, INDIANA 46032 12962 PUBLISHERS DRIVE
FISHERS IN 46038 CHECK NUMBER: 184882
CHECK DATE: 4/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4357600 116164 235.41 ANIMAL SERVICES
1110 4357600 116732 22.48 ANIMAL SERVICES
PARKSIDE ANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 116164
Fishers, IN 46038 Date: 04/1312010
(317) 849 -1440 Time: 9:26 AM
Page: 1
Carmel Police De Patient: SAKA Age: 3
3 Civic Square Species: Canine Sex: ML
Carmel IN 46032 Breed: Hungarian Shepherd Tag: 85915
Color: Black Tan Weight: 56.00
Doctor: Craig Johnson, D.V.M.
Phone: (317)571 -2500 (317 )571 -2512
I
Service /Item Qty Price Amount
Annual Wellnes Physical Exam 1.00 42.00 42.00
Rabies Vaccine 3 Year 1.00 22.00 22.00
Dist -A2P -Parvo Annual 1.00 18.50 18.50
Bordetella Vacc Annual 1.00 19.40 19.40
Leptospirosis vaccine annual 1.00 23.21 23.21
Leptospirosis Vaccine- 4 way 1.00 0.00 0.00
Heartworm Test Occult 1.00 34.67 34.67
Fecal Exam Annual 1.00 23.75 23.75
Biological Waste Hazard fee 1.00 2.89 2.89
Interceptor 51 -100# 6 tablets 1.00 48.99 48.99
I
Tax 0.00
Net Invoice 235.41
Previous Balance 0.00
Payment 0.00
Balance Due 235.41
Reminders: Jan. 9, 2010 Interceptor 51 -100# 12 tablets
April 13, 2011 Annual Wellnes Physical Exam
April 12, 2013 Rabies Vaccine 3 Year
April 13, 2011 Dist -A2P -Parvo Annual
April 13, 2011 Bordetella Vacc Annual
April 13, 2011 Leptospirosis vaccine annual
April 13, 2011 Heartworm Test Occult
April 13, 2011 Fecal Exam Annual
Oct. 10, 2010 Interceptor 51 -100# 6 tablets
Thank You
We endeavor to provide quality care with a personal touchl
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
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 46088 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4/11110 116164 for animAl services 235.41
Total
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
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
P arkside Animal Hospital IN SUM OF
12962 Publishers Drive
Fishers, IN 46038
235.41
ON ACCOUNT OF APPROPRIATION FOR
p olice generallfund
Board Members
PO# or INVOICE NO. ACCT #(TITLE AMOUNT I here certify that the attached invoices or
DEPT. hereby Y
1110 116164 576 235.41 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
April 22 20 10
k a&, e-Z n A-
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
4
PARKSIDE ANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 116732
Fishers, IN 46038 Date: 04/22/2010
(317) 849 -1440 Time: 8:42 AM
Page: 1
Carmel Police De Patient: SAKA Age: 3
3 Civic Square Species: Canine Sex: ML
Carmel IN 46032 Breed: Hungarian Shepherd Tag: 85915
Color: Black Tan Weight: 56.00
Doctor: Mike Havens, D.V.M.
Phone: (317)571 -2500 (317)571 -2512
Service /Item City Price n24
Metronidazole 500 Mg Tab 14.00
Tax 0.00
Net Invoice 22.48
Previous Balance 235.41
Payment 0.00
Balance Due 257.89
Reminders: Jan, 9, 2010 Interceptor 51 -100# 12 tablets
April 13, 2011 Annual Wellnes Physical Exam
April 12, 2013 Rabies Vaccine 3 Year
April 13, 2011 Dist- A2P -Parvo Annual
April 13, 2011 Bordetella Vacc Annual
April 13, 2011 Leptospirosis vaccine annual
April 13, 2011 Heartworm Test Occult
April 13, 2011 Fecal Exam Annual
Oct. 10, 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)
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))
4/22/10 116732 payment for animal services for Saka 22.48
Total
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
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
P arkside Animal Hospital IN SUM OF
12962 Publishers Drive
Fishers, IN
22.48
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or DEPT ri INVOICE NO. ACCT #/TITLE AMOUNT 1 hereby certify that the attached invoice(s), or
1110 116732 576 22.48 bill(s) is (are) true and correct and that the
1.
materials or services itemized thereon for
which charge is made were ordered and
received except
April 23 20 10
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund