185905 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 236175 Page 1 of 1
ONE CIVIC SQUARE PARKSIDE ANIMAL HOSPITAL CHECK AMOUNT: $293.88
CARMEL, INDIANA 46032 12962 PUBLISHERS DRIVE
FISHERS IN 46038 CHECK NUMBER: 185905
CHECK DATE: 5/26/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4357600 117193 190.52 ANIMAL SERVICES
1110 4357600 117665 103.36 ANIMAL SERVICES
PARKSIDE ANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 117193
Fishers, IN 46038 Date: 04/30/2010
(317) 849 -1440 Time: 12:52 PM
Page: 1
Carmel Police De Patient: WAZIR Age: N/A
3 Civic Square Species: Canine Sex: Ml
Carmel IN 46032 Breed: Tag:
Color: Weight: 65.00
Doctor: Mike Havens, D.V.M.
Phone (317)571 -2500 (317)571 -2512
Date Service /Item Qty Price Amount
04/30/2010 Sentinel 51 -100# 6 tablets 1.00 90.99 90.99
04130/2010 Advantix 55# Blue 6 pack 1.00 99 -53 99.53
04/30/2010 Advantixsingle dose >55 bls 2.00 19.02 0.00
Tax 0.
Net Invoice 190.52
PARKSIDE ANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 117665
Fishers, IN 46038 Date: 05/10/2010
(317) 849 -1440 Time: 10:40 AM
Page: 1
Carmel Police De Patient: SAKA Age: 3
3 Civic Square Species: Canine Sex: ML I
Carmel IN 46032 Breed: Hungarian Shepherd Tag: 859151
Color: Black Tan Weight: 57.50
Doctor: Mike Havens, D.V.M.
Phone: (317)571 -2500 (317)571 -2512
Date_ _Service/Item Qty Price Amount
05/10/2010 Examination /Consultation 1.00 42.00 42.00
05/10/2010 Metronidazole 500 Mg Tab 40.00 0.93 37.30
05/10/2010 Giardia Snap Test 1.00 24.06 24.06
Tax 0.00
Net Invoice 103.36
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.
1.2962 Publishers Drive Terms
Fishers, IN 46038 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
5/10/10 117665 payment for animal services for Saka 103.36
4/30/10 117193 payment for animal services for Wazir 190.52
411) 3/10
Total 293.88
1 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
293.88
ON ACCOUNT OF APPROPRIATION FOR
police genera Ifund
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT, I hereby certify that the attached invoice(s), or
1110 11.7665 576 103.36 bill(s) is (are) true and correct and that the
1110 117193 576 190.52 materials or services itemized thereon for
which charge is made were ordered and
received except
May 13 20 10
i
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund