HomeMy WebLinkAbout186461 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 236175 Page 1 of 1
ONE CIVIC SQUARE PARKSIDE ANIMAL HOSPITAL
CARMEL, INDIANA 46032 12962 PUBLISHERS DRIVE CHECK AMOUNT: $209.30
FISHERS IN 46038
CHECK NUMBER: 186461
CHECK DATE: 6/9/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4357600 118650 209.30 ANIMAL SERVICES
PARKSIDE ANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 118650
Fishers, IN 46038 Date: 05/26/2010
(317),849 -1440 Time: 4:26 PM
Page: 1
Carmel Police De Patient: WAZIR Age: NIA
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
05/26/2010 Examination /Consultation 1.00 42.00 42.00
05/26/2010 Laceration Repair 1.00 38.22 38.22
05/26/2010 Anesthesia Dormitor /Antisedan 1.00 64.97 64.97
05/26/2010 Suture 3 -0 Prolene 1.00 7.14 7.14
05/26/2010 Flocillin Injectable 3.00 8.96 26.87
05/26/2010 Cephalex 500 Mg Caps 20.00 1.51 30.10
Tax 0.00
Net Invoice 209.30
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))
5/26/10 118650 payment for animal services for Wazir 209.30
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.
v
ALLOWED 20
Par kside Animal Hospital
IN SUM OF
12962 Publishers Drive
fishers, IN 46038
209.30
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT I hereby certify that the attached invoice(s), or
1110 118650 576 209.30 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
,Tune 3 20 10
r
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund