187405 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 236175 Page 1 of 1
i ONE CIVIC SQUARE PARKSIDE ANIMAL HOSPITAL CHECK AMOUNT: $800.00
CARMEL, INDIANA 46032 12962 PUBLISHERS DRIVE
FISHERS IN 46038 CHECK NUMBER: 187405
CHECK DATE: 7/7/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4357600 120598 800.00 ANIMAL SERVICES
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PARKSIDE ANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 120598
Fishers, IN 46038 Date: 06/28/2010
(317) 849 -1440 Time: 11:44 AM
Page: 1
Carmel Police De Patient: BEN Age: 3
3 Civic Square Species: Canine Sex: ML
Carmel IN 46032 Breed: German Shepherd Tag: 85342
Color: Black Tan Weight: 87.10
Doctor: Mike Havens, D.V.M.
Phone: (317)571 -2500 (317)571 -2512
Service /item Qty Price Amount
lams Large Breed Adult 44# 20.00 40.00 800.00
Tax 0.00
Net invoice 800.00
Previous Balance 83.23
Payment 0.00
Balance Due 88323
Next Appointment: on 06/30/2010 at 4:00 PM For: SAKA
Reminders: Aug. 27, 2010 Annual Wellnes Physical Exam
Aug. 26, 2012 Rabies Vaccine 3 Year
Aug. 27, 2010 Dist- A2P -Parvo Annual
Aug. 27, 2010 Leptospirosis vaccine annual
Aug. 27, 2010 Bordetella Vacc Annual
Aug. 27, 2010 Heartworm Test Occult
Aug. 27, 2010 Fecal Exam Annual
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))
6/28/10 120598 payment for dog food 800.00
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
Parkside Animal Hospital IN SUM OF
12962 Publishers Drive
Fishers, IN 46038
800.,00
ON ACCOUNT OF APPROPRIATION FOR
police genera lfund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 120598 576 800.00 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
July 1 20 10
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund