187995 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 236175 Page 1 of 1
ONE CIVIC SQUARE PARKSIDE ANIMAL HOSPITAL
CHECK AMOUNT: $89.41
CARMEL, INDIANA 46032 FISHERSBN 46035 CHECK CHECK NUMBER: 187995
CHECK DATE: 7/2112010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4357600 119523 31.60 ANIMAL SERVICES
1110 4357600 120799 57.81 ANIMAL SERVICES
PARKSIDE ANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 119523
Fishers, IN 46038 Date: 06/10/2010
(317) 849 -1440 Time: 5:37 PM
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: 66.80
Doctor: Mike Havens, D.V.M.
Phone: (317)571 -2500 (317)571 -2512
Date Service /Item Qty Price Amount
06/10/2010 Exam Recheck 1.00 26.21 0.00
06/10/2010 Metronidazole 500 Mg Tab 30.00 1.05 31.60
Tax 0.00
Net Invoice 31.60
PARKSIDE ANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 120799
Fishers, IN 46038 Date: 06/30/2010
(317) 849 -1440 Time: 4:30 PM
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: 66.80
Doctor: Mike Havens, D.V.M.
Phone: (317)571 -2500 (317)571 -2512
Date Service /item Qty Price Amount
06/30/2010 Exam Recheck 1.00 26.21 26.21
06/30/2010 Metronidazole 500 Mg Tab 30.00 1.05 31.60
Tax 0.00
Net Invoice 57.81
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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))
6/10/10 119523 a ent for animal services for Saka 31.60
6 10 10 120799 payment for animal services for Saka c; 57.81
Total 89.41
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
Paricside Animal Hospital IN SUM OF
12962 PUblishers Drive
Fishers, IN 46038
89.41
ON ACCOUNT OF APPROPRIATION FOR
police geneal fund
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 119523 576 31.60 bill(s) is (are) true and correct and that the
1110 120799 576 57.81 materials or services itemized thereon for
which charge is made were ordered and
received except
July 13 1 20 10
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund