HomeMy WebLinkAbout189939 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 236175 Page 1 of 1
4I ONE CIVIC SQUARE PARKSIDE ANIMAL HOSPITAL CHECK AMOUNT: $133.72
CARMEL, INDIANA 46032 12962 PUBLISHERS DRIVE
FISHERS IN 46038 CHECK NUMBER: 189939
CHECK DATE: 9 /1 412 01 0
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4357600 123282 133.72 ANIMAL SERVICES
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PARKSIDE ANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 123282
Fishers, IN 46038 Date: 08/10/2010
(317) 849 -1440 Time: 3:14 PM
Page: 1
Carmel Police De Patient: KASEY Age: 6
3 Civic Square Species: Canine Sex: FS
Carmel IN 46032 Breed: Dutch Sheperd Tag: 84091
Color: Black Brindle Weight: 47.20
Doctor: Mike Havens, D.V.M.
Phone: (317)571 -2500 (317)571 -2512
Date ServicelItem qty Price Amount
08/10/2010 Exam ination /Consultation /jm 1.00 42.00 42.00
08/10/2010 Advantix 20 -55# Red 6 pack 1.00 91.72 91.72
08/10/2010 Advantix single dose 21 -55 lb 2.00 18.37 0.00
Tax 0.00
Net Invoice 133.72
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Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 207 (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))
8/10/10 123282 payment for animal servcices for Kasey 133.72
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
133.72
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 123282 576 133.72 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
September 3 20 10
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund