190898 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 236175 Page 1 of 1
ONE CIVIC SQUARE PARKSIDE ANIMAL HOSPITAL
0 CHECK AMOUNT: $255.41
CARMEL, INDIANA 46032 12962 PUBLISHERS DRIVE
FISHERS IN 46038 CHECK NUMBER: 190898
CHECK DATE: 10/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4357600 125944 255.41 ANIMAL SERVICES
PARKS\DE/\N|MAL HOSPITAL Account: 322
129G2 Publishers Drive Invoice 125844
Fishers, |N4GO38 Data: 0912312010
849-1440 Time: 128 PM
Page: 1
Carmel Police De Patient: BEN Age: 3
3 Civic Square Species: Canine Sex: ML
CarmelIN 46032 Brood: German Shepherd Tag: 85342
Color: Black Tan Weight: 81.70
Doctor: Mike Havens, D.V.M.
Service/item Qty Price Amount
Arnua Physical Exam 1.00 42.00
Dist-A2P-Parvo Annual 1.00 18.50 18.50
Leptospirosis vaccine annual 1.00 23-21 23.21
Leptospirosis Vaccine- 4 way 1.00 0,00 0.00
Bordetella Vacc Annual 1.00 19.40 19.40
Heartworm Test Occult 1.00 34.67 34.67
Fecal Exam Annual 1.00 23.75 23.75
Biological Waste Hazard fee 1.00 2.89 2.89
Interceptor 51-1004 12 tablets 1.00 90.99 90.99
Tax 0,00
Net Invoice 255-41
Previous Balance 0.00
Payment 000
Balance Due 255.41
Reminders: Aug.26.2012 Rabies Vaccine 3Year
Sept. 23.2O11 Annual VVaUnaa Physical Exam
Sept. 212O11 Dist-A2P'PawoAnnua|
o|
Sept. 23.2O1l Bordeto||aVaccAnnual
Sept. 23.2011 Hoertworm Test Occult
Sept. 23, 2011 Fecal Exam Annual
Sept. 23. 2011 Interceptor S1'1OO# 12 tablets
Thank You
VVp endeavor \o provide quality care with a personal touch!
Proscribed 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))
9/ 23ZIO, 125944 DavTnent for animal services for Ben 255.41
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
255.41.
ON ACCOUNT OF APPROPRIATION FOR
police genera lfund
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. 1 hereby certify that the attached invoice(s), or
1110 125944 576 255.41 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
October 6 20 10
1
Signature
Chief of$- Police
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund