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HomeMy WebLinkAbout190898 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