HomeMy WebLinkAbout191784 11/10/2010 CITY OF CARMEL, INDIANA VENDOR: 236175 Page 1 of 1
b ONE CIVIC SQUARE PARKSIDE ANIMAL HOSPITAL
CARMEL, INDIANA 46032 12962 PUBLISHERS DRIVE CHECK AMOUNT: $403.35
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FISHERS IN 46038 CHECK NUMBER: 191784
CHECK DATE: 1 111 012 01 0
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4357600 128134 403.35 ANIMAL SERVICES
PARKSIDE ANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 128134
Fishers, IN 46038 Date: 11/01/2010
(317) 849 -1440 Time: 4:18 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: 47.80
Doctor: Mike Havens, D.V.M.
Phone: (317)571 -2500 (317)571 -2512
Date Service /Item Qty Price_ Amount
11/01/2010 Sentinel 26 -504 12 tablets 1.00 150.99 150.99
11/01/2010 Annual Wellnes Physical Exam 1.00 42.00 42.00
11101/2010 Dist- A2P -Parvo Annual 1.00 18.50 18.50
11/01/2010 Bordetella Vacc Annual 1.00 19.40 19.40
1110112010 Leptospirosis vaccine annual 1.00 2121 23.21
11/01/2010 Leptospirosis Vaccine- 4 way 1.00 0.00 0.00
11/01/2010 Heartworm Test Occult 1.00 34.67 34.67
11/01/2010 Fecal Exam Annual 1.00 23.75 23.75
11/01/2010 Biological Waste Hazard fee 1.00 2.89 2.89
11/01/2010 Rimadyl 100MG Chew Bottle #60 1.00 87.94 87.94
Tax 0.00
Net Invoice 403.35
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))
1111110 1?91 Payment for K9 gervires for Kagey 5
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
P arkside Animal Hospital IN SUM OF
12962 Publishers Drive
Fishers, IN 46038
403.35
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 128134 576 403.35 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
November 4 20 10
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund