196048 03/29/2011 CITY OF CARMEL, INDIANA VENDOR: 236175 Page 1 of 1
ONE CIVIC SQUARE PARKSIDE ANIMAL HOSPITAL
CARMEL, INDIANA 46032 12962 PUBLISHERS DRIVE CHECK AMOUNT: $214.19
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FISHERS IN 46038 CHECK NUMBER: 196048
CHECK DATE: 3/29/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4357600 135659 214.19 ANIMAL SERVICES
PARKSIDE ANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 135659
Fishers, IN 46038 Date: 031 8120 1 1
(317) 849-1440 Time: 10:30 AM
Page: 1
Carmel Police De Patient: KASEY Age:
3 Civic Square Species: Canine sex: FS
Carmel IN 46032 Breed: Dutch Sheperd Tag: 84091 i
Color: Black Brindle Weight: 52.00
Doctor: Craig Johnson, D. V.M.
one: (317)571-2500 (317)571-2512
Service/item Qty Price Amount
'0�3/18/201 i"' Anesthesia -Dorm itor/Antisedan 1.00 68.22 68.22
03/18/2011 Radiograph First 1.00 77.57 77.57
03/1812011 Radiograph-Additional (each) 1.00 40,88 40,88'
03/18/2011 Exam Recheck 1,00 27.52 2752
Tax 0.00
Net Invoice 214.19 i
1.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Parkside Animal Hospital
!N SUM OF
12962 Publishers Drive
Fishers, IN 46038
$214.19
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# 1 Dept, INVOICE NO. ACCT /TITLE AMOUNT Board Members
1110 135659 43- 576.00 $214.19 I hereby certify that the attached invoice(s), or
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
�Thursday, March 24, 2011
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed 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
Purchase Order No.
Terms
Date Due
Invoice invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
03/18/11 135659 payment for services for Kasey $214.19
1 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