HomeMy WebLinkAbout196496 04/13/2011 CITY OF CARMEL, INDIANA VENDOR: 236175 Page 1 of 1
ONE CIVIC SQUARE PARKSIDE ANIMAL HOSPITAL
CARMEL, INDIANA 46032 12962 PUBLISHERS DRIVE CHECK AMOUNT: $44.10
FISHERS IN 46038 CHECK NUMBER: 196496
CHECK DATE: 4/13/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4357600 135168 44.10 ANIMAL SERVICES
PARKSIDE ANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 135168
Fishers, IN 46038 Date: 03/10/2011
(317) 849 -1440 Time: 3:05 PM
Page: 1
Carmel Police De Patient: KASEY Age: 7
3 Civic Square Species: Canine Sex: FS
Carmel IN 46032 Breed: Dutch Sheperd Tag: 84091
Color: Black Brindle Weight: 52.00
Doctor: Craig Johnson, D.V.M.
(;!,hone: (317)571 -2500 (317)571 -2512
Service /Item Qty Price Amount
03/10/201 1 Examination /Consultation 1.00 44.10 44.10
Tax 0.00
Net Invoice 44.10
1 a i
t,•,r.
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))
3/10/11 135168 Payment for consultation K9 Kasey 44.10
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 Dr
Fishers, IN 46038
44.10
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 135168 576 44.10 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
pril 4, 2011
17 IX
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund