198689 06/22/2011 CITY OF CARMEL, INDIANA VENDOR: 236175 Page 1 of 1
`i. ONE CIVIC SQUARE PARKSIDE ANIMAL HOSPITAL
CHECK AMOUNT: $415.29
CARMEL, INDIANA 46032 12962 PUBLISHERS DRIVE
FISHERS IN 46038 CHECK NUMBER: 198689
CHECK DATE: 6/22/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4357600 138546 17.30 ANIMAL SERVICES
1110 4357600 140171 397.99 ANIMAL SERVICES
PARKSIDE ANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 140171
Fishers, IN 46038 Date: 06/01/2011
(317) 849 -1440 Time: 4:15 PM
Page: 1
4 Carmel Police De Patient: WAZIR Age: 3
3 Civic Square Species: Canine Sex: ML
Carmel IN 46032 Breed: German Shepherd Tag: 87211
Color: Black Tan Weight: 68.80
Doctor: Craig Johnson, D.V.M. i
`'1Ph -gne-, ,,.'(317;)57F7 2500 (317)571 -2512
JDate Service /Item Qty Price Amo��nt
Ob/01%2011 Exam Courtesy 1.00 0.00 0.00
106/01/2077 Pre Anesthetic Profile 1.00 51.37 51.37
06/01/2011 Anesthesia Ket/Val induction 1.00 19.49 19.49!
i 06/01/2011 Isoflorane Gas per Minute 30.00 2.87 86.001
06/01/20.17 Surgical Supply Fee 1.00 9.75 9.75
6 G%01/2017 Surgery Pack Fee 1.00 11.47 11.47
Q6%01%20 Surgical Monitoring 1.00 12.61 12.61
06%01%201'1 Tumor/ Growth Removal 1.00 115.00 115.00
06/01/2011 Rimadyl Injection 1.00 20.22 20.22 i
06/01/2011 Cephalex,500 Mg Caps 14.00 1.82 25.42
�I`b /01%20Y1 Rimadyl`100MG Caplets 5.00 4.29 u` 21.451
:6%01/2011 i. f; Nail Trim w/ Surgery 1.00 5.73 5.73
tjF/01 /20171' Bandage /Application medium 1.00 19.48 19.48
Tax 0.00
~r! Net Invoice 397.99 i
r
'W :1
PARKSIDEANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 138546
Fishers, IN 46038 Date: 05/06/2011
(317) 849 -1440 Time: 9:14 AM
Page: 1
Carmel Police De Patient: BEN Age: 4
13 Civic Square Species: Canine Sex: ML I
Carmel IN 46032 Breed: German Shepherd Tag: 85342
Color: Black Tan Weight: 81.701
Doctor: Mike Havens, D.V.M.
Phone:,-- (317)571 -2500 (317)571 -2512
Dafie
Service /Item (_qty Price _Amount i
05/06/2011 Prednisone 20 Mg Tabs 10.00 1.7 17.30
Tax 0.00
Net Invoice 17.30
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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))
05/06/11 138546 payment for animal services for Ben $17.30
06/01/11 140171 payment for animal services for Wazir $397.99
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Parkside Animal Hospital
IN SUM OF
12962 Publishers Drive
Fishers, IN 46038
$415.29
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1110 138546 43- 576.00 $17.30 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1110 140171 43- 576.00 $397.99
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, June 17, 2011
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund