HomeMy WebLinkAbout199418 07/20/2011 CITY OF CARMEL, INDIANA VENDOR: 00353129 Page 1 of 1
`l ONE CIVIC SQUARE COMPANION ANIMAL HOSPITAL
CARMEL, INDIANA 46032 CHECK AMOUNT: $1,129.97
180 E CARMEL DR
CARMEL IN 46032 CHECK NUMBER: 199418
CHECK DATE: 7/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4358200 163828 377.56 SPECIAL INVESTIGATION
1110 4358200 163829 213.69 SPECIAL INVESTIGATION
1110 4358200 1642222 538.72 SPECIAL INVESTIGATION
Companion Animal Medical Center Page 1 1
1455 S. Rangeline Rd.
Carmel, IN 46032
(317) 844 -0049
Carmel Police Dept. Client ID: 7404
3 Civic Square Invoice 163828
Carmel, IN 46032
Date: 7/6/2011
Patient ID: 31703 Species: Canine Weight:
Patient Name: Berkley (Gunshot) Breed: Mixed Birthday: 04/19/2005 Sex: Neutered Male
Description Staff Name Quantity Total
4/19/2011 Radiograph Initial View Anthony Buzzetti, DVM 1.00 $106.73
Radiograph Additional View 1.00 $50.83
4/20/2011 Post mortem 1.00 $220.00
Patient Subtotal: $377.56
Invoice Total: $377.56
Total: �3Z7
Invoice Balance Due: $377.56
Balance Due: $1,129.97
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Companion Animal Medical Center Page 1 1
1455 S. Rangeline Rd.
Carmel, IN 46032
(317) 844 -0049
Carmel Police Dept. Client ID: 7404
3 Civic Square Invoice 164222
Carmel, IN 46032 Date: 7/12/2011
Patient ID: 32654 Species: Canine Weight:
Patient Name: German shep police DOA Breed: Shepherd, German Birthday: 07/06/2002 Sex: Unknown
Description Staff Name Quantity Total
7/8/2011 Necropsy Service 60 Ibs Dr. Nichol M. Davis, DVM 1.00 $381.16
Radiograph Initial View 1.00 $106.73
Radiograph Additional View 1.00 $50.83
Patient Subtotal: $538.72
Invoice Total: 538.72
Total: $538.72
Balance Due: $538.72
Previous Balance: $591.25
Balance Due: $1,129.97
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Companion Animal Medical Center Page 1 1
1455 S. Rangeline Rd.
Carmel, IN 46032
(317) 844 -0049
Carmel Police Dept. Client ID: 7404
3 Civic Square Invoice 163829
Carmel, IN 46032
Date: 7/6/2011
Patient ID: 32654 Species: Canine Weight:
Patient Name: German shep police DOA Breed: Shepherd, German Birthday: 07/06/2002 Sex: Unknown
Description Staff Name Quantity Total
7/6/2011 Cremation Individual 61 -90lbs Hospital 1.00 $213.69
Patient Subtotal: $213.69
Invoice Total: $213.69
Total: 21�-
Invoice Balance Due: $213.69
Balance Due: $1,129.97
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Meet employees and get current information about pet health. Let us know if you like
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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))
07/06/11 163829 payment for animal autopsy $213.69
07/06/11 163828 payment for animal autopsy $377.56
07/12/11 164222 payment for animal autopsy $538.72
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
Companion Animal Medical Center
IN SUM OF
1455 S. Rangeline Road
Carmel, IN 46032
$1,129.97
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1110 163829 43- 582.00 $213.69 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1110 163828 43- 582.00 $377.56
materials or services itemized thereon for
1110 164222 43- 582.00 $538.72 which charge is made were ordered and
received except
Friday, July 15, 2011
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund