HomeMy WebLinkAbout199627 07/20/2011 CITY OF CARMEL, INDIANA VENDOR: 236175 Page 1 of 1
ONE CIVIC SQUARE PARKSIDE ANIMAL HOSPITAL
CHECK AMOUNT: $172.42
CARMEL, INDIANA 46032 izssz PUBLISHERS DRIVE
FISHERS IN 46038 CHECK NUMBER: 199627
CHECK DATE: 7/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4357600 142120 172.42 ANIMAL SERVICES
4
PARKSIDE ANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 142120
Fishers, IN 46038 Date: 06/3012011
(317) 849 -1440 Time: 4:55 PM
Page: 1
Carmel Police De Patient: SAKA Age: 41
3 Civic Square Species: Canine Sex: ML;
Carmel IN 46032 Breed: Hungarian Shepherd Tag: 859151
Color: Black Tan Weight: 72.80
Doctor: Mike Havens, D.V.M.
Phone: (317)571 -2500 (317)571 -2512 1
--.W._.
Date Service /Item Qty Price amount
06/30/2011 Annual Wellnes Physical Exam 1.00 44.10 44.10
06/30/2011 Dist- A2P -Parvo Annual 1.00 19.43 19.43 E
06130/2011 Leptospirosis vaccine annual 1.00 24.37 24.37
06/30/2011 Leptospirosis Vaccine- 4 way 1.00 0.00 0.001
06/30/2011 Bordetella Vacc Annual 1.00 20.37 20.37
06/30/2011 Heartworm Test Occult 1.00 36.40 36.40
06/30/2011 Fecal Exam Annual 1.00 24.94 24.94
06/30/2011 Biological Waste Hazard fee 1.00 2.81 2.81
Tax 0.00
Net Invoice 172.42
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))
06130/11 142120 payment for animal services for Saka $172.42
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
$172.42
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #ITITLE AMOUNT Board Members
1110 I 142120 I 43- 576.00 $172-42 1 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, July 14, 2011
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund