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Home My WebLink About200567 08/17/2011 CITY OF CARMEL, INDIANA VENDOR: 236175 Page 1 of 1 ONE CIVIC SQUARE PARKSIDE ANIMAL HOSPITAL CARMEL, INDIANA 46032 12962 PUBLISHERS DRIVE CHECK AMOUNT: $452.58 FISHERS IN 46038 CHECK NUMBER: 200567 CHECK DATE: 8/17/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4357600 143403 90.81 ANIMAL SERVICES 1110 4357600 143984 230.77 ANIMAL SERVICES 1110 4357600 143985 59.30 ANIMAL SERVICES 1110 4357600 143989 51.60 ANIMAL SERVICES 1110 4357600 144535 20.10 ANIMAL SERVICES PARKSIDE ANIMAL HOSPITAL Account: 322 12962 Publishers Drive Invoice: 143403 Fishers, IN 46038 Date: 07/21/2011 (317) 849 -1440 Time: 2:28 PM Page: 1 Carmel Police De Patient: WAZIR Age: 31 3 Civic Square Species: Canine Sex: ML R Carmel IN 46032 Breed: German Shepherd Tag: 87211 Color: Black Tan Weight: 69.10 Doctor: Craig Johnson, D.V.M. Phone: (317)571 -2500 (317)571 -2512 Date Servicelitern _Qtv Price Amountl 07/21/2011 Exam Recheck 1.00 27.52 27.52 07/21/2011 Cephalex 500 Mg Caps 28.00 1.24 34.66 1 07/2112011 Tritop Ointment 1.00 28.63 28.63 Tax 0.00 Net Invoice 90.81 PARKSIDE ANIMAL HOSPITAL Account: 322 12962 Publishers Drive Invoice: 143989 Fishers, iN 46038 Date: 08/01/2011 (317) 849 -1440 Time: 1:36 PM Page: 1 Carmel Police De Patient: BEN Age: 4 3 Civic Square Species: Canine Sex: ML Carmel IN 46032 Breed: German Shepherd Tag: 85342 Color: Black Tan Weight: 85.00 Doctor: Craig Johnson, D.V.M. Phone: (317)571 -2500 (317)571 -2512 Date Service /item Qty Price Amount 08/01/2011 Radiologist Consultation 1.00 51.60 51.60 Tax 0.00 j Net Invoice 51.60 PARKSIDE ANIMAL HOSPITAL Account: 322 12962 Publishers Drive Invoice: 143985 Fishers, IN 46038 Date: 08/01/2011 (317) 849 -1440 Time: 11:55 AM Page: 1 Carmel Police De Patient: BEN Age: 4i 3 Civic Square Species: Canine Sex: ML' Carmel IN 46032 Breed: German Shepherd Tag: 85342 Color: Black Tan Weight: 85.001 Doctor: Craig Johnson, D.V.M. Phone: (317)571 -2500 (317)571 -2512 i1 Date Service /Item Qty Price Amount 08/01/2011 Deramaxx 100 Mg Tablet 14.00 4.24 Tax 0.00 Net Invoice 59.30 PARKSIDE ANIMAL HOSPITAL Account: 322 12962 Publishers Drive Invoice: 143984 Fishers, IN 46038 Date: 08/01/2011 (317) 849 -1440 Time: 11:52 AM Page: 1 Carmel Police De Patient: BEN Age: 4 13 Civic Square Species: Canine Sex: ML Carmel IN 46032 Breed: German Shepherd Tag: 85342' Color: Black Tan Weight: 85.00 Doctor: Craig Johnson, D.V.M. Phone: (317)571 -2500 (.317)571 -2512 D ate Service /item Qty Price Amount' 08/01/2011 Examination /Consultation 1.00 44.10 44.10; 08101/2011 Anesthesia -Dorm itor /Antisedan 1.00 68.22 68.22 08/01/2011 Radiograph First 1.00 77.57 77.57 08/01/2011 Radiograph- Additional (each) 1.00 40.88 40.881 Tax 0.00 Net Invoice 230.77 PARKSIDE ANIMAL HOSPITAL Account: 322 12962 Publishers Drive Invoice: 144535 Fishers, IN 46038 Date: 08/09/2011 (317) 849 -1440 Time: 3:42 PM Page: 1 Carmel Police De Patient: BEN Age: 4 3 Civic Square Species: Canine Sex: ML Carmel IN 46032 Breed: German Shepherd Tag: 85342 Color: Black Tan Weight: 85.00 Doctor: Mike Havens, D.V.M. Phone: (317)571 -2500 (317)571 -2512 Service /Item Qty Price su Prednisone 20 Mg Tabs 20.00 20.10 Tax 0.00 Net Invoice 20.10 Previous Balance 1392.48 Payment 0.00 Balance Due 1412.58 Reminders: Aug. 25 2012 Rabies Vaccine 3 Year Sept. 23, 2011 Annual Wellnes Physical Exam Sept. 23, 2011 Dist- A2P -Parvo Annual Sept. 23, 2011 Leptospirosis vaccine annual Sept. 23, 2011 Bordetella Vacc Annual Sept. 23, 2011 Heartworm Test Occult Sept. 23, 2011 Fecal Exam Annual Sept. 23, 2011 Interceptor 51 -100# 12 tablets Feb. 4, 2012 Sentinel 51 -100# 12 tablets Thank You We endeavor to provide quality care with a personal touch! VOUCHER NO. WARRANT NO. ALLOWED 20 Parkside Animal Hospital IN SUM OF 12962 Publishers Drive Fishers, IN 46038 $452.58 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# 1 Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1110 143403 43- 576.00 $90.81 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 1110 143984 43- 576.00 $230.77 materials or services itemized thereon for 1110 143985 43- 576.00 $59.30 which charge is made were ordered and 1110 143989 43- 576.00 $51.60 received except 1110 144535 43- 576.00 $20.10 Thursday, August 11, 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)) 07/21/11 143403 payment for animal services $90.81 08/01/11 143984 payment for animal services $230.77 08/01/11 143985 payment for animal services $59.30 08/01/11 143989 payment for animal services $51.60 08/09/11 144535 paymennt for animal services $20.10 1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with 1C 5- 11- 10 -1.6 20 Clerk- Treasurer