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HomeMy WebLinkAbout200782 08/30/2011 a CITY OF CARMEL, INDIANA VENDOR: 365547 Page 1 of 1 ONE CIVIC SQUARE ANIMAL DERMATOLOGY CLINIC INDIANNT ECK AMOUNT: $130.11 CARMEL, INDIANA 46032 3901E 82ND ST CH 4 oM .o INDIANAPOLIS IN 46240 CHECK NUMBER: 200782 CHECK DATE: 8/30/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4357600 7015 130.11 ANIMAL SERVICES Animal Dermatology Clinic Indianapolis 3901 E. 82nd St Bill for Services Indianapolis, IN 46240 DATE INV. NUM Tel: 317- 578 -7773 08/23/11 7015 Dave Lora Kinyon 15482 Border Dr Noblesville, IN 46060 Acct no.: 963 (rx) Lori Thompson DVM ACVD Qty Date Patient De scription Staff Price Ext Tx 21 8!1912011 Wazir RX 5140- Simplicef 200 mg. tabs LTRX $71.11 100 8/1912011 Wazir Rx6000- Tetracycline 500mg LTRX $59.00 j Subtotal $130.11 Tax 0 0 Pmnt 1: Amt: $0.00 Bill total $130.11 Note: Pmnt 2: Amt: $0.00 Prev balance $1.2 Note: Pay NE ALANCE $131.37 Thank you for choosing Animal Dermatology Clinic to care for your pet's dermatology eeds. Your c nfidence is appreciated. If you need to cancel or reschedule your appointment, kindly give 24 hour tice. Pending Reminders: Wazir: 8/29/2011: Recheck in 3 Weeks VOUCHER NO. WARRANT NO. Animal Dermatology Clinic Indianapolis ALLOWED 20 IN SUM OF 3901 E. 82nd Street Indianapolis, IN 46240 $130.11 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1110 7015 43- 576.00 $130.11 I hereby certify that the attached invoice(s), or I 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, August 25, 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)) 08/23/11 7015 payment for animal services for Wazir $130.11 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