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