166337 11/24/2008 CITY OF CARMEL, INDIANA VENDOR: 236175 Page 1 of 1
ONE CIVIC SQUARE PARKSIDE ANIMAL HOSPITAL
CHECK AMOUNT: $71.28
CARMEL, INDIANA 46032 12962 PUBLISHERS DRIVE
FISHERS IN 46038 CHECK NUMBER: 166337
CHECK DATE: 11/24/2008
DEPARTME ACCOUNT PO NUMBER INVOICE NUMBER AMO UNT DESCRIPTION
1110 4357600 86461 71.28 ANIMAL SERVICES
w
1
PARKSIDE ANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 86461
Fishers, IN 46038 Date: 11/06/2008
(317) 849 -1440 Time: 11:31 AM
Page: 1
'Carmel Police De Patient: KEELIN Age: 11
3 Civic Square Species: Canine Sex: ML
Carmel IN 46032 Breed: German Shepherd Tag: 70827
Color: Brown Weight: 74.20
Doctor: Mike Havens, D.V.M.
I. Phone: (317)571 -2500 (317)571 -2512
Service /Item Qty Price Amount
SynoviG3 Soft Chews 120 count 1.00 71.28 71.28
Tax 0.00
Net Invoice 71.28
Previous Balance 148.97
Payment 0.00
Balance Due 220.25
Reminders: May 16, 2009 Rabies Vaccine 3 Year
July 29, 2009 Dist- A2P -Parvo Annual
July 29, 2009 Heartworm Test Occult
July 29, 2009 Fecal Exam Annual
July 29, 2009 Bordetella Vacc Annual
July 29, 2009 Leptospirosis vaccine annual
July 29, 2009 Sentinel 51 -100# 12 tablets
July 29, 2009 Annual Wellnes Physical Exam
Dec. 1, 2008 Liver Screening for NSAID use
m.,... Thank You
We endeavor to provide quality care with a personal touch!
Prescrii ll by State Board of Accounts City Form No. 201 (Rev. 1995)
7 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
Parkside Animal Hospital Purchase Order No.
12962 Publishers Drive Terms
Fishers, IN 46038 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/6/08 86461 payment for animal services for Keelin 71.28
Total
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
P &'ckside Animal Hospital IN SUM OF
12962 Publishers Drive
Fishers, IN 46038
71.28
ON ACCOUNT OF APPROPRIATION FOR
police genera lfund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 86461 6 71.28 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
November 11 20 08
&",a b
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund