165908 11/12/2008 Page 1 of 1 VENDOR: 236175 P8
CITY OF CARMEL, INDIANA g
ONE CIVIC SQUARE PARKSIDE ANIMAL HOSPITAL CHECK AMOUNT: $148.97
CARMEL, INDIANA 46032 12962 PUBLISHERS DRIVE
FISHERS IN 46038 CHECK NUMBER: 165908
CHECK DATE: 11/12/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE N AMOU DESCRIPTION
1110 4357600 85920 148.97 ANIMAL SERVICES
PARKSIDE ANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 85920
Fishers, IN 46038 Date: 10/27/2008
(317) 849 -1440 Time: 2:12 PM
Page: 1
Carmel Police De Patient: KASEY Age: 4
3 Civic Square Species: Canine Sex: FS
Carmel IN 46032 Breed: Dutch Sheperd Tag:
Color: Black Brindle Weight: 47.40
Doctor: Mike Havens, D.V.M.
Phone: (317)571 -2500 (317)571 -2512
Service /Item Qty Price Amount
Annual Wellnes Physical Exam 1.00 42.64 42.64
Dist- A2P -Parvo Annual 1.00 19.75 19.75
Bordetella Vacc Annual 1.00 14.56 14.56
Leptospirosis vaccine annual 1.00 22.10 22.10
Leptospirosis Vaccine- 4 way 1.00 0.00 0.00
Heartworm Test Occult 1.00 30.16 30.16
Fecal Exam Annual 1.00 19.76 19.76
Tax 0.00
Net Invoice 148.97
Previous Balance 0.00
Payment 0.00
Balance Due 148.97
Reminders: Sept. 21, 2009 Rabies Vaccine 3 Year
Jan. 3, 2009 Sentinel 26 -50# 12 tablets
Oct. 27, 2009 Annual Wellnes Physical Exam
Oct. 27, 2009 Dist- A2P -Parvo Annual
Oct. 27, 2009 Bordetella Vacc Annual
Oct. 27, 2009 Leptospirosis vaccine annual
Oct. 27, 2009 Heartworm Test Occult
Oct. 27, 2009 Fecal Exam Annual
Thank You
We endeavor to provide quality care with a personal touch!
PAribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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))
10/27/08 85920 payment for animal services for Kasey 148.97
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
Parkside Animal Hospital IN SUM OF
12962 Publishers Drive
Fishers. IN 46038
148.97
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 85920 576 148::97 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 6 20 08
Signature
Chief of POlice
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund