163896 09/17/2008 CITY OF CARMEL, INDIANA VENDOR: 236175 Page 1 of 1
t, ONE CIVIC SQUARE PARKSIDE ANIMAL HOSPITAL
CARMEL, INDIANA 46032 12962 PUBLISHERS DRIVE CHECK AMOUNT: $1,491.07
FISHERS IN 46038
CHECK NUMBER: 163896
CHECK DATE: 9/17/2008
7EPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4357600 83236 1,491.07 ANIMAL SERVICES
T
09/ {0/2008 22:34 FAX 8491440 PARKSIDE ANIMAL HOSPITAL U001
I
PARKSIDE ANIMAL. OSPITAL Account: 322
Invoice: 83236
12962 Publishers Drive Date: 09/09/2008
Fishers, IN 46038 Time: 10:54 AM
(317) 849 -1440 Page: 1
Patient: BAZ Age: 4
Carmel Police De Sex: ML
e
3 Civic Square Species: Canine
Carmel IN re Breed: Belgian Malinois Tag: 80429
Color: Black Brown Weight: 63.00
Doctor: Over the Counter
Phone: (317)571- 00 (317)571 -2512
Qty Price Amount
Date Servic Item 14.00 69.38 971.32
09/09/2008 lams Skin Coat FP 30# 7 00 74 25 519.75
09/09/2008 lams Prem Perform Activ 40#
Tax 0.00
Net Invoice 1491.07
i
i
i
i
I
i
1
Prescritr ACCOUNTS PAYABLE VOUCHER
d by State Board of Accounts City Form No. 201 (Rev. 1995)
77
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.
1296 Publishers Drive Terms
Fishers, IN 46038 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
9/9/08 83236 payment for dog food 1,491.07
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 a kside Animal Hospital IN SUM OF
12962 Publishers Drive
Fishers, IN 46038
1.491.07
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 83236 576 1,491.07 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
September 11 2008
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund