162456 08/07/2008 CITY OF CARMEL, INDIANA VENDOR: 236175 Page 1 of 1
ONE CIVIC SQUARE PARKSIDE ANIMAL HOSPITAL
!s 0 CHECK AMOUNT: $394.54
CARMEL, INDIANA 46032 12962 PUBLISHERS DRIVE
FISHERS IN 46038 CHECK NUMBER: 162456
CHECK DATE: 817/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4357600 80897 394.54 ANIMAL SERVICES
I
PARKSIDE ANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 80897
Fishers, IN 46038 Date: 07/29/2008
(317) 849 -1440 Time: 6:55 PM
Page: 1
CCarmel Police De Patient: KEELIN Age: 10
i 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.
'Phone: (317)571 -2500 (317)571 -2512
Date Sivice /ilerri Ot}r Price A�� on.'
07/29/2008 Annual Wellnes Physical Exam 1.00 42.64 42.64
07/29/2008 Dist- A2P -Parvo Annual 1.00 19.75 19.75'
07/29/2008 Heartworm Test Occult 1.00 30.16 30.16';
07/29/2008 Fecal Exam Annual 1.00 19.76 19.76'
07/29/2008 Bordetella Vacc Annual 1.00 14.56 14.56
07/29/2008 Leptospirosis vaccine annual 1.00 22.10 22.10
07/29/2008 Leptospirosis Vaccine- 4 way 1.00 0.00 0.00
07/29/2008 Sentinel 51 -100# 12 tablets 1.00 166.98 166.98
07/29/2008 Rimadyl 100MG Chew Bottle #60 1.00 78.59 78.59
Tax 0.00
Net Invoice 394.54
k
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
Parkside Animal Hospital Purchase Order No.
12962 Publis Drive Terms
Fishers, IN 46038 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
2 80897 for animal services for Keelin 394.54
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
394.54
ON ACCOUNT OF APPROPRIATION FOR
po gene ufnd
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 80897 576 394.54 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
July 31 20 08
Signature
Chief of Police
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund