161504 07/11/2008 CITY OF CARMEL, INDIANA VENDOR: 236175 Page 1 of 1
ONE CIVIC SQUARE PARKSIDE ANIMAL HOSPITAL
CHECK AMOUNT: $222.95
CARMEL, INDIANA 46032 12962 PUBLISHERS DRIVE
FISHERS IN 46038 CHECK NUMBER: 161504
CHECK DATE: 7/11/2008
DEPARTMENT ACC PO N UMBER INVOIC NUMBER AMOUNT DESCRIPTION
1110 4357600 78965 222.95 ANIMAL SERVICES
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PA, RKSIDE ANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 78965
Fishers, IN 46038 Date: 06/26/2008
(3�7) 849 -1440 Time: 10:20 AM
Page: 1
Carmel Police De Patient: KEELIN Age: 10
'3 Civic Square Species: Canine Sex: ML
Carmel IN 46032 Breed: German Shepherd Tag: 70827
Color: Brown Weight: 72.00
Doctor: Craig Johnson, D.V.M.
Phone: (317)571 -2500 (317)571 -2512
Date Service /Item Qty Price Amount
06/25/2008 Examination /Consultation 1.00 42.64 42.64
06/26/2008 Rimadyl 100MG Chew Bottle #60 1.00 78.59 78.59
06/26/2008 Radiograph First 1.00 67.50 67.50
06/26/2008 Radiograph Additional (each) 1.00 34.22 34.22
Tax 0.00
Net Invoice 222.95
Previous Balance 0.00
Payment 0.00
Balance Due 222.95
Reminders: May 16, 2009 Rabies Vaccine 3 Year
June 21, 2008 Sentinel 51 -100# 12 tablets
June 21, 2008 Annual Wellnes Physical Exam
June 21, 2008 Dist- A2P -Parvo Annual
June 21, 2008 Heartworm Test Occult
June 21, 2008 Fecal Exam Annual
June 21, 2008 Bordetella Vacc Annual
June 21, 2008 Leptospirosis vaccine annual
Thank You
We endeavor to provide quality care with a personal touch!
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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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.
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Payee
Parkside Animal Hospital Purchase Order No.
_12962 Publishers Drive Terms
Fishers, IN46038 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6196109 78965 for animal gervires for Keelin 22
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 arkjide Animal Hospital IN SUM OF
12962 Publishers Drive
Fishers, IN 46038
222.95
ON ACCOUNT OF APPROPRIATION FOR
p olice ge f
Board Members
INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 78965 576 222.95 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
June 27 20 080
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund