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156758 02/21/2008 CITY OF CARMEL, INDIANA VENDOR: 236175 Page 1 of 1 ONE CIVIC SQUARE PARKSIDE ANIMAL HOSPITAL CARMEL, INDIANA 46032 12962 PUBLISHERS DRIVE CHECK.AMOUNT: $154.16 FISHERS IN 46038 CHECK NUMBER: 156758 CHECK DATE: 2121/2008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4357600 71450 154.16 ANIMAL SERVICES I I PARKSIDE ANIMAL HOSPITAL Account: 322 12962 Publishers Drive Invoice: 71450 Fishers, IN 46038 Date: 02/11/2008 (317) 849 -1440 Time: 3:18 PM Page: 1 Carmel Police De Patient: RICO Age: 2 3-Civic Square Species: Canine Sex: ML Carmel IN 46032 Breed: Belgian Malinois Tag: 82446 Color: Tan Weight: 74.60 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 Heartworm Test Occult 1.00 30.16 30.16 Rabies Vaccine 3 Year 1.00 24.95 24.95 Leptospirosis vaccine annual 1.00 22.10 22.10 Leptospirosis Vaccine- 4 way 1.00 0.00 0.00 Tax 0.00 Net Invoice 154.16 Previous Balance 17.65 Payment 0.00 Balance Due 171.81 Reminders: Jan. 2, 2008 Heartworm Test Occult July 8, 2008 Interceptor 51 -100# 12 tablets Feb. 10, 2009 Annual Wellnes Physical Exam Feb. 10, 2009 Dist- A2P -Parvo Annual Feb. 10, 2009 Bordetella Vacc Annual Feb. 10, 2009 Heartworm Test Occuit Feb. 10, 2011 Rabies Vaccine 3 Year Feb. 10, 2009 Leptospirosis vaccine annual __..m.._ Thank You We endeavor to provide quality care with a personal touch! VOUCHER NO. WARRANT NO. ALLOWED 20 P ark �ide Animal Hospital IN SUM OF 12962 Publishers Drive Fishers, IN 46038 154.16 ON ACCOUNT OF APPROPRIATION FOR p olice genera ufnd Board Members PO# or INVOICE NO. ACCT #MTLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1110 71450 576 154.16 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 February 14 2008 I Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund