HomeMy WebLinkAbout202036 09/27/2011 CITY OF CARMEL, INDIANA VENDOR: 365547 Page 1 of 1
ONE CIVIC SQUARE ANIMAL DERMATOLOGY CLINIC INDIANAP UHECK AMOUNT: $148.11
CARMEL, INDIANA 46032 3901 E 82ND ST
INDIANAPOLIS IN 46240 CHECK NUMBER: 202036
CHECK DATE: 9/27/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4357600 7432 148.11 ANIMAL SERVICES
Animal Dermatology Clinic In dianapo li s
3901 E. 82nd St Bill for Services
Indianapolis, IN 46240
DATE INV. NUM
Tel: 317- 578 -7773 09/13/11 7432
Dave Lora Kinyon
15482 Border Dr
Noblesville, IN 46060
Acct no.: 963
l Lori Thompson DVM ACVD
Qty Date Patient Description Staff Price Ext Tx
21 9/13/2011 I Wazir RX5140- Simplicef 200 mg. tabll LTR $71.11
100' 9/13/2011 I Wazir PP0911- Niacinamide LTRX� $0.18 $18.00
100 9/13/2011 Wazir l Rx6000- Tetracycline 500mg ILTRX $59.00
Subtotal $148.11
Tax 0.00
Pmnt 1: Amt: $0.00 Bill total $148.11
Note:
Pmnt 2: Amt: $0.00 Prev balance $0.00
Note:
Payment $0.00
NEW BALANCE $148.11
Thank you for choosing Animal Dermatology Clinic to care for your pet's dermatology needs. Your confidence is
appreciated. If you need to cancel or reschedule your appointment, kindly give 24 hours notice.
Pending Reminders:
Wazir: 8/29/2011: Recheck in 3 Weeks
VOUCHER NO. WARRANT NO.
ALLOWED 20
Animal Dermatology Clinic Indianapolis
IN SUM OF
3901 E. 82nd Street
Indianapolis, IN 46240
$148.11
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT# /TITLE AMOUNT Board Members
1110 7432 43- 576.00 $148.11
I hereby certify that the attached invoice(s), or
l I
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
Thursday, September 22, 2011
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
09/13/11 7432 payment for animal services for Wazir $148.11
1 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