HomeMy WebLinkAbout203138 10/25/2011 CITY OF CARMEL, INDIANA VENDOR: 254452 Page 1 of 1
ONE CIVIC SQUARE PURDUE UNIVERSITY
CARMEL, INDIANA 46032 LYNN HALL OF VETERINARY MEDICINE CHECK AMOUNT: $54.55
625 HARRISON STREET
p„ CHECK NUMBER: 203138
WEST LAFAYETTE IN 47907 -2026
CHECK DATE: 10/25/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4357600 S753613 -6 54.55 ANIMAL SERVICES
PURDUE
U N I V E R S I T Y
VETERINARY TEACHING HOSPITAL
S Visit: S- 753613 -6
Carmel Police Department Patient Name: Ben
3 Civic Square Patient ID: 753613
Carmel, IN 46032 Admission Date: 10/14/2011 9:48:38 AM
Discharge Date: 10/14/2011 10:31:00 AM
Reason: incision check
Administrative Fee Units Charge Credit Sub -Total
10/14/2011 Bio- Security Fee 1.00 $4.00 $0.00 $4.00
10/14/2011 No Charge Recheck Outpatient 1.00 $0.00 $0.00 $0.00
Sub Totals: $4.00 $0.00 $4.00
Pharmacy Units Charge Credit Sub -Total
10/14/2011 Cephalexin 500mg Oral, Gen Source 40.00 $19.00 $0.00 $19.00
NDC:52343- 002 -05 j
Sub Totals: $19.00 $0.00 $19.00
Supplies Units Charge Credit Sub -Total
10/14/2011 Basket Muzzle Size 9 1.00 $28.85 $0.00 $28.85
10/14/2011 BANDAGE, RELEASE DRESSING 8 X 3 1.00 $0.30 $0.00 $0.30
10/14/2011 Hypafix dressing retention sheet 12.00 $2.40 $0.00 $2.40
Sub Totals: $31.55 $0.00 $31.55
Charged Credits Payments Sub -Total
Total: $54.55 $0.00 $0.00 $54.55
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School of Veterinary Medicine
Lynn Hall of Veterinary Medicine 625 Harrison Street West Lafayette, IN 47907 -2026 Printed: 10/14/2011 10:32 AM
Small Animal Hospital (765) 494-1107 Large Animal Hospital (765) 494 -8548 Page I of I
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))
10/14/11 S753613 -6 animal services for Ben $54.55
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
VOUCHER NO. WARRANT NO.
Purdue University ALLOWED 20
Lynn Hall of Veterinary Medicine
IN SUM OF
625 Harrison Street
West Lafayette, IN 47907 -2026
$54.55
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1110 I S753613 -6 I 43- 576.00 I $54.55 1 hereby certify that the attached invoice(s), or
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, October 20, 2011
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund