HomeMy WebLinkAbout203573 11/09/2011 CITY OF CARMEL, INDIANA VENDOR: 236175 Page 1 of 1
q ONE CIVIC SQUARE PARKSIDE ANIMAL HOSPITAL CHECK AMOUNT: $56.72
CARMEL, INDIANA 46032 12962 PUBLISHERS DRIVE
FISHERS IN 46038 CHECK NUMBER: 203573
CHECK DATE: 11/9/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4357600 149301 56.72 ANIMAL SERVICES
PARKSIDE ANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 149301
Fishers, IN 46038 Date: 10/25/2011
(317) 849 -1440 Time: 12:10 PM
Page: 1
Carmel olice De Patient: BEN Age: 4
3 Civic Square Species: Canine Sex: ML
Carmel IN 46032 Breed: German Shepherd Tag: 85342
Color: Black Tan Weight: 85.00
I Doctor: Mike Havens, D.V.M.
l Phone: (317)571 -2500 (317)571 -2512
Service /Item Qty Price Amount
Carafate 1 Gm Tabs 21.00 38.02
Tramadol 50mg Tablet 30.00 18.70
I Tax 6
Net Invoice 56.72
Previous Balance
I Payment 0.00
Balance Due 67.5 2
Next Appointment: on 11/03/2011 at 11:00 AM For: BEN
Next Appointment: on 11/0312011 at 5:00 PM For: KASEY
Reminders: Aug. 26, 2012 Rabies Vaccine 3 Year
Sept. 23, 2011 Annual Wellnes Physical Exam
Sept. 23, 2011 Dist- A2P -Parvo Annual
Sept. 23, 2011 Leptospirosis vaccine annual
Sept. 23, 2011 Bordetella Vacc Annual
Sept. 23, 2011 Heartworm Test Occult
Sept. 23, 2011 Fecal Exam Annual
Sept. 23, 2011 Interceptor 51 -100# 12 tablets
Feb. 4, 2012 Sentinel 51 -100# 12 tablets
Thank You
We endeavor to provide quality care with a personal touch!
VOUCHER NO. WARRANT NO.
ALLOWED 20
Parkside Animal Hospital
IN SUM OF
12962 Publishers Drive
Fishers, IN 46038
$56.72
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #ITITLE AMOUNT Board Members
1110 149301 I 43- 576.00 I $56.72 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, November 03, 2011
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
0
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))
10/25/11 149301 animal services for Ben $56.72
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