HomeMy WebLinkAbout203974 11/21/2011 CITY OF CARMEL, INDIANA VENDOR: 236175 Page 1 of 1
0 ONE CIVIC SQUARE PARKSIDE ANIMAL HOSPITAL
CARMEL, INDIANA 46032 12962 PUBLISHERS DRIVE CHECK AMOUNT: $218.30
FISHERS IN 46038 CHECK NUMBER: 203974
CHECK DATE: 11/21/2011
DEPARTMENT ACCOUN PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTION
1110 4357600 149940 54.45 ANIMAL SERVICES
1110 4357600 149943 127.20 ANIMAL SERVICES
1110 4357600 149947 36.65 ANIMAL SERVICES
PARKSIDE ANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 149940
Fishers, IN 46038 Date: 11/03/2011
(317) 849 -1440 Time: 9:25 AM
Page: 1
Carmel Police De Patient: WAZIR Age: 3�
3 Civic Square Species: Canine Sex: ML
Carmel IN 46032 Breed: German Shepherd Tag: 87211
Color: Black Tan Weight: 69.10
Doctor: Mike Havens, D.V.M.
Phone: (317)571 -2500 (317)571 -2512
Service /Item Qty Price Amount
Sentinel 51 -100# 6 tablets 1.00 54.45 54.45
Tax
Net Invoice 54.45
Previous Balance
Payment 0.00
Balance Due 121.97
Reminders: Dec. 3, 2011 Annual Wellnes Physical Exam
Dec. 2, 2013 Rabies Vaccine 3 Year
Dec. 3, 2011 Dist- A2P -Parvo Annual
Dec. 3, 2011 Leptospirosis vaccine annual
Dec. 3, 2011 Bordetella Vacc Annual
Dec. 3, 2011 Heartworm Test Occult
May 1, 2012 Sentinel 51 -100# 6 tablets
Thank You
We endeavor to provide quality care with a personal touch!
PARKSIDE ANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 149947
Fishers, IN 46038 Date: 11/03/2011
(317) 849 -1440 Time: 9:52 AM
Page: 1
Carmel Police De Patient: BEN Age: 4
3 Civic Square Species: Canine Sex: ML
Carmel IN 46032 Breed: German Shepherd Tag: 85342
i Color: Black Tan Weight: 77.80
Doctor: Mike Havens, D.V.M.
Phone: (317)571 -2500 (317)571 -2512
Service /Item Qty Price Amount
Otomax/Malotic 15GM 1.00 D 28.93
Ear Cleaning Soln 1.00 D 19.94
Discount -12.22
Tax
Net Invoice 36.65
Previous Balance
Payment 0.00
Balance Due 285.82
Reminders: Aug. 26, 2012 Rabies Vaccine 3 Year
Sept. 23, 2011 Interceptor 51 -100# 12 tablets
Feb. 4, 2012 Sentinel 51 -100# 12 tablets
Nov. 2, 2012 Annual Wellnes Physical Exam
Nov. 2, 2012 Dist- A2P -Parvo Annual
Nov. 2, 2012 Leptospirosis vaccine annual
Nov. 2, 2012 Bordetella Vacc Annual
Nov. 2, 2012 Heartworm Test Occult
Nov. 2, 2012 Fecal Exam Annual
Thank You
[D] 25% Discount Applied
We endeavor to provide quality care with a personal touch!
PARKSIDE ANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 149943
Fishers, IN 46038 Date: 11/03/2011
(317) 849 -1440 Time: 9:33 AM
Page: 1
Carmel Police De Patient: BEN Age: 4
3 Civic Square Species: Canine Sex: ML
Carmel IN 46032 Breed: German Shepherd Tag: 85342
Color: Black Tan Weight: 77.80
Doctor: Mike Havens, D.V.M.
Phone: I
Date Service /Item Qty Price Amount
11/03/2011 Annual Wellnes Physical Exam 1.00 44.10 44.10
11/03/2011 Dist- A2P -Parvo Annual 1.00 19.43 19.43
1 11/03/2011 Leptospirosis vaccine annual 1.00 24.37 24.371
11/03/2011 Leptospirosis Vaccine- 4 way 1.00 0.00 0.00
11/03/2011 Bordetella Vacc Annual 1.00 20.37 20.37'
11/03/2011 Heartworm Test Occult 1.00 36.40 36.40
11/03/2011 Fecal Exam Annual 1.00 24.94 24.94
1 Discount -42.41
Tax 0.
Net Invoice 127.2
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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))
11/03/11 149940 animal services $54.45
11/03/11 149943 animal services $127.20
11/03/11 149947 animal services $36.65
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
Parkside Animal Hospital
IN SUM OF
12962 Publishers Drive
Fishers, IN 46038
$218.30
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1110 149940 43- 576.00 $54.45 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1110 149943 43- 576.00 $127.20
materials or services itemized thereon for
1110 149947 43- 576.00 $36.65 which charge is made were ordered and
received except
Wednesday, November 16, 2011
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund