HomeMy WebLinkAbout204137 12/06/2011 CITY OF CARMEL, INDIANA VENDOR: 365547 Page 1 of 1
ONE CIVIC SQUARE ANIMAL DERMATOLOGY CLINIC INDIAN AMOUNT: $76.00
CARMEL, INDIANA 46032 3901 E 82ND ST
a o INDIANAPOLIS IN 46240 CHECK NUMBER: 204137
CHECK DATE: 12/612011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4357600 8626 76.00 ANIMAL SERVICES
Animal Dermatology Clinic Indianapolis
3901 E. 82nd St Bill for Services
Indianapolis, IN 46240
DATE INV. NUM
Tel: 317- 578 -7773 11/28/11 8626
Dave Lora Kinyon
15482 Border Dr
Noblesville, IN 46060
Acct no.: 963
Lori Thompson DVM ACVD
Qty Date Patient Description Staff Price Ext Tx
1 11/28/20111 Wazir EX1152- Medical Progress Exa LT $58.00 $58.00
1 111l128/2011 Wazir I RxS9999- Script Tetrac !I LT SO.001 S0.001 1
L 1001 Wazir I PP0911- Niacinamide LT S0.18� S18.00
Subtotal $76.00
Tax 0.00
Pmnt 1: Amt: $0.00 Bill total $76.00
Note: Prev balance $0.00
Pmnt 2: Amt: $0.00
Note: Payment $0.00
NEW BALANCE S76.00
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: 5/26/2012: Recheck Exam
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))
11/28/11 8626 animal services Wazir $76.00
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.
ALLOWED 20
Animal Dermatology Clinic Indianapolis
IN SUM OF
3901 E. 82nd Street
Indianapolis, IN 46240
$76.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1110 1 8626 I 43- 576.00 I $76.00 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, December 01, 2011
J
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund