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Home My WebLink About180917 12/30/2009 CITY OF CARMEL, INDIANA VENDOR: 236175 Page 1 of 1 ONE CIVIC SQUARE PARKSIDE ANIMAL HOSPITAL CARMEL, INDIANA 46032 12962 PUBLISHERS DRIVE CHECK AMOUNT: $720.00 FISHERS IN 46038 CHECK NUMBER: 180917 CHECK DATE: 12/3012009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION wl 1110 4357600 21285 109621 720.00 DOG FOOD i PARKSIDE ANIMAL HOSPITAL Account: 322 12962 Publishers Drive Invoice: 109621 Fishers, IN 46038 Date: 12/14/2009 (317) 849 -1440 Time: 11:32 AM Page: 1 Carmel Police De Patient: BEN Age: 2 3 Civic Square Species: Canine Sex: ML i Carmel IN 46032 Breed: German Shepherd Tag: 85342 Color: Black Tan Weight: 87.10 Doctor: Over the Counter Phone: (317)571 -2500 (317)571 -2512 Service /Item Qty Price Amount Euk. K9 Lrg Breed Maint. 44# 18.00 40.00 720.00 Invoice Complete 1.00 0.00 0.00 Tax 0.00 Net Invoice 720.00 Previous Balance 0.00 Payment 0.00 Balance Due 720.00 Reminders: Aug. 27, 2010 Annual Wellnes Physical Exam Aug. 26, 2012 Rabies Vaccine 3 Year Aug. 27, 2010 Dist- A2P -Parvo Annual Aug. 27, 2010 Leptospirosis vaccine annual Aug. 27, 2010 Bordetella Vacc Annual Aug. 27, 2010 Heartworm Test Occult Aug. 27, 2010 Fecal Exam Annual Thank You We endeavor to provide quality care with a personal touch! IND IANA RETAIL TAX EXEMPT PAGE C f Carmel CERTIFICATE NO. 003120155 002 0 1 Of 1 PURCHASE ORDER NUMBER Police Department FEDERAL EXCISE TAX EXEMPT 35- 60000972 21285 3 bNE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P CARMEL, INDIANA UARE2584 VOUCHER DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO, VENDOR NO. DESCRIPTION December 11, 2009 dog food 1 VENDOR Parkside Animal Hospital SHIP City of Carmel Police Department 12962 Publishers Drive TO Fishers, 111 46038 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY 71 LWOF MEASURE DESCRIPTION UNIT PRICE EXTENSION 18 bags dog food 40.00 720.00 i co 1 m s: Send Invoice To: p� I PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT 1110 576 0animal services PAYMENT A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY Y �L /r'P/Ge., SHIPPING LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief Of P AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. i 5 0 CLERK TREASURER DOCUMENT CONTROL NO A COPY SIGN AND RETURN TO CLERK OFFICE VOUCHER NO. WARRANT NO--- ALLOWED 20 IN THE SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT t7EPT. I 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._................ 20 Signature Title i Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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 Parkside Animal Hospital Purchase Order No. 21285F 12962 Publishers Drive Terms Fishers, IN 46038 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 1 2/14/09 109621 payment for dog food 720.00 Total 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 P arkside Animal Hospital IN SUM OF 12962 Publishers Drive Fishers, IN 46038 790-00 ON ACCOUNT OF APPROPRIATION FOR p olice genera lfund Board Members Po# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 21285F 109621 576 720.00 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 December 17 20 09 Signature Chief of Police Cost distribution ledger classification if Title claim paid motor vehicle highway fund