HomeMy WebLinkAbout179360 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 236175 Page 1 of 1
ONE CIVIC SQUARE PARKSIDE ANIMAL HOSPITAL
CARMEL, INDIANA 46032 12962 PUBLISHERS DRIVE CHECK AMOUNT: $176.03
FISHERS IN 46038
CHECK NUMBER: 179360
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CHECK DATE: 11/11/2009
DEPARTMENT ACCOUNT PO N UMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4357600 106531 176.03 ANIMAL SERVICES
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PARKSIDE ANIMAL HOSPITAL Account: 322
11962 Publishers Drive Invoice: 106531
Fishers, IN 46038 Date: 10/20/2009
(317) 849 -1440 Time: 3:12 PM
Page: 1
Carmel Police De Patient: KASEY Age: 5
3 Civic Square Species: Canine Sex: FS
Carmel IN 46032 Breed: Dutch Sheperd Tag: 84091
Color: Black Brindle Weight: 51.00
Doctor: Mike Havens, D.V.M.
Phone: (317)571 -2500 (317)571 -2512
Date Servicel4tem Qty Price Amount
10/20/2009 Annual Wellnes Physical Exam 1.00 42.00 42.00
10/20/2009 Rabies Vaccine 3 Year 1.00 22.00 22.00
10/20/2009 Dist- A2P -Parvo Annual 1.00 18.50 18.50
":10/20/2009 Leptospirosis vaccine annual 1.00 23.21 23.21
10/20/2009 Leptospirosis Vaccine- 4 way 1.00 0.00 0.00
10/20/2009 Bordetella Vacc Annual 1.00 17.90 17.90
10/20/2009 Heartworm Test Occult 1.00 31.67 31.67
10/20/2009 Fecal Exam Annual 1.00 20.75 20.75'
Tax 0.00
Net Invoice 176.03
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
s' 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.
T2962 Publishers Drive Terms
Fishers, IN 46038 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/20/09 106531 a ent for animal services for Kasey 176.03
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.
N.
ALLOWED 20
P a.rkside Animal Hospital IN SUM OF
12962 Publishers Drive
Fishers, IN
176.03
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
Po# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 106531 576 176:03 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
November 6 20 09
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund