HomeMy WebLinkAbout177349 09/15/2009 CITY OF CARMEL, INDIANA VENDOR: 236175 Page 1 of 1
ONE CIVIC SQUARE PARKSIDE ANIMAL HOSPITAL CHECK AMOUNT: $176.03
CARMEL, INDIANA 46032 12962 PUBLISHERS DRIVE
FISHERS IN 46038 CHECK NUMBER: 177349
CHECK DATE: 9/15/2009
DEPkRTMEN AC COUNT PO NUMBER IN N UMBER A MOUNT D ESCRIPTION
1110 4357600 103280 176.03 ANIMAL SERVICES
f
PARKSIDE ANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 103280
Fishers, IN 46038 Date: 08/27/2009
(317) 849 -1440 Time: 3:59 PM
Page: 1
Carmel Police De Patient: BEN Age: 2
3 Civic Square Species: Canine Sex: ML
Carmel IN 46032 Breed: German Shepherd Tag: 85342'
Color: Black Tan Weight: 87.10
Doctor: Mike Havens, D.V.M.
Phone: (317)571 -2500 (317)571 -2512
Date Service /Item Qty Price Amaun t
08/27/2009 Annual Wellnes Physical Exam 1.00 42.00 42.00
08/27/2009 Rabies Vaccine 3 Year 1.00 22.00 22.00'
08/27/2009 Dist- A2P -Parvo Annual 1.00 18.50 18.50'
08/2712009 Leptospirosis vaccine annual 1.00 23.21 23.21
08/27/2009 Leptospirosis Vaccine- 4 way 1.00 0.00 0.00
08/27/2009 Bordetella Vacc Annual 1.00 17.90 17.90
08/27/2009 Heartworm Test Occult 1.00 31.67 31.67
08/27/2009 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
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.
12962 Publishers Drive Terms
Fishers, IN 46038 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
8/27/09 103280 Davment for animal services for Ben 176.0
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
PA -kside Animal Hospital IN SUM OF
12962 Publishers Drive
Fishers, IN 46038
176.03
ON ACCOUNT OF APPROPRIATION FOR
general fund
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 103280 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
September 3 20 09
:hYj",jp r b A
Signature
Chi of of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund