HomeMy WebLinkAbout170525 04/01/2009 CITY OF CARMEL, INDIANA VENDOR: 236175 Page 1 of 1
ONE CIVIC SQUARE PARKSIDE ANIMAL HOSPITAL CHECK AMOUNT: $1,702.83
CARMEL, INDIANA 46032 12962 PUBLISHERS DRIVE
FISHERS IN 46038
CHECK NUMBER: 170525
CHECK DATE: 4/1/2009
DEPARTMENT ACCOUNT PO NUMBER IN NUMBER AMOUNT DESCRIPTION
1110 4357600 93269 x /82.11 ANIMAL SERVICES
1110 4357600 20089 93843 +1,620.72 DOG FOOD
PARKSIDE ANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 93269
Fishers, IN 46038 Date: 03/16/2009
(317) 849 -1440 Time: 10:58 AM
Page: 1
Carmel Police De Patient: KEELIN Age: 11
3 Civic Square Species: Canine Sex: ML
!Carmel IN 46032 Breed: German Shepherd Tag: 70827
Color: Brown Weight: 74.20
Doctor: Mike Havens, D.V.M.
Phone: �7 650 7 1
w
5 Date
Service /Item Qty Price Amouni 1-
03/16/2009 Rimadyl 100MG Chew Bottle #60 1.00 82.11 82.11
Tax 0.00
Net Invoice 82.11
Presc',iod 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.
1 12962 Publishers Drive Terms
Fishers, IN 46038 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
31161nq q1269 D avment for K -9 services 82.11
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
82.11
ON ACCOUNT OF APPROPRIATION FOR
p olice genera fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 93269 576 82.11 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
March 25 2009
Signature
Chief of Police
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund
r
PARKSIDE ANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 93843
Fishers, IN 46038 Date: 03/25/2009
(317) 849 -1440 Time: 7:02 AM
Page: 1
Carmel Police De Patient: BEN Age: 2
3 Civic Square Species: Canine Sex: ML
Carmel IN 46032 Breed: German Shepherd Tag: 83742
Color: Black Tan Weight: 84.00
Doctor: Over the Counter
Phone: (317)571 -2500 (317)571 -2512
Service /Item Qty Price
lams K9 Prem Perform Activ 40# 24.00 67.53 1620.72
Invoice Complete 1.00 0.00
Tax 0.00
Net Invoice 1620.72
Previous Balance 1253.52
Payment 0.00
Balance Due 2874.24
Reminders: Aug. 14, 2009 Rabies Vaccine 3 Year
Aug. 14, 2009 Dist- A2P -Parvo Annual
Aug. 14, 2009 Bordetella Vacc Annual
Aug. 14, 2009 Leptospirosis vaccine annual
Aug. 14, 2009 Fecal Exam Annual
Aug. 14, 2009 Heartworm Test Occult
Aug. 14, 2009 Annual Wellnes Physical Exam
Thank You
We endeavor to provide quality care with a personal touch!
4 f� INDIANA RETAIL TAX EXEMPT PAGE n
G 1 Of Carmel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDE
ER NUMBER
Police Department FEDERAL EXCISE TAX EXEMPT
35- 60000972 7 (}R9
3 ON MIVIC SQUARE [THIS NUMBER MUST APPEAR ON INVOICES, AS CARMEL INDIANA 46032 -2584 OUCHER, DELIVERY MEMO, PACKING SLIPS, HIPPING 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
M ar r 23. 008 doQ food
ti
VENDOR Parkside Animal Hospital TO HIP City of Carmel Police DeparMent
3 Civic Square
Fishers, IN 46037 Carmel, IN 46032
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
24 bags Rod food 69.76 1,674.24
11 4-N
p
«•e >g
F�
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1110 576 animal 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 1 HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR ABOVE ORDER.
SHIP REPAID.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS. i
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE ChiefChief of Police
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. AA�. COPY SIGN AND RETURN TO CLERK OFFICE
,,VOUCHER NO. WARRANT NO.....__.___
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members V
PO# or V
INOICE NO. ACCT #[TITLE AMOUNT
DEPT. I hereby certify that the attached invoices 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
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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. 20089F
12961 Publishers Drive Terms
Fishers, IN 46038 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
3/25/09 93843 payment for dog food 1,620.72
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
i
P arkside Animal Hospital IN SUM OF
12962 Publishers Drive
Fishers, IN 46038
1,620.72
ON ACCOUNT OF APPROPRIATION FOR
p olice general fu
Board Members
PO# INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
20089F 93843 576 1,620.72 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
March 27 20 09
90 b
Signature
Chief Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund