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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