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Home My WebLink About205816 01/31/2012 CITY OF CARMEL, INDIANA VENDOR: 366004 Page 1 of 1 ONE CIVIC SQUARE CIRCLE CITY VETERNARY SPECIALITY CARMEL, INDIANA 46032 9650 MAYFLOWER PARK DRIVE CHECK AMOUNT: $534.82 uh CARMEL IN 46032 CHECK NUMBER: 205816 CHECK DATE: 1/31/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4357600 90653 352.66 ANIMAL SERVICES 1110 4357600 90927 182.16 ANIMAL SERVICES Circle City Veterinary Specialty Emergency Hospital 9650 Mayflower Park Drive Carmel, IN 46032 (317) 872 -VETS (8387) UNPOSTED INVOICE ACTIVITY (Activity to date, subject to change) Client Information Patient Information Police K -9 Unit Carmel, 19964 "Wazir 19002 3 Civic Square German Shepherd, male neutered Carmel, IN 46032 Weight: 66.90 Ibs, 30.409 kgs Referring Veterinarian: Dr. Craig Johnson Invoice Number: 90653 Date: 01 -16 -2012 Date rpoctorSDescrfption r quantity y Charge 01-16-2012 152 Exam ER 1.00 90.00 01 -16 -2012 152 Tramadol 50mg tablet 25.00 13.50 01 -16 -2012 152 Rimadyl 75mg chewable tablet 10.00 24.07 01 -16 -2012 152 Hydromorphone Injection per ml 1.50 22.50 01 -16 -2012 152 Hydromorphone per ml 1.50 0.00 01 -16 -2012 152 Acepromazine Injection per ml 0.60 22.50 01 -16 -2012 152 Radiographs first 2 views 1.00 180.09 Previous Balance: 0.00 Subtotal: 352.66 Sales Tax: 0.00 Payments: 0.00 Discounts: 39.19 New Balance: 352.66 Please note that this is a copy of your charges to date. This is not your final receipt. If you have any questions regarding the fees listed on this invoice, please speak with one of our staff members. Give 1 tablet(s) with food every 8 hours until gone. 01 -16 -2012 1 Circle City Veterinary Specialty Emergency Hospital 9650 Mayflower Park Drive Carmel, IN 46032 (317) 872 -VETS (8387) UNPOSTED INVOICE ACTIVITY (Activity to date, subject to change) Client Information Patient Information Police K -9 Unit Carmel, 19964 "Ben 19054 3 Civic Square German Shepherd, male Carmel, IN 46032 Weight: 73.30 lbs, 33.318 kgs Referring Veterinarian: Dr. Michael Havens Invoice Number: 90927 Date: 01 -24 -2012 a��Ea �w Date Doctor Description,,, Quantity Charge :01 -24 -2012 53 Exam Spec. Level 3 1.00 112.50 01 -24 -2012 135 Gabapentin 1 00m ea 180.00 32.40 01 -24 -2012 135 Tramadol 50mg tablet 180.00 37.26 Previous Balance: —3 Subtotal: 182.163 Sales Tax: Payments: 0.00 Discounts: 20.24 New Balance: 534.82 Please note that this is a copy of your charges to date. This is not your final receipt. If you have any questions regarding the fees listed on this invoice, please speak with one of our staff members. 01 -24 -2012 1 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 Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 01/16/12 90653 emergency services for Wazir $352.66 01/24/12 90927 follow -up for Wazir $182.16 1 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 Circle City Veterinary Speciality Emergency IN SUM OF 9650 Mayflower Park Drive Carmel, IN 46032 $534.82 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1110 90653 43- 576.00 $352.66 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 1110 90927 43- 576.00 $182.16 materials or services itemized thereon for which charge is made were ordered and received except Thursday, January 26, 2012 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund