HomeMy WebLinkAbout206126 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 365547 Page 1 of 1
s,� ONE CIVIC SQUARE ANIMAL DERMATOLOGY CLINIC INDIA TMECK AMOUNT: $18.00
lo CARMEL, INDIANA 46032 3901 E 82ND ST
INDIANAPOLIS IN 46240 CHECK NUMBER: 206126
CHECK DATE: 2/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4357600 9896 18.00 ANIMAL SERVICES
Animal Dermatology Clinic Indianapolis
3901 E- 82nd St Bill for Services
Indianapolis, IN 46240
DATE INV. NUM
Tel, 317 -578 -7773 02%08112 9896
Dave Lora Kinyon
15482 Border Dr
Noblesville, IN 46060
Acct no.: 963
Darin Deli DVM RX
THIS INVOICE IS NOT FINISHED YET, THIS IS NOT A VALID RECEIPT.
Qty Date Patient Description Staff Price Ext Tx
1100 2/8120121 Wazir PP0911- Niacinamide DD RX 1 $0.18 $18.00
11 2/8/20121 Wazir RxS9999- Script doxycycline 11 DD RX 1 $0.00+ $0.001
Subtotal $18.00
Tax $0.00
Pmnt 1 Amt: $0.00 Bill total $18.00
Note:
Prev balance $0.00
Pmnt 2: Amt: $0.00
Payment $0.00
Note:
NEW BALANCE $18.00
Thank you for choosing Animal Dermatology Clinic to care for your pet's dermatology needs. Your confidence is
appreciated. If you need to cancel or reschedule your appointment, kindly give 24 hours notice.
Pending Reminders:
Wazir: 512612012. Recheck Exam
VOUCHER NO. WARRANT NO.
ALLOWED 20
Animal Dermatology Clinic Indianapolis
IN SUM OF
3901 E. 82nd Street
Indianapolis, IN 46240
$18.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1110 9896 43- 576.00 $18.00
I hereby certify that the attached invoice(s), or
I I
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
Thursday, February 09, 2012
Chief of Police
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
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
02/08/12 9896 medicine for Wazir $18.00
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