207189 03/13/2012 CITY OF CARMEL, INDIANA VENDOR: 236175 Page 1 of 1
ONE CIVIC SQUARE PARKSIDE ANIMAL HOSPITAL
CARMEL, INDIANA 46032 12962 PUBLISHERS DRIVE CHECK AMOUNT: $29.77
FISHERS IN 46038 CHECK NUMBER: 207189
CHECK DATE: 3/13/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4357600 155765 29.77 ANIMAL SERVICES
PARKSIDE ANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 155765
Fishers, IN 46038 Date: 02/09/2012
(317) 849 -1440 Time: 12:01 PM
Page: 1
Carmel Police De Patient: KASEY Age: 8
3 Civic Square Species: Canine Sex: FS
Carmel IN 46032 Breed: Dutch Sheperd Tag: 840911
Color: Black Brindle Weight: 50.70
Doctor: Mike Havens, D.V.M.
Phone: (317)571 -2500 (317)571 -2512
tDate Service /Item Qty Price Amount _4__
02/09/2012 Soloxine .4MG 180.00 0.22 39.70
Discount -9.93
i
Tax 0.00
Net Invoice 29.77
5 _._„i
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))
02/09/12 155765 animal services Kasey $29.77
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
Parkside Animal Hospital
IN SUM OF
12962 Publishers Drive
Fishers, IN 46038
$29.77
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1110 155765 43- 576.00 $29.77
I hereby certify that the attached invoice(s), or
I 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
Friday, March 09, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund