207737 04/10/2012 CITY OF CARMEL, INDIANA VENDOR: 365547 Page 1 of 1
ONE CIVIC SQUARE ANIMAL DERMATOLOGY CLINIC INDIAN &PECK AMOUNT: $18.00
CARMEL, INDIANA 46032 3901 E 82ND ST
INDIANAPOLIS IN 46240 CHECK NUMBER: 207737
CHECK DATE: 4/1012012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4357600 10786 18.00 ANIMAL SERVICES
Anima Dermatology Clinic Indianapolis
3901 E. 82nd St
Bi for Services
Indianapolis, IN 46240
DATE INV. NUM
Tel: 317- 578 -7773 03/26/12 10786
Dave Lora Kinyon
15482 Border Dr
Noblesville, IN 46060
Acct no.: 963
(rx) Lori Thompson DVM ACVD
THIS INVOICE IS NOT FINISHED YET. THIS IS NOT A VALID RECEIPT.
Qty —Date Patient Description Staff Price Ext —Tx
1001 3/26/2012 Wazir PP0911- Niacinamide LTRX $0181 $18.001
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
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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: 5/26/2012: Recheck Exam
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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 10786 43- 576.00 $18.00
I hereby certify that the attached invoice(s), or
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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
Wednesday, March 28, 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))
03/26/12 10786 animal services Wazir $18.00
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