208359 04/25/2012 CITY OF CARMEL, INDIANA VENDOR: 362127 Page 1 of 1
t` ONE CIVIC SQUARE DAVID KINYON
's CHECK AMOUNT: $32.57
CARMEL, INDIANA 46032
CHECK NUMBER: 208359
CHECK DATE: 4/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4357600 32.57 ANIMAL SERVICES
AfF Do Kinyon, We i K-9) Rx:6162709
Counseled: C1 Counseled refused:
m e e r
411612012
17000 &MNLE BLVD Signature:
04/16/2012 NOBLESVILLE, IN 46060-
(317)774-7710
Prescription Notes
Take This Medicine With A Full Glass Of Water
Kinyon, Wazir(K-9) RX# 6162709
(317)773-8741 NDC#00143-3142-50 Oty 120
Presnmter: DARREN DELL DVM
DOB: 02114/2008
Minor
TX 1398442
M N KEY 630
$32,57
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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))
04/16/12 prescription for Wazir $32.57
1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and 1 have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
David M. Kinyon
IN SUM OF
$32.57
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1110 43- 576.00 $32.57
I hereby certify that the attached invoice(s), or
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
Wednesday, April 18, 2012
<."0(
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund