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208417 04/25/2012 CITY OF CARMEL, INDIANA VENDOR: 236175 Page 1 of 1 ONE CIVIC SQUARE PARKSIDE ANIMAL HOSPITAL CHECK AMOUNT: $56.99 CARMEL, INDIANA 46032 12962 PUBLISHERS DRIVE FISHERS IN 46038 CHECK NUMBER: 208417 CHECK DATE: 4/25/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4357600 159237 56.99 ANIMAL SERVICES PARKSIDE ANIMAL HOSPITAL Account: 322 12962 Publishers Drive Invoice: 159237 Fishers, IN 46038 Date: 04/03/2012 (317) 849 -1440 Time: 12:06 PM Page: 1 k Carmel Police De Patient: SAKA Age: 5� 3 Civic Square Species: Canine Sex: ML Carmel IN 46032 Breed: Hungarian Shepherd Tag: 85915 Color: Black Tan Weight: 72.80 Doctor: Mike Havens, D.V.M. Phone: (317)571 -2500 (317)571 -2512 Service /Item Qty Price Amount Advantix 55# Blue 6 pack 1.00 D 75.99 75.99 Advantixsingle dose >55 bls 2.00 0.00 0.00 Discount -19.00 4 I Tax Net Invoice 56.99 Previous Balance j Payment 0.00 Balance Due 92.89 Reminders: April 12, 2013 Rabies Vaccine 3 Year Dec. 14, 2011 Interceptor 51 -100# 6 tablets June 29, 2012 Annual Wellnes Physical Exam June 29, 2012 Dist- A2P -Parvo Annual June 29, 2012 Leptospirosis vaccine annual June 29, 2012 Bordetella Vacc Annual June 29, 2012 Heartworm Test Occult June 29, 2012 Fecal Exam Annual Thank You D] 25% Discount Applied Ne endeavor to provide quality care with a personal touch! Lim 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)) 04/03/12 159237 K9 services Saka $56.99 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Parkside Animal Hospital IN SUM OF 12962 Publishers Drive Fishers, IN 46038 $56.99 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 1110 159237 43- 576.00 $56.99 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 Wednesday, April 18, 2012 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund