208829 05/10/2012 CITY OF CARMEL, INDIANA VENDOR: 236175 Page 1 of 1
f ONE CIVIC SQUARE PARKSIDE ANIMAL HOSPITAL CHECK AMOUNT: $150.12
s` CARMEL, INDIANA 46032 12962 PUBLISHERS DRIVE
o FISHERS IN 46038 CHECK NUMBER: 208829
CHECK DATE: 5/10/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4357600 159216 53.24 ANIMAL SERVICES
1110 4357600 161142 96.88 ANIMAL SERVICES
PARKSIDE ANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 159216
Fishers, IN 46038 Date: 04/02/2012
(317) 849 -1440 Time: 6:54 PM
Page: 1
Carmel Police De Patient: KASEY Age: 8
3 Civic Square Species: Canine Sex: FS
Carmel IN 46032 Breed: Dutch Sheperd Tag: 84091
Color: Black Brindle Weight: 50.70
Doctor: Mike Havens, D.V.M.
Phone: (317)571 -2500 (317)571 -2512
Date Service /Item Qty Price Amount
04/02/2012 Advantix 20 -55# Red 6 pack 1.00 70.99 70.99
04/02/2012 Advantix single dose 21 -55 lb 2.00 0.00 0.00
Discount -17.75
Tax 0.00
Net Invoice 53.24
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))
04/02/12 159216 animal services for Kasey $53.24
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
$53.24
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1110 159216 43- 576.00 $53.24
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, May 02, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
PARKSIDE ANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 161142
Fishers, IN 46038 Date: 05/03/2012
(317) 849 -1440 Time: 4:22 PM
Page: 1
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
Heartgard Plus 51 -100# 12mos. 1.00 96.88 96.88
Tax 0.00
Net Invoice 96.88
Previous Balance 92.89
Payment 0.00
Balance Due 189.77
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
We endeavor to provide quality care with a personal touch!
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))
05/03/12 161142 medication Saka $96.88
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
$96.88
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT
Board Members
1110 161142 43 576.00 $96.88
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
Friday, May 04, 2012
W�e_
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund