HomeMy WebLinkAbout210095 06/20/2012 CITY OF CARMEL, INDIANA VENDOR: 236175 Page 1 of 1
ONE CIVIC SQUARE PARKSIDE ANIMAL HOSPITAL
CARMEL, INDIANA 46032 12962 PUBLISHERS DRIVE CHECK AMOUNT: $1,490.07
FISHERS IN 46038
CHECK NUMBER: 210095
CHECK DATE: 6/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4357600 161599 29.77 ANIMAL SERVICES
1110 4357600 163069 277.76 ANIMAL SERVICES
1110 4357600 26185 163248 912.00 DOG FOOD
1110 4357600 163310 270.54 ANIMAL SERVICES
PARKSIDE ANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 163069
Fishers, IN 46038 Date: 06/04/2012
(317) 849 -1440 Time: 3:21 PM
Page: 1
F Carmel Police De Patient: LEO Age: 1
3 Civic Square Species: Canine Sex: ML
Carmel IN 46032 Breed: Labrador Retriever Tag:
Color: Black Weight: 64.30
Doctor: Craig Johnson, D.V.M.
Phone: (317)571 -2500 (317)571 -2512
Date Service /item Qty Price Amount
06/04/2012 Examination /Consultation 1.00 44.10 44.10
06/04/2012 Radiograph First 1.00 77.57 77.57
06/04/2012 Anesthesia Dormitor /Antisedan 1.00 90.97 90.97
06/04/2012 Heartworm Test Occult 1.00 36.40 36.40
06/04/2012 Heartgard Plus 51 -100# 12mos. 1.00 90.98 90.98
Discount -62.261
i
Tax 0.
Net Invoice 277.76
PARKSIDE ANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 161599
Fishers, IN 46038 Date: 05/11/2012
(317) 849 -1440 Time: 10:40 AM
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: Craig Johnson, D.V.M.
Phone: (317)571 -2500 (317)571 -2512
i Date Service /Item Qty Price Amount
05/11/2012 Soloxine .4MG 180.00 0.22 39.70
Discount -9.93'
Tax
Net Invoice 29.77
PARKSIDE ANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 163248
Fishers, IN 46038 Date: 06/06/2012
(317) 849 -1440 Time: 9:43 AM
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:
Service /Item Qty Price Amount
I. lams K -9 Large Brd Adult 36.5# 24.00 38.00 912.00
Tax i
Net Invoice 912 0
Previous Balance I
06 Payment 0.00
Balance Due 1202.19
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
May 3, 2013 Heartgard Plus 51 -100# 12mos.
Thank You
We endeavor to provide quality care with a personal touch!
PARKSIDE ANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 163310
Fishers, IN 46038 Date: 06/07/2012
(317) 849 -1440 Time: 8:34 AM
Page: 1
Carmel Police De Patient: WAZIR Age: 4
3 Civic Square Species: Canine Sex: ML
Carmel IN 46032 Breed: German Shepherd Tag: 87211
Color: Black Tan Weight: 68.10
Doctor: Mike Havens, D.V.M.
Phone: (317)571 -2500 (317)571 -2512
Date Service /Item Qty Price Amount
06/07/2012 Nail Trim Large Dog 1.00 17.73 17.73
06/07/2012 Dist- A2P -Parvo Annual 1.00 19.43 19.43
06/07/2012 Bordetella Vacc Annual 1.00 20.37 20.37
06/07/2012 Leptospirosis vaccine annual 1.00 24.37 24.37;
06/07/2012 Leptospirosis Vaccine- 4 way 1.00 0.00 0.00'
06/07/2012 Heartworm Test Occult 1.00 36.40 36.401
3 06/07/2012 Fecal Exam Annual 1.00 24.94 24.94
06/07/2012 Biological Waste Hazard fee 1.00 2.81 2.81
06/07/2012 Exam Courtesy 1.00 0.00 0.00
06/07/2012 Heartgard Plus 51 -100# 12mos. 1.00 90.98 90.98
06/07/2012 Advantix 55# Blue 6 pack 1.00 75.99 75.99
06/07/2012 Advantixsingle dose >55 bls 2.00 19.02 0.00
Discount -42.48
........._..__._m..._.._.__
Tax 0.00
Net Invoice 270.54
INDIANA RETAIL TAX EXEMPT PAGE
City ®f ;;C ar el CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35- 60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
SM=12
Parkalde Animal Hospital Camel Police Dopartment
VENDOR SHIP 3 CIVIC squ
TO
42262 Publiehem Drive Carnol, IN 460M
Fishers, IN 4M (397) 571-2M
CONFIRMATION BLANKET I CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-6
24 Each dog food $40.00 $960.00
Saab Total: $960,00
r
a
g P
d
Pbr °y 1 0 A I
4 1
Send Invoice To:
Carmel Pollce Department
Attn: Teresa Anderson
3 CIVIC squm
Camel, IN PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT
Carmel Police Dept. PAYMENT 10.00
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS 1'HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SUF FICIENT O PAY FOR THE ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. t.,._
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY— SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE Chief of Police 1
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
1
CLERK TREASURER
DOCUMENT CONTROL NO. 26-105 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO.______.-..-._ WARRANT
ALLOWED 20
IN THE SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoices or
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..---
20
Signature
Title
Cost distribution ledger classification it
claim paid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
Parkside Animal Hospital
IN SUM OF
12962 Publishers Drive
Fishers, IN 46038
$1,490.07
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1110 161599 43- 576.00 $29.77 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1110 163069 43- 576.00 $277.76
materials or services itemized thereon for
26185 163248 43- 576.00 $912.00 which charge is made were ordered and
1110 163310 43- 576.00 $270.54 received except
Friday, June 15, 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))
05/11/12 161599 animal services for Kasey $29.77
06/04/12 163069 animal services for Leo $277.76
06/06/12 163248 dog food $912.00
06/07/12 163310 animal services for Wazir $270.54
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