211413 07/31/2012 CITY OF CARMEL, INDIANA VENDOR: 236175 Page 1 of 1
ONE CIVIC SQUARE PARKSIDE ANIMAL HOSPITAL CHECK AMOUNT: $33.82
`�=o CARMEL, INDIANA 46032 12962 PUBLISHERS DRIVE
FISHERS IN 46038 CHECK NUMBER: 211413
CHECK DATE: 7/31/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4357600 165684 33 . 82 ANIMAL SERVICES
PARKSIDE ANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 165684
Fishers, IN 46038 Date: 07/12/2012
(317) 849-1440 Time: 4:32 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: 46.80
Doctor: Mike Havens, D.V.M.
; Phone: (317)571-2500 (317)571-2512
Service/Item Qty Price Amount
Soloxine .5 Mg Tabs 180.00 D 45.10
Discount -11.28
Tax
Net Invoice ._33;35
Previous Balance
Payment 0.00
Balance Due 71.17
Next Appointment: on 07/16/2012 at 3:30 PM For: SAKA
Reminders: Oct. 19, 2012 Rabies Vaccine 3 Year
Nov. 2, 2012 Annual Wellnes Physical Exam
Nov. 2, 2012 Dist-A2P-Parvo Annual
Nov. 2, 2012 Leptospirosis vaccine annual
Nov. 2, 2012 Bordetella Vacc Annual
Nov. 2, 2012 Heartworm Test Occult
Nov. 2, 2012 Fecal Exam Annual
Nov. 2, 2012 Sentinel 26-50# 12 tablets
Jan. 6, 2013 T4, Post Pill
Thank You
[D] 25% Discount Applied
We endeavor to provide quality care with a personal touch!
VOUCHER NO. WARRANT NO.
ALLOWED 20
Parkside Animal Hospital
IN SUM OF $
12962 Publishers Drive
Fishers, IN 46038
$33.82
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 165684 43-576.00 $33.82
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
Thursday, July 26, 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))
07/12/12 165684 Kasey $33.82
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