213128 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 236175 Page 1 of 1
ONE CIVIC SQUARE PARKSIDE ANIMAL HOSPITAL
f CARMEL, INDIANA 46032 12962 PUBLISHERS DRIVE CHECK AMOUNT: $178.62
? FISHERS IN 46038
CHECK NUMBER: 213128
CHECK DATE: 9/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4357600 169291 178 . 62 ANIMAL SERVICES
PARKSIDE ANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 169291
Fishers, IN 46038 Date: 09/05/2012
(317) 849-1440 Time: 6:48 AM
Page: 1
Carmel Police De Patient: LEO Age: 1
3 Civic Square Species: Canine Sex: ML
Carmel IN 46032 Breed: Labrador Retriever Tag: 90348 1
Color: Black Weight: 67.00
Doctor: Mike Havens, D.V.M.
Phone: (317)571-2500 (317)571-2512
i
Date Service/Item Qty Price Amount
09/04/2012 Annual Wellnes Physical Exam 1.00 D 45.64 45.64
09/04/2012 Dist-A2P-Parvo Annual 1.00 D 20.11 20.11
09/04/2012 Leptospirosis vaccine annual 1.00 D 25.22 25.22
09/04/2012 Leptospirosis Vaccine-4 way 1.00 0.00 0.00 1
E 09/04/2012 Bordetella Vacc Annual 1.00 D 21.08 21.08
109/04/2012 Lyme Disease Vacc Annual 1.00 D 24.91 24.91
09/04/2012 Rabies Vaccine 3 Year 1.00 D 23.91 23.91
09/04/2012 Fecal Exam Annual 1.00 D 25.81 25.81
09/04/2012 Ear Cleaning Soln 1.00 D 20.39
09/04/2012 Otomax/Malotic 15GM 1.00 D 31.11
Discount -59.56
Tax 0.00 i
i
Net Invoice 178.62
Previous Balance -8.99 1
Payment 0.00
Balance Due 169.63 �
Reminders: June 41 2013 Heartworm Test Occult
June 4, 2013 Heartgard Plus 51-100# 12mos.
Sept. 4, 2013 Annual Wellnes Physical Exam
Sept. 4, 2013 Dist-A2P-Parvo Annual
Sept. 4, 2013 Leptospirosis vaccine annual
Sept. 4, 2013 Bordetella Vacc Annual
Sept. 4, 2013 Lyme Disease Vacc Annual
Sept. 4, 2015 Rabies Vaccine 3 Year
Sept. 4, 2013 Fecal Exam Annual
Thank You
[D] 25% Discount Applied
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))
09/05/12 169291 animal services- Leo $178.62
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
$178.62
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
1110 I 169291 I 43-576.00 I $178.62 1 hereby certify that the attached invoice(s), 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
Wednesday, September 19, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund