214775 11/20/2012 CITY CIFJCARRlJEL, INDIANA VENDOR: 236175 Page 1 of 1
ONE CIVIC SQUARE PARKSIDE ANIMAL HOSPITAL
L CHECK AMOUNT: $199.36
CARMEL, INDIANA 46032 12962 PUBLISHERS DRIVE
o- FISHERS IN 46038 CHECK NUMBER: 214775
CHECK DATE: 11/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4357600 171819 33 . 82 ANIMAL SERVICES
1110 4357600 172298 57 . 56 ANIMAL SERVICES
1110 4357600 172732 50 . 99 ANIMAL SERVICES
1110 4357600 173582 56 . 99 ANIMAL SERVICES
S
� 1
PARKSIDE ANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 173582
Fishers, IN 46038 Date: 11/09/2012
(317) 849-1440 Time: 7:58 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 f
Color: Black& Tan Weight: 72.80
Doctor: Mike Havens, D.V.M.
Phone: (317)571-2500 (317)571-2512
Service/Item Qty Price Amount j
Advantix > 55# Blue 6 pack 1.00 D 75.99 75.99
Advantixsingle dose >55 bls 1.00 0.00 0.00
Discount -19.00
Tax � p, ^�
Net Invoice 56.99
Previous Balance
Payment 0.00
Balance Due 537.61
Reminders: April 12, 2013 Rabies Vaccine:3 Year
May 3, 2013 Heartgard Plus 51-100# 12mos.
Feb. 1, 2013 Recommend dental cleaning
July 16, 2013 Fecal Exam Annual
July 16, 2013 Bordetella Vacc Annual
July 16, 2013 Dist-A2P-Parvo Annual
July 16, 2013 Leptospirosis vaccine annual
July 16, 2013 Annual Wellnes Physical Exam
July 16, 2013 Heartworm Test Occult
--- -- Thank You
[D]25% Discount Applied
We endeavor to provide quality care with a personal touch!
PARKSIDE ANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 171819
Fishers, IN 46038 Date: 10/12/2012
(317) 849-1440 Time: 12:23 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
Date Service/Item city Price Amount
10/12/2012 Soloxine .5 Mg Tabs 180.00 0.25 45.10
Discount -11.28,
Tax 0.001
Net Invoice 33.82
PARKSIDE ANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 172298
Fishers, IN 46038 Date: 10/19/2012
(317) 849-1440 Time: 11:26 AM
Page: 1
Carmel Police De Patient: WAZIR Age: 4
3 Civic Square Species: Canine Sex: ML j
Carmel IN 46032 Breed: German Shepherd Tag: 87211 ,
Color: Black&Tan Weight: 71.80
Doctor: Shannon Kiley, DVM
Phone: (317)571-2500 (317)571-2512
Date Service/Item Qty Price Amount
10/19/2012 Examination/Consultation 1.00 45.64 45.641
10/19/2012 Otomax/Malotic 15GM 1.00 31.11 31.11
Discount -19.19
Tax 0.00
Net Invoice 57.56
PARKSIDE ANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 172732
Fishers, IN 46038 Date: 10/26/2012
(317) 849-1440 Time: 2:27 PM
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: 71.80
Doctor: Craig Johnson, D.V.M.
Phone: (317)571-2500 (317)571-2512
Date Service/Item Qty Price Amount
10/26/2012 Heartgard Plus 51-100#6mos. � 1.00 50.99
Tax 0.001
Net Invoice 50.991
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))
10/12/12 171819 Kasey $33.82
10/19/12 172298 Wazir $57.56
10/26/12 172732 Wazir $50.99
11/09/12 173582 Saka $56.99
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
$199.36
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 171819 43-576.00 $33.82 I hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
1110 172298 43-576.00 $57.56
materials or services itemized thereon for
1110 172732 43-576.00 $50.99 which charge is made were ordered and
1110 173582 43-576.00 $56.99 received except
Thursday, November 15, 2012
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund