The URL can be used to link to this page

Home My WebLink About215479 12/12/2012 CITY OF CARMEL, INDIANA VENDOR: 236175 Page 1 of 1 ONE CIVIC SQUARE PARKSIDE ANIMAL HOSPITAL CARMEL, INDIANA 46032 12962 PUBLISHERS DRIVE CHECK AMOUNT: $1,335.24 FISHERS IN 46038 CHECK NUMBER: 215479 CHECK DATE: 12/12/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4357600 173529 347 .24 ANIMAL SERVICES 1110 4357600 25520 174314 988 . 00 DOG FOOD PARKSIDE ANIMAL HOSPITAL Account: 322 12962 Publishers Drive Invoice: 174314 Fishers, IN 46038 Date: 11/2012012 (317) 849-1440 Time: 11:20 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: (317)571-2500 (317)571-2512 Service/Item Qty Price Amount lams K9 Large Breed Adult36.5# 26.00 38.00 988.00 i Tax Net Invoice 988.00 I Previous Balance Payment 0.00 Balance Due 1569.45 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 veccine annual July 16, 2013 Annual Wellies Physical Exam July 16, 2013 Heartworm Test Occult Thank You We endeavor to provide quality care with a personal touch! PARKSIDE ANIMAL HOSPITAL Account: 322 12962 Publishers Drive Invoice: 173529 Fishers, IN 46038 Date: 11/08/2012 (317) 849-1440 Time: 3:00 PM Page: 1 Carmel Police De Patient: KASEY Age: 8 3 Civic Square Species: Canine Sex: FS , Carmel IN 46032 Breed: Dutch Sheperd Tag: 90785 Color: Black Brindle Weight: 50.20: Doctor: Mike Havens, D.V.M. Phone: (317)571-2500 (317)571-2512 Date Service/Item Qty Price Amount`- 11/08/2012 Annual Wellnes Physical Exam 1.00 45.64 45.64 11/08/2012 Dist-A2P-Parvo Annual 1.00 20.11 20.11 11/08/2012 Leptospirosis vaccine annual 1.00 25.22 25.22 11/08/2012 Leptospirosis Vaccine-4 way 1.00 0.00 0.00 11/08/2012 Bordetella Vacc Annual 1.00 21.08 21.081 11/08/2012 Heartworm Test Occult 1.00 39.67 39.67 11108/2012 Fecal Exam Annual 1.00 28.81 28.81 11/08/2012 Rabies Vaccine 3 Year 1.00 41.07 41.07 4 11/08/2012 Trifexis 40.1-60# 6 Months 1.00 115.20 115.20 11/08/2012 T4, Post Pill 1.00 40.93 40.93 ; ! Discount -30.49 Tax 0.00 Net Invoice 347.24 PARKSIDE ANIMAL HOSPITAL Account: 322 12962 Publishers Drive Invoice: 174314 Fishers, IN 46038 Date: 11/20/2012 (317) 849-1440 Time: 11:20 AM Page: 1 I 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 Date Service/Item Qty Price Amount, 111/20/2012 lams K9 Large Breed Adult36.5# 26.00 38.00 988.00 ___.____.. __ _.. __.__.....__,...... ... _.. _.......... ..... _ _.... _ .......... ....... _.... . _ _..__.._._. Tax 0.00 i Net Invoice 988.00 r7�pr PARKSIDE ANIMAL HOSPITAL Account: 322 12962 Publishers Drive Invoice: 174314 Fishers, IN 46038 Date: 11/20/2012 (317) 849-1440 Time: 11:20 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 F Doctor: Mike Havens, D.V.M. Phone: (317)571-2500 (317)571-2512 Service/Item Qty Price Amount lams K9 Large Breed Adult36.5# 26.00 38.00 988.00 Tax i Net Invoice 988.00 Previous Balance Payment 0.00 Balance Due 1569.45 Reminders: April 12, 2013 Rabies Vaccine 3 Year May 3, 2013 Heartqard 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 vrYccine annual July 16, 2013 Annual Wellies Physical Exam July 16, 2013 Heartworm Test Occult Thank You We endeavor to provide quality care with a personal touch! INDIANA RETAIL TAX EXEMPT PAGE City o ,C°,�rme l CERTIFICATE NO.003120155 002 0 JL ��//(�L J11i PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 2%20 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 11116`12 Parksido Animal hospital Camel Police, Dopartment VENDOR SHIP 3 CIVIC 8qu&M TO 12982 Publishers Drive ,Carmel, IN Fishers, IN 46M. (W)579 2 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43.676.0 20 Each dog food $38.00 $888.00 Sub Total: $988.00 �. -s Send Invoice To: ` 4 Carmel Police Department Attn:`i'emsa Anderson 3 Civic Square Carmel, IN 4W.'- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel Police Dept. e PAYMENT X8.00 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY T�ATTHERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATIONISUFFICIENT TO PAY FOR THE ABOVE ORDER. •SHIP REPAID. ' •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. rrr///""'•••eee�� •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY ..�. SHIPPING LABELS. Ahief THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE of f Y'I� olice AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. Y a 5 5 2"® CLERK-TREASURER DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO......--.--..--..__---WARRANT ALLOWED 20 IN THE SUM OF$ ON ACCOUNT OF APPROPRIATION FOR 9 Board Members PO#or INVOICE NO. ACCT#!TITLE AMOUNT DEPT.# I 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--._------------- 20 _...-............-........................--.................---....................-_............._._....................-..__..._..........................----_..... Signature --............................................ . - Title Cost distribution ledger classification if claim paid motor vehicle highway fund VOUCHER NO. WARRANT NO. ALLOWED 20 Parkside Animal Hospital IN SUM OF $ 12962 Publishers Drive Fishers, IN 46038 $1,335.24 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members 1110 173529 43-576.00 $347.24 I hereby certify that the attached invoice(s), or bill(s) is (are)true and correct and that the 25520 174314 43-576.00 $988.00 materials or services itemized thereon for which charge is made were ordered and received except Wednesday, December 05, 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)) 11/08/12 173529 animal services-Kasey $347.24 11/20/12 174314 dog food $988.00 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