215479 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