217770 02/26/2013 CITY OF CARMEL, INDIANA VENDOR: 236175 Page 1 of 1
ONE CIVIC SQUARE PARKSIDE ANIMAL HOSPITAL CHECK AMOUNT: $38.59
CARMEL, INDIANA 46032 12962 PUBLISHERS DRIVE
saw FISHERS IN 46038 CHECK NUMBER: 217770
CHECK DATE: 2/26 12013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4357600 177758 13 . 76 ANIMAL SERVICES
1110 4357600 177981 33 . 82 ANIMAL SERVICES
1110 4357600 CREDIT -8 . 99 ANIMAL SERVICES
PARKSIDE ANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 177758
Fishers, IN 46038 Date: 01/17/2013
(317) 849-1440 Time: 9:26 AM
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: Technician Appointment
Phone: (317)571-2500 (317)571-2512
Date '–Service/item - -— - Qty _ - Price Amount
01/17/2013 Nail Trim Large Dog 1.00 18.35 18.35
Discount -4.59
Tax 0.00
Net Invoice 13.76
PARKSIDE ANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 177981
Fishers, IN 46038 Date: 01119/2013
(317) 849-1440 Time: 10:24 AM
Page: 1
Carmel Police De Patient: KASEY Age: 9
3 Civic Square Species: Canine Sex: FS
, Carmel IN 46032 Breed: Dutch Sheperd Tag: 90785
Color: Black Brindle Weight: 50.20
Doctor: Craig Johnson, D.V.M.
Phone: (317)571-2500 (317)571-2512
Qtv __ Price _ Amount,
01/19/2013 Soloxine .5 Mg Tabs 180.00 0.25 45.10
Discount -11.28
Tax 0.00
Net Invoice 33.82
Transactions PARKSIDE ANIMAL HOSPITAL
Carmel Police De [3221 As of; 02113/2013
Date Description/patient TypWinvoice No op.ID Time Charges Payments Run.Bel
12119!2012 f,ck#.215132 Payment JR 1:50_PM 1326.25
f Check: 43.84 _
12/19/2012 ck#215479........ Payment _JR 1:59 PM..._. 1335.24
Check:, 1335;24 ...f
Note:This is a partial Aatinp.Running Balance,Aging and Balance Due ere as of today and for all the transectloas.
Classification:Ncne Credit Limit:No Limit Terms:30D 2012 Ser:3838.20 2013 Ser:47.58
Currant:38.89 30 Days:D.00 60 Days:0.00 90 Day9=0.00 Balance Due: 38.59
6/V
v
Printed Feb. 13,2013 at 9:47 AM End of Report Pape 1
2 •d Xd3 13C83Sd1 dH WdLStS 6102 61 qad
VOUCHER NO. WARRANT NO.
ALLOWED 20
Parkside Animal Hospital
IN SUM OF $
12962 Publishers Drive
Fishers, IN 46038
$38.59
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
P"O`Year I hereby certify that the attached invoice(s), or
1110 43-576.00 ($8.99)
bill(s) is (are) true and correct and that the
1110 177758 43-576.00 $13.76
materials or services itemized thereon for
1110 177981 43-576.00 $33.82 which charge is made were ordered and
received except
Thursday, February 21, 2013
< 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))
12/19/12 credit ($8.99)
01/17/13 177758 animal services-Wazir $13.76
01/19/13 177981 animal services- 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