219443 04/24/2013 CITY OF CARMEL, INDIANA VENDOR: 236175 Page 1 of 1
F t,. ONE CIVIC SQUARE PARKSIDE ANIMAL HOSPITAL CHECK AMOUNT: $253.28
CARMEL, INDIANA 46032 12962 PUBLISHERS DRIVE
FISHERS IN 46038 CHECK NUMBER: 219443
CHECK DATE: 4/24/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4357600 183705 253 .28 ANIMAL SERVICES
i
PARKS IDE ANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 183705
Fishers, IN 46038 Date: 04/18/2013
(317) 849-1440 Time: 11:27 AM
Page: 1
Carmel Police De Patient: SAKA Age: 6
3 Civic Square Species: Canine Sex: ML
Carmel IN 46032 Breed: Hungarian Shepherd Tag: 91018
Color: Black& Tan Weight: 75.90 i
[ Doctor: Craig Johnson, D.V.M. i
1 Phone: (317)571-2500 (317)571-2512 i
Service/Item Qty Price Amount
Annual Wellnes Physical Exam 1.00 45.64 45.64
Dist-A2P-Parvo Annual 1.00 D 20.11 20.11
Leptospirosis vaccine annual 1.00 25.22 25.22
Leptospirosis Vaccine-4 way 1.00 0.00 0.00
Bordetella Vacc Annual 1.00 D 21.08 21.08
Heartworm Test Occult 1.00 D 39.67 39.67
Rabies Vaccine 3 Year 1.00 D 41.07 41.07
Heartgard Plus 51-100# 12mos. 1.00 90.98 90.98 I
Discount -30.49 i
Tax 0.00
i Net Invoice 253.28
Previous Balance
Payment 0.00 !
F
Balance Due 304.27 '
Reminders: Feb. 1, 2013 Recommend dental cleaning
July 16, 2013 Fecal Exam Annual
April 18, 2014 Annual Wellnes Physical Exam,
April 18, 2014 Dist-A2P-Parvo Annual
April 18, 2014 Leptospirosis vaccine annual
April 18, 2014 Bordetella Vacc Annual
April 18, 2014 Heartworm Test Occult
April 17, 2016 Rabies Vaccine 3 Year
April 18, 2014 Heartgard Plus 51-100# 12mos.
-- -- --- -- Thank You -
[D] 25% Discount Applied
We strive to'provide quality and compassionate 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))
04/18/13 183705 animal services-Saka $253.28
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Parkside Animal Hospital
IN SUM OF $
12962 Publishers Drive
Fishers, IN 46038
$253.28
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
1110 I 183705 I 43-576.00 I $253.28 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
Monday, April 22, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund