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222111 07/17/2013 CITY OF CARMEL, INDIANA VENDOR: 236175 Page 1 of 1 ONE CIVIC SQUARE PARKSIDE ANIMAL HOSPITAL CHECK AMOUNT: $358.92 CARMEL, INDIANA 46032 12962 PUBLISHERS DRIVE FISHERS IN 46038 CHECK NUMBER: 222111 CHECK DATE: 7/17/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4357600 186782 358 . 92 ANIMAL SERVICES PARKSIDE ANIMAL HOSPITAL Account: 322 12962 Publishers Drive Invoice: 186831 Fishers, IN 46038 Date: 06/04/2013 (317) 849-1440 Time: 4:57 PM Page: 1 Carmel Police De Patient: WAZIR Age: 5 3 Civic Square Species: Canine Sex: ML Carmel IN 46032 Breed: German Shepherd Tag: 91745 Color: Black&Tan Weight: 71.30 Doctor: Craig Johnson, D.V.M. Phone: (317)571-2500 (317)571-2512 Date Service/Item Qty Price Amount 06/04/2013 Annual Wellnes Physical Exam 1.00 45.64 45.64 . 06/0412013 Dist-A2P-Parvo Annual 1.00 20.11 20.11 06/04/2013 Leptospirosis vaccine annual 1.00 25.22 25.22 06/04/2013 Leptospirosis Vaccine-4 way 1.00 0.00 0.00 i 06/04/2013 Bordetella Vacc Annual 1.00 21.08 21.08 06/04/2013 Rabies Vaccine 3 Year 1.00 41.07 41.07 '06/04/2013 Heartworm Test Occult 1.00 39.67 39.67 06/04/2013 Fecal Exam Annual 1.00 28.81 28.81 Discount -30.49 , Tax 0.00 Net Invoice 191.11 PARKSIDE ANIMAL HOSPITAL Account: 322 12962 Publishers Drive Invoice: 186782 Fishers, IN 46038 Date: 06/04/2013 (317) 849-1440 Time: 11:03 AM Page: 1 Carmel Police De Patient: LEO Age: 2 . 3 Civic Square Species: Canine Sex: ML Carmel IN 46032 Breed: Labrador Retriever Tag: 90348 Color: Black Weight: 69.90 Doctor: Bill Hoffmeyer, D.V.M. Phone: (317)571-2500 (317)571-2512 Date Service/Item Qty Price Amount' 06/04/2013 Annual Wellnes Physical Exam 1.00 45.64 45.64 06/04/2013 Dist-A2P-Parvo Annual 1.00 20.11 20.11 . 06/04/2013 Leptospirosis vaccine annual 1.00 25.22 25.22 06/04/2013 Leptospirosis Vaccine-4 way 1.00 0.00 0.00 . 06/04/2013 Bordetella Vacc Annual 1.00 21.08 21.08 . 06/04/2013 Heartworm Test Occult 1.00 39.67 39.67 06/04/2013 Fecal Exam Annual 1.00 28.81 28.81 " 06/04/2013 Lyme Disease Vacc Annual 1.00 24.91 24.91 06/04/2013 Biological Waste Hazard fee 1.00 2.91 2.91 06/04/2013 Heartgard Plus 51-100# 12mos. 1.00 90.98 90.98 . 06/04/2013 Advantix> 55# Blue 6 pack 1.00 75.99 75.99 (06104/2013 Advantixsingle dose >55 bls 2.00 19.02 0.00 06/04/2013 Nail Trim Large Dog 1.00 18.35 18.35 06/04/2013 Ear Cleaning Soln 1.00 20.39 20.39; Discount -55.14 Tax 0.00 ' Net Invoice 358.92 VOUCHER NO. WARRANT NO. ALLOWED 20 Parkside Animal Hospital IN SUM OF $ 12962 Publishers Drive Fishers, IN 46038 14 R �-'117 5 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members I hereby certify that the attached invoice(s), or --44-q 186831 - bill(s) is (are) true and correct and that the 1110 186782 43-576.00 Z $358.92 materials or services itemized thereon for which charge is made were ordered and received except Wednesd y, July 10, 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)) 06/04/13 186831 annual wellness-Wazir $191.11 06/04/13 186782 annual wellness- Leo $358.92 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