223139 08/13/2013 CITY OF CARMEL, INDIANA VENDOR: 236175 Page 1 of 1
s ONE CIVIC SQUARE PARKSIDE ANIMAL HOSPITAL
CARMEL, INDIANA 46032 12962 PUBLISHERS DRIVE CHECK AMOUNT: $250.60
? FISHERS IN 46038
„o CHECK NUMBER: 223139
CHECK DATE: 8/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4357600 189145 128 . 80 ANIMAL SERVICES
1110 4357600 189148 87 . 98 ANIMAL SERVICES
1110 4357600 190785 33 . 82 ANIMAL SERVICES
PARKSIDE ANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 190785
Fishers, IN 46038 Date: 07/27/2013
(317) 849-1440 Time: 11:32 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: Mike Havens, D.V.M.
Phone: (317)571-2500 (317)571-2512
Date Service/Item Qty Price Amount:
67/27/20II ---Sol-0Xi–[1e-.5 Mg-Tdbs 120.00 025 45.10 -
Discount -11.28
Tax 0.00
Net Invoice 33.82:
PARKSIDE ANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 189148
Fishers, IN 46038 Date: 07/05/2013
(317) 849-1440 Time: 3:13 PM
Page: 1
r z
Carmel Police De Patient: KASEY Age: 9
3 Civic Square Species: Canine Sex: FS i
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
Date Service/Item Qty Price Amount i
07/05/2013 Parastar Plus 45-88# Red 3pk 2.00 43.99 87.98':
Tax 0.00?
Net Invoice 87.98
I �
PARKSIDE ANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 189145
Fishers, IN 46038 Date: 07/05/2013
(317) 849-1440 Time: 3:08 PM
Page: 1
Carmel Police De Patient: KASEY Age: 9
3 Civic Square Species: Canine Sex: FS
' Carmel IN 46032 Breed: Dutch Sheperd Tag: 907851
Color: Black Brindle Weight: 50.20 3
Doctor: Craig Johnson, D.V.M.
Phone: (317)571-2500 (317)571-2512
f
f Date Service/Item Qty Price Amount
07/05/2013 Trifexis 40.1-60# 6 Months 1.00 128.80 128.80 i
k Tax 0.00!
F Net Invoice 128.80
i
I
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))
07/05/13 189145 animal services- Kasey $128.80
07/05/13 189148 animal services- Kasey $87.98
07/27/13 190785 animal services- Kasey $33.82
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
$250.60
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 189145 43-576.00 $128.80 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
1110 189148 43-576.00 $87.98
materials or services itemized thereon for
1110 190785 43-576.00 $33.82 which charge is made were ordered and
received except
/Friday, A gust 09, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund