226430 11/19/2013 - "*F CITY OF CARMEL, INDIANA VENDOR: 236175 Page 1 of 1
ONE CIVIC SQUARE PARKSIDE ANIMAL HOSPITAL CHECK AMOUNT: $522.71
s` CARMEL, INDIANA 46032 12962 PUBLISHERS DRIVE
FISHERS IN 46038 CHECK NUMBER: 226430
CHECK DATE: 11/19/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4357600 197344 522 . 71 ANIMAL SERVICES
PARKSIDE ANIMAL HOSPITAL Account: 322
12962 Publishers Drive Invoice: 197344
Fishers, IN 46038 Date: 10/28/2013
(317) 849-1440 Time: 1:41 PM
Page: 1
i
i Carmel Police De Patient: KASEY Age: 9
3 Civic Square Species: Canine Sex: FS
Carmel IN 46032 Breed: Dutch Sheperd Tag: 90785
i Color: Black Brindle Weight: 44.50
Doctor: Mike Havens, D.V.M.
I
Phone:' (317)571-2512
{i Date Service/Item - '- Qty - ----Price--- --- -Amount-;--
E
10/24/2013 Annual Wellnes Physical Exam 1.00 45.64 45.64
10/24/201.3 Dist-A2P-Parvo Annual 1.00 20.11 20.11
10/24'/201'3 Leptospirosis vaccine annual 1.00 25.22 25.22 i
10/24'%2013 Leptospirosis Vaccine-4 way 1.00 0.00 0.00
10/2412013 Bordetella Vacc Annual 1.00 21.08 21.08
10/24/2013 Heartworm Test Occult 1.00 39.67 39.67
10/24/2013 Fecal Exam Annual 1.00 28.81 28.81
10/24/2013 . Parastar Plus 45-88# Red 3pk 1.00 43.99 43.99
10/24/2013 Trifexis 40.1-60# 6 Months 1.00 128.80 128.80
j 10/24/20.13 Total Body Function 1.00 133.65 133.65=
10/25/201`3 ` lams K9 Intestinal 30# 1.00 74.61 74.61 s
i
"` Discount -38.81
3
Tax 0.00 f
Net Invoice 522.71
t. .
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))
10/28/13 197344 K9 Kasey annual $522.71
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
$522.71
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
1110 I 197344 I 43-576.00 I $522.71 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
Thursday, November 14, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund