HomeMy WebLinkAbout230676 03/26/14 9%�,, CITY OF CARMEL, INDIANA VENDOR: 343500
b ONE CIVIC SQUARE ZEE MEDICAL, INC. CHECK AMOUNT: S''"'*'178.94'
CARMEL, INDIANA 46032 PO BOX 781554 CHECK NUMBER: 230676
9- '? INDIANAPOLIS IN 46278-8554
'"<so�i� CHECK DATE: 03/26/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 158607595 134.39 OTHER EXPENSES
651 5023990 158607610 44.55 OTHER EXPENSES
ZEE
a
INVOICE
ZEE MEDICAL INC. PAGE 1
PO BOK 781554 DATE 0310712014
INDIANAPOLIS IN 45278-8554 TIME 12:11:45
877-275-4933
JOE WEBSTER ext509 09/009119 ORDERIINVOICE# 0158607610
5 Alt: ! 1 P.O.#
BILL TO # 008183 SHIP TO# 008183
CITY OF CARMEL-H.H.W. CITY OF CARMEL-H.H.W.
901 NORTH RANGELINE ROAD 901 NORTH RANGELINE ROAD
`e Carmel IN 45032 Carmel IN 46032
317-571-2624 317-57-1-2624
WILLIAM
PART # QTY DESCRIPTION $PRICE $EXTENDED TAX
G0191102 1 SPEC-HANDWASH-CLR 6 MILD,FOAM 1200ML 37.60 37.60 N
9900 1 HANDLING CHARGE 6.95 6,95 N
LOCATION# 1 LOCATION DESCRIPTION A SUBTOTAL: 44.55
SAFETY: 37.60
FIRST AID: 6.95
NONTAXABLE: 44.55
TAXABLE: .00
SUBTOTAL: 44,55
TAX 1: .00
TAX 2: .00
TOTAL 44.55
SIGNATURE DATE: —I—/—
PRINT
1PRINT NAME: TITLE:
ASK US ABOUT FIRST AID AND AED PROGRAMS
THANK YOU FOR YOUR BUSINESS!!
INVOICE IS CONFIDENTIAL - MAY BE SUBJECT TO LATE FEES
3a..
zee
I 1-I
s-
INVOICE •_
ZEE MEDICAL INC. PAGE 1 A
PO BOH 781554 DATE 03105!2014
INDIANAPOLIS IN 46278-8554 TIME 14:11:23
877-275-4933
JOE WEBSTER ext509 09/009119 ORDERIINVOICE# 0158607595
Alt: 1 I P.O.#
BILL TO # 008183 SHIP TO# 008183
CITY OF CARMEL H.H.W. CITY OF CARMEL H.H.W.
-901 NORTH RANGELINE ROAD 901 NORTH RANGELINE ROAD
Carmel IN 46032 Carmel IN 46032
317-571-2624 317-571-2624
WILLIAM .
PART # QTY DESCRIPTION $PRICE $EXTENDED.TAX
------ ------ ------ --------- ---
1457 1 ANTI-DIARRHEAL CAPLETS,2mg,12CT 7.75 7.75 N
5641 1 MUSCLE JEL 3.5gm, 24 CT. 19.00 19.00- Ni
1472 1 ADVIL-TABLETS, 50 X 2 32.85 32,85,,-N
1805 1 BURN SPRAY,- NON-AEROSOL, 2 OZ. 7.75 7.75 N
G0198404 1 SPEC-DISPENSER-GOJO LTX,GREYIWHITE .00 00 "N
G0728204 1 SPEC-HAND CLEANER,SUPROMAX,CHERRY 41.29 41.29• "N
9900 1 HANDLING CHARGE 6.95 6.95 T
0797 1 QR WOUND SEAL WITH APPLICATOR, 2/PK 18.80 18.80 N
LOCATION# 1 LOCATION DESCRIPTION MAIN SUBTOTAL: 134.39
!r
x " SAFETY: 41.29
FIRST AID: 93.10
NONTAXABLE: 127.44
�+ TAXABLE: 6.95
q` SUBTOTAL: 134.39
TAX 1: .00
TAX 2: .00
TOTAL 134.39
Your preferred customer savings: 10.90
INVOICE
ZEE MEDICAL INC. PAGE 2
PO BOX 781664' . DATE 0310512014
INDIANAPOLIS IN 46278-8554 TIME 14:11:23
877-275-4933
JOE WEBSTER ext509 091009/19 0ROERIINVOICE# 0158607595
Alt: 1 1 P.O.#
SIGNATURE : DATE: 1 1
PRINT NAME: TITLE:
ASK•US ABOUT FIRST AID AND AED PROGRAMS
THANK%YOU FOR YOUR BUS INESS!1
INV,OICE,IS CONFIDENTIAL MAY BE SUBJECT TO LATE FEES
VOUCHER # 137708 WARRANT # ALLOWED
343500 IN SUM OF $
ZEE MEDICAL INC
P.O. BOX 4398
CHESTERFIELD, MO 63006
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
158607595 01-720H-08 $134.39
I�� o7�i� 4 `I. yS
Voucher Total
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
343500
ZEE MEDICAL INC Purchase Order No.
P.O. BOX 4398 Terms
CHESTERFIELD, MO 63006 Due Date 3/17/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/17/2014 158607595 $134.39
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
Date Officer