HomeMy WebLinkAbout232395 05/07/2014 CITY OF CARMEL, INDIANA VENDOR: Page 1 of 1
ONE CIVIC SQUARE ZEE MEDICAL INC
PO BOX 204683 CHECK AMOUNT: $967.35
?o CARMEL, INDIANA 46032 DALLAS,TX 75320
„oN� CHECK NUMBER: 232395
CHECK DATE: 5/7/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 0158607850 850 .30 OTHER EXPENSES
2201 4239012 0158607898 117 . 05 SAFETY SUPPLIES
ZEE
INVOICE
ZEE MEDICAL INC. PAGE 1
P.O. BOX 204683 DATE 0412112014.
DALLAS TX 75320 TIME 11:42:54
877-275-4933
JOE WEBSTER ext509 09/009119 OROER/INVOICE#.0158607850
Alt: r ! P.O.#
BILL TO # 007748 SHIP TO# 007748
CARMEL WATER UTILITIES CARMEL WATER UTILITIES
3450 W 131ST STREET 3450 W 131ST STREET
Westfield IN 45074 Westfield, IN 46074
317-733-2855 317-733-2855
JACK SPEARS
PART # QTY DESCRIPTION $PRICE $EXTENDED TAX'
------ --- ----------- ------ --------- --- _
0740 1 BNDG-NON-LTX ELASTIC STRIP, 501BX 8.50 8.50 N
0995 1 ZEE FLEX 21N x 5 YDS 5.55 5:55 N
LOCATION# 1 LOCATION DESCRIPTION - OFFICE SUBTOTAL: 14.05
1825 1 FIRST AID CREAM 25/BX 11.55 11.55 N
1801 1 3-ANTIBIOTIC DINT 0.9 GM 25/BX (ZEE) 10.50 10.50 N
0501 1 COTTON TIP APPLICATOR 31N, NS, 100/V 4.55 4.55 N
0740 1 BNDG-NON-LTX ELASTIC STRIP, 50/BX 8.50 8.50 N
0743 1 BNDG-NON-LTX LG PATCH, 25/BX 10.20 10,20 N
0213 1 BLOOD CLOTTING SPRAY 3 OZ. AEROSOL 17.50 17.50 N
1805 1.BURN SPRAY, NON-AEROSOL, 2 OZ. 7.75 7.75 N
0714 1 BNDG-NON-LTX FINGERTIP, 401BX 10.55 10.55 N
5641 1 MUSCLE JEL 3.5gm, 24 CT, 19.00 . 19.00 N
LOCATION# 2 LOCATION DESCRIPTION - SHOP SUBTOTAL: 100.10
1805 1 BURN SPRAY, NON-AEROSOL, 2 OZ. 7.75 7.75 N
1825 1 FIRST AID CREAM 25/BX 11,55 11.55 N
9900 1 HANDLING 6.95 6.95 N
0794 2 QR WOUND SEAL RAPID RESPONSE 20.65 41.30 N
LOCATION# 3 LOCATION DESCRIPTION MECHANIC SUBTOTAL: 67.55
2629 19 EYE WASH, STERILE 1 OZ, 21UNIT 11.70 222.30 N
0795 15 QR WOUND SEAL, 21PK 14.90 .223.50 N
2354 19 ICE PACK, DELUXE, SMALL (ZEE) 3,20 60.80 N
2651 8 WATER-JEL BURN JEL 61BX,WRAPPEO 10,95 87.60 N
0204 2 ANTISEPTIC WIPES 500 (ZEE) 7.40 14.80 N
0797 4 QR WOUND SEAL WITH APPLICATOR, 2/PK 14.90 59.60 N
INVOICE
ZEE MEDICAL INC. PAGE 2
P.O. BOX 204683 DATE 0412112014
DALLAS TX 75320 TIME 11:42:54
877-275-4933
JOE WEBSTER ext509 09/009119 ORDER/INVOICE# 0158607850
Alt: ! 1 P.O.#
PART # QTY DESCRIPTION $PRICE $EXTENOED TAX
LOCATION# 4'LOCATION DESCRIPTION 1 SUBTOTAL: 668.60
* SAFETY: .00
FIRST AID: 850.30
NONTAXABLE: 850,30
TAXABLE: .00
SUBTOTAL: 850.30
TAX 1: .00
TAX 2: .00
TOTAL 850.30
Your preferre ustomer savings: 15.60
SIGNATURE : DATE:
PRINT N -`� - -SPF ''- --- TITLE: -------- -
ASK US ABOUT FIRST AID AND AEO PROGRAMS
THANK YOU FOR YOUR BUSINESS!!
INVOICE IS CONFIDENTIAL - MAY BE SUBJECI TO LATE FEES
VOUCHER# 134901 WARRANT # ALLOWED
343500 IN SUM OF $
ZEE MEDICAL
PO BOX 204683
DALLAS, TX 75320
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
0158607850 01-6200-06 $850.30
Voucher Total $850.30
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 Purchase Order No.
PO BOX 204683 Terms
DALLAS, TX 75320 Due Date 4/24/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/24/2014 0158607850 $850.30
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 Officer
ZEE
s
INVOICE
ZEE MEDICAL INC. PAGE 1
P.O. BOX 204683 DATE 0412912014
DALLAS TX 75320 TIME 13:33:58
877-275-4933
JOE WEBSTER ext509 091009119 ORDERIINVOIC.E# 0158507898
Alt: ! 1 P.O,#
BILL TO # M00486 SHIP TO# 0004:
CARMEL STREET DEPT CARMEL STRLi:, b
3400 WEST 131ST STREET 3400 WEST 1311 SIHtti
Westfield IN 46074 Westfield IN 46074
317-733-2001' 317-733-2001
AMY LUNN
PART # QTY DESCRIPTION $PRICE $EXTENDED TAX
------ --- ----------- ------ --------- ---
2629 3 EYE WASH, STERILE 1 OZ, 2/UNIT 11.70 35.10 N
0608 1 EYE &SKIN BUF. FLUSHING SOL. 8 OZ 14.40 14,40 N
1420 1 IBUTAB 100/BX (ZEE) 17.85 17,85 N
LOCATION# 1 LOCATION DESCRIPTION - BLD 2 SUBTOTAL: 67.35
0740 1 BNOG-NON-LTX ELASTIC STRIP, 501BX 8.50 8.50 N
0744 1 BNOG-NON-LTX SMALL STRIP 5181N, 5018 7,30 7,30 N
0713 1 BNOG-NON-LTX FINGERTIP XLG, 26/BX 9.10 9.10 N
LOCATION# 2 LOCATION DESCRIPTION - MAIN BATHROOM SUBTOTAL: 24.90
1420 1 IBUTAB 100/BX (ZEE) 17.85 17.85 N
9900 1 HANDLING 6,95 6,95 N
LOCATION# 3 LOCATION DESCRIPTION OFFICE SUBTOTAL: 24,80
SAFETY: .00
FIRST AID: 117.05
NONTAXABLE: 117.05
TAXABLE: ,00
SUBTOTAL: 117.05
TAX 1: ,00
TAX 2: ,00
TOTAL 117,05
INVOICE
ZEE MEDICAL INC. PAGE 2
P.O. BOX 204683 DATE 0412912014
DALLAS TX 75320 TIME 13:33:58
877-275-4933
JOE WEBSTER ext509 091009119 ORDERIINVOICE# 0158607898
Alt: ! ! P.O.#
PART # QTY DESCRIPTION $PRICE $EXTENDED TAX
------ --- ----------- ------ --------- ---
SIGNATURE ; DATE: 1 1
PRINT NAME: TITLE:
ASK US ABOUT FIRST AID AND AED PROGRAMS
THANK YOU FOR YOUR BUSINESS!!
INVOICE IS CONFIDENTIAL - MAY BE SUBJECT TO LATE FEES
VOUCHER NO. WARRANT NO.
Zee Medical ALLOWED 20
IN SUM OF$
P.O. Box 204683
Dallas, TX 75320
$117.05
i ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 I 0158607898 I 42-390.121 $117.05 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
v
urs2ff/-'M'Pm1.a014
� @tttaS�5i�.91er
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
1
Prescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
i
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
I
Purchase Order No.
i
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
04/29/14 0158607898 $117.05
I
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