HomeMy WebLinkAbout233380 06/04/14 (9, )
CITY OF CARMEL, INDIANA VENDOR: 343500
ONE CIVIC SQUARE ZEE MEDICAL, INC. CHECK AMOUNT: $*******390.35*
CARMEL, INDIANA 46032 PO BOX 204683 CHECK NUMBER: 233380
DALLAS TX 75320 CHECK DATE: 06/04/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239012 0158659029 219.40 SAFETY SUPPLIES
2201 4239012 0158659037 170.95 SAFETY SUPPLIES
ZE;j .
INVOICE
ZEE MEDICAL INC. PAGE 1
P.O. BOX 204683 DATE 05/2912014
DALLAS TX 75320 TIME 08;20;35
877-276.4933
JOE WEBSTER ext509 09/009/19 ORDER/INVOICE# 0158659037
Alt: 1/ / P.O.#
BILL TO #M00486 SHIP TO# 000486
CARMEL STREET DEPT CARMEL STREET DEPT
3400 WEST 131ST STREET 3400 WEST 131ST STREET
Westfield IN 46074 Westfield IN 46074
317-733-2001 317-733-2001
AMY LUNN
PART # QTY DESCRIPTION $PRICE $EXTENDED TAX
------ --- ----------- ------ --------- ---
0716 1 BNDG-NON-LTX KNUCKLE, 40/BX 10.75 10.75 N
0714 1 BNOG-NON-LTX FINGERTIP, 40/13K 10.65 10.66 N
3538 2 DISPOSABLE FORCEP, STERILE 2.75. 5.50 N
9900 1 HANDLING 6.95 6.95 N
LOCATION# 1 LOCATION DESCRIPTION - MAIN BLD MENS R SUBTOTAL; 33.75
1487 1 DILOTAB II, 250/BX 36.95 36.95 N
1478 1 ZEE ALLERGY RELIEF TABLET, 10/BX 9.55 9.55 N
LOCATION# 2 LOCATION DESCRIPTION - MAIN OFFICE SUBTOTAL; 46.50
1801 1 3-ANTIBIOTIC DINT 0.9 GM 25/BX (ZEE) 10.50 10.50 N
1492 1 CONGEST AID II, 100/BX 18.60 18.60 N
M016991 1 MEDICAINE STING CRUSH SWABS 10/PK 8.20 8.20 N
2208 2 IVY X CLEANSER TOWELETTE 25/BX 26.70 53.40 "N
LOCATION# 3 LOCATION DESCRIPTION - SHOP SUBTOTAL; 90.70
INVOICE
ZEE.MEDICAL INC, PAGE 2
P.O. BOX 204683 DATE 05129/2014
DALLAS TX 75320 TIME 08;20:35
877-275-4933
JOE WEBSTER ext509 091009119 ORDER/INVOICE# 0158659037
Alt; / / P.O.#
PART # QTY DESCRIPTION $PRICE $EXTENDED TAX
------ --- ----------- ------ --------- ---
*-SAFETY:
--"SAFETY; 53.40
FIRST AID; 117.55
NONTAXABLE; 170.95
TAXABLE: .00
SUBTOTAL: 170.95
TAX 1: ,00
TAX 2: .00
TOTAL 170.95
SIGNATURE : DATE:
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
ZEE
INVOICE•
ZEE MEDICAL INC. PAGE 1
P.O. BOX 204683 DATE 0512712014
DALLAS TX 75320 TIME 13:56:10
877-275-4933
JOE WEBSTER ext509 091009119 ORDERIINVOICEH 0158659029
Alt: 1 ! P.O.#
BILL TO N 000486 SHIP TO# 011420
CARMEL STREET DEPT CARMEL STREET DEPARTMENT
3400 WEST 131ST STREET 2 CIVIC SQUARE
Westfield IN 46074 Carmel IN 46032
317-733-2001 317-650-8282
PARKS PIFER
PART # QTY DESCRIPTION PRICE $EXTENDED TAX
------ --- ----------- ------ --------- ---
1805 1 BURN SPRAY, NON-AEROSOL, 2 OZ. 7.75 7.75 N
1446 1 ANTACID, TRIAL 100/BX (ZEE) 14.75 14.75 N
0995 2 ZEE FLEX 21N x 5 YDS 5.55 11.10 N
0797 1 QR WOUND SEAL WITH APPLICATOR, 2/PK 18.80 18.80 N
0618 1 EYE DROPS - THERA TEARS 4/PK 6,05 6.05 N
2629 1 EYE WASH, STERILE 1 OZ, 2/UNIT 11.70 11.70 N
1487 1 DILOTAB 11, 250/BX 36.95 36.95 N
0743 1 BNOG-NON-LTX LG PATCH, 251BX 10,20 10.20 N
1825 1 FIRST AID CREAM 251BX 11.55 11.55 N
1817 1 HYDRO CREAM 1.0, 0.9 GM 2518% (ZEE) 11.70 . 11.70 N
1457 1 ANTI-DIARRHEAL CAPLETS,2mg,12CT 7.75 7.75 N
0716 1 BNDG-NON-LTX KNUCKLE, 40/BX 10.75 10.75 N
2208 2 IVY X CLEANSER TOWELETTE 251BX 26.70 53.40 "N
9900 1 HANDLING 6,95 6.95 N
LOCATION# 1 LOCATION DESCRIPTION CIVIC SQUARE SUBTOTAL: 219.40
" SAFETY: 53,40
FIRST AID: 166.00
NONTAXABLE: 219,40
TAXABLE: .00
SUBTOTAL: 219.40
TAX 1: .00
TAX 2: .00
TOTAL 219.40
INVOICE
ZEE MEDICAL INC. PAGE 2
P.O. BOX 204683 DATE 0512712014
DALLAS TX 75320 TIME 13:56:10
877-275-4933
JOE WEBSTER ext509 091009119 OROERIINVOICEN 0158659029
Alt: 1 1 P.O.#
PART N QTY DESCRIPTION PRICE $EXTENDED TAX
------ --- ----------- ------ --------- ---
ON ACCOUNT
SIGNATURE DATE: 0512712014
%_\,y-k�tmo
PRINT NAME: KITTERMAN
ASK US ABOUT FIRST AID AND AED PROGRAMS
THANK YOU FOR YOUR BUSINESSII
INVOICE IS CONFIDENTIAL - MAY BE SUBJECT TO LATE FEES
VOUCHER NO. WARRANT NO.
ALLOWED 20
Zee Medical
IN SUM OF$
P.O. Box 204683
Dallas, TX 75320
$390.35
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 0158659029 42-390.12 $219.40 1 hereby certify that the attached invoice(s), or
2201 0158659037 42-390.12 $170.95 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
s
Fr' 014
WVVV VV
gp r i jssioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
i
I
Prescribed by State Board of Accounts Ci Form No.201 Rev.1995
City � )
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))
05/27/14 0158659029 $219.40
05/29/14 0158659037
$170.95
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