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Home My WebLink About233380 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