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HomeMy WebLinkAbout234655 07/08/14 y .C4NM it CITY OF CARMEL, INDIANA VENDOR: 343500 ® i ONE CIVIC SQUARE ZEE MEDICAL, INC. CHECK AMOUNT: $*-....97.70" CARMEL, INDIANA 46032 PO BOX 204683 CHECK NUMBER: 234655 'M�roH"ca`r DALLAS TX 75320 CHECK DATE: 07/08/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4239012 0158659196 97.70 SAFETY SUPPLIES ZEEE INVOICE ZEE MEDICAL INC. PAGE 1 P.O. BOX 204683 DATE 07102/2014 DALLAS TX 75320 TIME 13:54:11 877-275-4933 JOE WEBSTER ext509 091009119 ORDERIINVOICE# 0158659196 Alt: 1 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 PRAT # QTY DESCRIPTION $PRICE $EXTENDED TAX ------ --- ----------- ------ --------- --- 0743 1 BNDG-NON-LTX LG PATCH, 25/BX 10.20 10.20 N 0501 1 COTTON TIP APPLICATOR 31N, NS, 100/V 4.55 4.55 N 0305 1 TAPE, 21N X 5 YO. 3 CUT SPOOL (ZEE) 6.90 6.90 N 0944 1 ELASTIC ROLLER GAUZE-N/S 31N X 4.5 Y 4.05 4.05 N 3538 2 DISPOSABLE FORCEP, STERILE 2.75 5.50 N LOCATION# 1 LOCATION DESCRIPTION - SHOP SUBTOTAL: 31.20 0731 1 BNDG- NON-LTX SHEER STRIP TIN, IOOIB 10.60 10.60 N 0206 1 HYDROGEN PEROXIDE, NON-AEROSOL, 20Z 4.50 4.50 N 0740 1 BNDG-NON-LTX ELASTIC STRIP, 501BX 8.50 8.50 N LOCATION# 2 LOCATION DESCHIPTION - MENS SUBTOTAL: 23.60 1421 1 IBUTAB 250/BX (ZEE) 35.95 35.95 N 9900 1 HANDLING 6.95 6.95 N LOCATION# 3 LOCATION DESCRIPTION - OFFICE SUBTOTAL: 42.90 INVOICE ZEE MEDICAL INC. PAGE 2 P.O. BOX 204683 DATE 0710212014 DALLAS TX 75320 TIME 13:54:11 877-275-4933 JOE WEBSTER ext509 091009/19 ORDERIINVOICE# 0158659196 Alt: 1 1 P.O.# PART # QTY DESCRIPTION $PRICE $EXTENDED TAX ------ --- ----------- ------ --------- --- SAFETY: .00 FIRST AID: 97.70 NONTAXABLE: 97.70 TAXABLE: .00 SUBTOTAL: 97.70 TAX 1: .00 TAX 2: .00 TOTAL 97.70 SIGNATURE : DATE: 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 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)) 07/02/14 0158659196 $97.70 1 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. Zee Medical ALLOWED 20 IN SUM OF $ P.O. Box 204683 Dallas, TX 75320 $97.70 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 1 0158659196 1 42-390.121 $97.70 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 e urs July 03, 2014 OU Siet reA�r4i'r Title Cost distribution ledger classification if claim paid motor vehicle highway fund