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