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HomeMy WebLinkAbout236088 08/13/14 CITY OF CARMEL, INDIANA VENDOR: 343500 ® it ONE CIVIC SQUARE ZEE MEDICAL, INC. CHECK AMOUNT: $*******351.75* CARMEL, INDIANA 46032 PO BOX 204683 CHECK NUMBER: 236088 vy, moo, DALLAS TX 75320 CHECK DATE: 08/13/14 t«ON DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4239012 0158659355 152.10 SAFETY SUPPLIES 601 5023990 158659282 199.65 OTHER EXPENSES ZEE s INVOICE ZEE MEDICAL INC, PAGE 1 P.D. BOX 204683 DATE 0810412014 DALLAS TX 75320 TIME 13:35:20 877-275-4933 JOE WEBSTER ext509 091009119 ORDERIINVOICE# 0158659355 Alt: 1 1 P.O.# BILL TO # M00486 SHIP TO# 000485 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 ------ --- ----------- ------ --------- --- 0581 1 HL MAX-LITE EARPLUGS WICD 100PRIBX 26.65 26.65 "N 1446 1 ANTACID, TRIAL 100/BX (ZEE) 14..75 14.75 N 2629 1 EYE WASH, STERILE 1 OZ, 2/UNIT 11.70 11.70 N LOCATION# 1 LOCATION DESCRIPTION - SHOP SUBTOTAL: 53,10 1801 1 3-ANTIBIOTIC DINT 0.9 GM.251BX (ZEE) 10.50 10.50 N LOCATION# 2 LOCATION DESCRIPTION - MENS SUBTOTAL: 10.50 1420 1 IBUTAB 10018X (ZEE) 17.85 17.85 N 1486 1 DILOTAB ll, 100/BX 18.35 18:35 N 1418 1 PAIN-AIO 250/BX (ZEE) 30.60 30.60 N 1446 1 ANTACID, TRIAL 100/BX (ZEE) 14.75 14.75 N 9900 1 HANDLING 6.95 6.95 T LOCATION# 3 LOCATION DESCRIPTION - OFFICE SUBTOTAL: 88.50 " SAFETY: 26.65 FIRST AID: 125.45 NONTAXABLE: 145.15 TAXABLE: 6,95 SUBTOTAL: 152.10 TAX 1: .00 TAX 2: .00 TOTAL 152.10 INVOICE ZEE MEDICAL INC. PAGE 2. P.O. BOX 204683 DATE 0810412014 DALLAS TX 75320 TIME 13:35:20 877-.275-4933 JOE WEBSTER ext609 091009119 OROERIINVOICE# 0158659355 Alt: 1 I P.O.# PART # QTY DESCRIPTION $PRICE $EXTENDED TAX ------ --- ----------- ------ --------- --- SIGNATURE _ DATE: PRINT NAMEr--- — - -- - TITLE: - ----- -- --- ASK US ABOUT FIRST AID AND AEO 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 $152.10 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members 2201 1 0158659355 1 42-390.121 $152.10 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 ay, 14 N.001 WVV VV � �f�iFi11§@I®fi@P Title Cost distribution ledger classification if claim paid motor 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 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)) 08/04/14 0158659355 $152.10 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 ZEE j , INVOICE ZEE MEDICAL INC. PAGE 1 P.O. BOX 204683 DATE 0712412014 DALLAS TX 75320 TIME 08:25:15 877-275-4933 JOE WEBSTER ext509 09!009119 ORDERIINVOICE# 0158659282 Alt: ! ! P.O.# BILL TO # 007748 SHIP TO# 007748 CARMEL WATER UTILITIES CARMEL WATER UTILITIES 3450 W 131ST STREET 3450 W 131ST STREET Westfield IN 46074 Westfield IN 46074 317-733-2855 317-733-2855 JACK SPEARS PART # QTY DESCRIPTION $PRICE $EXTENDED TAX ------ --- ----------- ------ --------- --- 1801 1 3-ANTIBIOTIC DINT 0.9 GM 251BX (ZEE) 10.50 10.50 N 0995 1 ZEE FLEX 21N x 5 YDS 5.55 5.55 N 2629 1 EYE WASH, STERILE 1 OZ, 21UNIT 11.70 11.70 N LOCATION# 1 LOCATION DESCRIPTION - OFFICE SUBTOTAL: 27.75 0608 1 EYE &SKIN BUF. FLUSHING SOL. 8 OZ 14.40 14.40 N 2629 2 EYE WASH, STERILE 1 OZ, 21UNIT 11.70 23.40 N 2651 1 WATER-JEL BURN JEL 618X,WRAPPED 10.95 10.95 N 0305 1 TAPE, 21N X 5 YD. 3 CUT SPOOL (ZEE) 6.90 6,90 N 5641 1 MUSCLE JEL 3.5gm, 24 CT. 19.00 19.00 N 0740 1 BNOG-NON-LTX ELASTIC STRIP, 60/BX 8.50 8.50 N 1817 1 HYDRO CREAM 1.0%, 0.9 GM 25/BX (ZEE) 11.70 11.70 N M016991 1 MEDICAINE STING CRUSH SWABS 10/PK 8,20 8.20 N LOCATION# 2 LOCATION DESCRIPTION - SHOP SUBTOTAL: 103.05 3538 2 DISPOSABLE FORCEP, STERILE 2.75 5,50 N 0743 1 BNOG-NON-LTX LG PATCH, 25113X 10.20 10.20 N 0917 1 GAUZE PAD- 21N X 21N, 10IBX (ZEE) 3.40 3.40 N 0614 1 TETRAHYDRO, EYE DROPS, 112 OZ. 9.00 9.00 N 3537 1 SPLINTER OUT (ZEE), 101PK 4.95 4.95 N 0794 1 QR WOUND SEAL RAPID RESPONSE 20.65 20.65 N 9900 1 HANDLING 6.95• 6.95 N M015991 1 MEDICAINE STING CRUSH SWABS 10/PK 8.20 8.20 N LOCATION# 3 LOCATION DESCRIPTION - LIFT AREA SUBTOTAL: 68.85 INVOICE ZEE MEDICAL INC. PAGE 2 P.O. BOX 204683 DATE 0712412014 DALLAS TX 75320 TIME 08:25:15 877-275-4933 JOE WEBSTER ext509 091009119 ORDERIINVOICE# 0158659282 Alt: I I P.O.# PART # QTY DESCRIPTION $PRICE $EXTENDED TAX --- ----------- ------ --------- --- " SAFETY: .00 FIRST AID: 199.65 NONTAXABLE: 199.65 ` TAXABLE: .00 ^� SUBTOTAL: 199.65 w- TAX 1: .00 TAX 2: .00 TOTAL 199.65 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 VOUCHER # 141334 WARRANT# ALLOWED 343500 IN SUM OF $ ZEE MEDICAL r PO BOX 204683 DALLAS, TX 75320 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 158659282 01-6200-06 $199.65 t. i i d Voucher Total $199.65 Cost distribution ledger classification if p 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 8/4/2014 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8/4/2014 158659282 $199.65 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 Date Officer