HomeMy WebLinkAbout237069 09/10/14 y �,qe, CITY OF CARMEL, INDIANA VENDOR: 343500
`/ `�. CHECK AMOUNT: $********56.80*
.j, ® , ONE CIVIC SQUARE ZEE MEDICAL, INC.
`; CARMEL, INDIANA 46032 PO BOX 204683 CHECK NUMBER: 237069
M,�TON�` DALLAS TX 75320 CHECK DATE: 09/10/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239012 0158659488 56.80 SAFETY SUPPLIES
ZEE
INVOICE
ZEE MEDICAL INC. PAGE 1
P.O. BOX 204683 DATE 09103/2014
DALLAS TX 75320 TIME 15:28:31
877-275-4933
JOE WEBSTER ext509 09/009/19 ORDERIINVOICE# 0158659488
Alt: I 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 $EXTENDED TAX
------ --- ----------- ------ --------- ---
2629 3 EYE WASH, STERILE 1 OZ, 2/UNIT 11.70 35.10 N
LOCATION# 1 LOCATION DESCRIPTION - SHOP SUBTOTAL: 35.10
0501 1 COTTON TIP APPLICATOR 31N, NS, 1001V 4.55 4.55 N
0743 1 BNDG-NON-LTX LG PATCH, 251BX 10.20 10.20 N
LOCATION# 2 LOCATION DESCRIPTION - MENS SUBTOTAL: .14.75
0001 1 CABINET CLEANEDIORGANIZED .00 .00 *N
9900 1 HANDLING 6.95 6.95 N
LOCATION# 3 LOCATION DESCRIPTION - OFFICE SUBTOTAL: 6.95
* SAFETY: .00
FIRST AID: 56.80
NONTAXABLE: 56,80
TAXABLE: .00
SUBTOTAL: 56.80
TAX 1: .00
TAX 2: .00
TOTAL 56.80
INVOICE
ZEE MEDICAL INC. PAGE 2
P.O. BOX 204683 DATE . 0910312014
DALLAS TX 75320 TIME 15:28:31
877-275-4933
JOE WEBSTER ext509 091009119 ORDERIINVOICE# 0158659488
Alt: I I P.O.#
SIGNATURE : DATE: 1 1
PRINT NAME: TITLE:
ASK US ABOUT FIRST AID AND AEO PROGRAMS
THANK YOU FOR YOUR BUSINESS!!
INVOICE IS CONFIDENTIAL - MAY BE SUBJECT TO LATE FEES
VOUCHER NO. WARRANT NO.
ALLOWED 20
Zee Medical
IN SUM OF$
P.O. Box 204683
Dallas, TX 75320
ti
$56.80
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#frITLE AMOUNT Board Members
2201 I 0158659488 I 42-390.121 $56.80 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
/Lursday_ ept r 04,2O 14
A /
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))
09/03/14 0158659488 $56.80
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