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HomeMy WebLinkAbout238231 10/15/14 ,1+��Cgq�f J/ � CITY OF CARMEL, INDIANA VENDOR: 343500 ® ONE CIVIC SQUARE ZEE MEDICAL, INC. CHECK AMOUNT: $*******177.60* =Q CARMEL, INDIANA 46032 PO BOX 204683 CHECK NUMBER: 238231 'y?roN"�°' DALLAS TX 75320 CHECK DATE: 10/15/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4239012 0158659646 177.60 SAFETY SUPPLIES ZEE INVOICE ZEE MEDICAL INC. PAGE 1 P.O. BOX 204683 DATE 1010912014 DALLAS TX 75320 TIME 07:59:09 877-275-4933 JOE WEBSTER ext509 091009119 ORDERIINVOICE# 0158659646 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 PART # QTY DESCRIPTION $PRICE $EXTENDED TAX 0581 1 HL MAX-LITE EARPLUGS W1CD 100PRIBX 26.65 26.65 "N 1420 1 IBUTAB 1001BX (ZEE) 17.85 17.85 N LOCATION# 1 LOCATION DESCRIPTION - MAINTENANCE SUBTOTAL: 44.50 1801 1 3-ANTIBIOTIC DINT 0.9 GM 2518X (ZEE) 10.50 10.50 N 0608 1 EYE &SKIN BUF. FLUSHING SOL. 8 OZ 14.40 14.40 N LOCATION# 2 LOCATION DESCRIPTION - MAIN BLD MENS SUBTOTAL: 24.90 1421 1 IBUTAB 250/BX (ZEE) 35.95 35.95 N 1454 1 CHERRY COUGH DROPS 125/BX (ZEE) .16.05 16.05 N 1486 1 DILOTAB ll, 1001BX 18.35 18.35 N 1435 1 E.S. UN-ASPIRIN 1001BX (ZEE) 14.95 14.95 N 1417 1 PAIN-AID 1000 (ZEE) 15.95 16.95 N 9900 1 HANDLING 6.95 6.95 N LOCATION# 3 LOCATION DESCRIPTION BREAKROOM SUBTOTAL: 108.20 INVOICE ZEE MEDICAL INC. PAGE 2 P.O. BOX 204683 DATE 1010912014 DALLAS TX 75320 TIME 07:59:09 877-275-4933 JOE WEBSTER ext509 091009119 ORDERIINVOICE# 0158659646 Alt: 1 1 P.O.# . PART # QTY DESCRIPTION $PRICE $EXTENDED TAX ------ --- ----------- ------ --------- --- SAFETY: 26.65 FIRST AID: 150.95 NONTAXABLE: 177.60 TAXABLE: .00 SUBTOTAL: 177.60 TAX 1: .00 TAX 2: .00 TOTAL 177.60 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-10-LATE FEES VOUCHER NO. WARRANT NO. ALLOWED 20 Zee Medical IN SUM OF $ P.O. Box 204683 Dallas, TX 75320 $177.60 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 1 0158659646 1 42-390.121 $177.60 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 't f rJ Thur s ber 09, 2014 Street Commissioner 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)) 10/09/14 0158659646 $177.60 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