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