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HomeMy WebLinkAbout238699 10/28/14 (9, CITY OF CARMEL, INDIANA VENDOR: 343500 CHECK AMOUNT: $********681C* ONE CIVIC SQUARE ZEE MEDICAL, INC. VV JCARMEL, INDIANA 46032 PO BOX 204683 CHECK NUMBER: 238699 DALLAS TX 75320 CHECK DATE: 10/28/14 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 1568659721 68.15 OTHER EXPENSES ZEE INVOICE ZEE MEDICAL INC. PAGE 1 P.O. BOX 204683 DATE 1012312014 DALLAS TX 75320 TIME 12:05:25 877-275-4933 JOE WEBSTER ext509 091009119 ORDERIINVOICE# 0158659721 Alt: I 1 P.O.# , # BILL TO q 008183 SHIP TO 008183 CITY OF CARMEL H.H.W. CITY OF CARMEL H.H,W, 901 NORTH RANGELINE ROAD 901 NORTH RANGELINE ROAD Carmel IN 46032 Carmel IN 46032 317-571-2624 317-571-2624 WILLIAM PART # QTY DESCRIPTION $PRICE $EXTENDED TAX ------ --- ----------- ------ --------- --- 1472 1 ADVIL-TABLETS, 50 X 2 32,85 32.85 N 1495 1 HISTENOL FORTE ll, 1001BX 23.80 23.80 N 0501 1 COTTON TIP APPLICATOR 31N, NS, 1001V 4.55 4.55 N 9900 1.HANDLING 6.95 6.95 T LOCATION# 1 LOCATION DESCRIPTION - MAIN SUBTOTAL: 68.15 * SAFETY: .00 FIRST AID: 68.15 NONTAXABLE: 61.20 TAXABLE: 6.95 SUBTOTAL: 68.15 TAX 1: .00 TAX 2: .00 TOTAL 68.15 INVOICE ZEE MEDICAL INC, PAGE 2 P.O. BOX 204683 DATE 1012312014, DALLAS TX 75320 TIME 12:05:25 877-275-4933 JOE WEBSTER ext509 091009119 ORDERIINVOICE# 0158659721 Alt: 1 I P.O.# SIGNATURE : _ _ DATE: _1_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 VOUCHER # 145822 WARRANT# ALLOWED 343500 IN SUM OF $ ZEE MEDICAL INC P.O. BOX 4398 CHESTERFIELD, MO 63006 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 1568659721 01-720H-08 $68.15 I i Voucher Total $68.15 Cost distribution ledger classification if 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 INC Purchase Order No. P.O. BOX 4398 Terms CHESTERFIELD, MO 63006 Due Date 10/23/2014 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/23/201, 1568659721 $68.15 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 Officer