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