HomeMy WebLinkAbout238969 11/05/14 CITY OF CARMEL, INDIANA VENDOR: 343500
ONE CIVIC SQUARE ZEE MEDICAL, INC.
CHECK AMOUNT: $********43.65*
CARMEL, INDIANA 46032 PO BOX 204683 CHECK NUMBER: 238969
'M,iroN fib• DALLAS TX 75320 CHECK DATE: 11/05/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 0158659710 43.65 OTHER EXPENSES
ZEE
INVOICE
ZEE MEDICAL INC, PAGE 1
P.O. BOX 204683 DATE 1012312014
DALLAS TX 75320 TIME 08:32:37
877-275-4933
JOE WEBSTER ext509 091009119 ORDERIINVOICE# 0158659710
Alt: 1 1 P.O.#
BILL TO # 007748 SHIP TO# 007748
CARMEL•WATER UTILITIES CARMEL WATER UTILITIES
3450 W 131ST STREET 3450 W 131ST STREET
Westfield, IN 46074 Westfield IN 46074
317-733-2855 317-733-2855
JACK SPEARS
I
PART # CITY DESCRIPTION $PRICE $EXTENDED TAX
------ --- ----------- ------ --------- ---
0001
------ -
0001 1 CABINET CLEANEDIORGANIZED .00 .00 "N
LOCATION# 1 LOCATION DESCRIPTION - KITCHEN SUBTOTAL: ,00
0740 1 BNDG-NON-LTX ELASTIC STRIP, 501BX 8.50 8.50 N
1825 1 FIRST AID CREAM 25/BX 11.55 11.55 N
0501 1 COTTON TIP APPLICATOR 31N, N5, 1001V 4.55 4.55 N
LOCATION# 2 LOCATION DESCRIPTION - SHOP' SUBTOTAL: 24.60
0618 2 EYE DROPS - THERA TEARS 4/PK 6,05 12.10 N
9900 1 HANDLING 6.95 6.95 T• , .
LOCATION# 3 LOCATION DESCRIPTION GARAGE SUBTOTAL: 19.05•
" SAFETY: .00
FIRST AID: 43.65
NONTAXABLE: 36.70
TAXABLE: 6.95
SUBTOTAL: 43.65
TAX 1: ,00
TAX 2: .00
TOTAL 43,65
v v `cr
INVOICE
ZEE MEDICAL INC.. PAGE 2
P.O-BOn 204683,'•-- _. .____-_ . DATE 1012312014 ---
DALLAS TX 75320 TIME 08:32:37
877-275-4933
JOE WEBSTER ext509 091009119 ORDERIINVOICE# 0158659710
Alt: 1 1 P.O.#
SIGNATURE : DATE: 1__1___
PRINT NAME: -- --- - - - — TITLE: -- -
ASK US ABOUT FIRST AID AND AID PROGRAMS
THANK YOU FOR YOUR BUSINESS!!
INVOICE IS CONFIDENTIAL - MAY BE SUBJECT TO LATE FEES
VOUCHER # 142150 WARRANT# ALLOWED
343500 IN SUM OF $
ZEE MEDICAL
PO BOX 204683
DALLAS, TX 75320
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
0158659710 01-6200-06 $43.65 J
Voucher Total $43.65
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 Purchase Order No.
PO BOX 204683 Terms
DALLAS, TX 75320 Due Date 10/25/2014
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/25/201, 0158659710 $43.65
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
Date Officer