HomeMy WebLinkAbout239657 11/25/14 ♦� ye
,. CITY OF CARMEL, INDIANA VENDOR: 343500
ONE CIVIC SQUARE ZEE MEDICAL, INC. CHECK AMOUNT: $**'****135.85*
is CARMEL, INDIANA 46032 Po Box 204683 CHECK NUMBER: 239657
'''�:oN`�° DALLAS TX 75320 CHECK DATE: 11/25114
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4239099 0158659882 135.85 OTHER MISCELLANOUS
I
ZEE
INVOICE
ZEE MEDICAL INC. PAGE 1
P.O. BOX 204683 DATE 11124/2014
DALLAS TX 75320 TIME 11:15:39
877-275-4933
JOE WEBSTER ext509 091009119 ORDERIINVOICE# 0158659882
Alt: I I P.O.#
BILL TO # 000712 SHIP TO# 000712
CITY OF CARMEL CITY OF CARMEL
ONE CIVIC SQUARE ONE CIVIC SQUARE
CLERK TREASURER CLERK TREASURER
Carmel IN 46032 Carmel IN 46032
317-571-2414 317-571-2414
Ann
PART # QTY DESCRIPTION $PRICE $EXTENDED TAX
------ - ----------- ------ --------- ---
0225 1 TOWELETTE,MOIST CLEANSING,2018X ZEE 6.40 6.40 N
1801 1 3-ANTIBIOTIC DINT 0.9 GM 26/BX (ZEE) 10.50 10.50 N
1617 1 HYDRO CREAM 1.0%, 0,9 GM 251BX (ZEE) 11.70 11.70 N
0740 1 BNOG-NON-LTX ELASTIC STRIP, 501BX 8.50 8.50 N
1417 1 PAIN-AID 100IBX (ZEE) 15.95 15.95 N
1492 1 CONGEST AID 11, 1001BX 18.60 18.60 N
1487 1 DILOTAB 11, 2501BX 36.95 36.95 N
0995 1 ZEE FLEX 21N x 5 YDS 5.55 5.55 N
9900 1 HANDLING 6.95 6.95 T
1446 1 ANTACID, TRIAL 10018X (ZEE) 14.75 14.75 N
LOCATION# 1 LOCATION DESCRIPTION - MAIN SUBTOTAL: 135,85
" SAFETY: .00
FIRST AID: 135.85
NONTAXABLE: 128.90
TAXABLE: 6,95
SUBTOTAL: 135.85
TAX 1: .00
TAX 2: .00
TOTAL 135.85
INVOICE
ZEE MEDICAL INC. PAGE 2
P.O. BOX 204683 DATE 11/2412014
DALLAS TX 75320 TIME 11:15:39
877-275-4933
JOE WEBSTER ext509 091009119 ORDERIINVOICE# 0158659882
Alt: 1 I P.O.#
SIGNATURE : DATE:
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
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Forth No.201(Rev.1995)
'
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))
Total
I hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
, 20
Clerk-Treasurer
I� VOUCHER NO. WARRANT NO.
..I
ALLOWED 20
IN SUM OF $
Gp L 14(00
�a
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po#or INVOICE NO. ACCT#!TITLE AMOUNT
DEPT.# �I hereby certify that the attached invoice(s),
in V35,8S,6r 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 20
Si nature'
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund