HomeMy WebLinkAbout239828 12/03/2014 G,q
''u "'? CITY OF CARMEL, INDIANA VENDOR: 343500
ONE CIVIC SQUARE ZEE MEDICAL, INC. CHECK AMOUNT: $********74.05*
f. Q CARMEL, INDIANA 46032 PO BOX 204683 CHECK NUMBER: 239828
9�'�run °' DALLAS TX 75320 CHECK DATE: 12/03/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239012 0158659881 74.05 SAFETY SUPPLIES
ZEE
INVOICE
ZEE MEDICAL INC. PAGE 1
P.O. BOX 204683 DATE 1112412014
DALLAS TX 75320 TIME 11:01:39
877-275-4933
JOE WEBSTER ext509 091009119 ORDERIINVOICE# 0158659881
Alt: I I P.O.#
BILL TO # 003728 SHIP TO# 003728
CARMEL POLICE CARMEL POLICE
3 CIVIC SQUARE 3 CIVIC SQUARE
Carmel IN 46032 Carmel IN 46032
317-571-2500 317-571-2500
TERESA ANDERSON
PART # QTY DESCRIPTION $PRICE $EXTENDED TAX
------ --- ----------- ------ --------- ---
2354 2 ICE PACK, DELUXE, SMALL (ZEE) 3.20 6.40 N
0740 2 BNDG-NON-LTX ELASTIC STRIP, 5018X 8.50 17.00 N
0714 1 BNOG-NON-LTX FINGERTIP, 40/BX 10.55 10.55 N
2651 1 WATER-JEL BURN JEL 6IBX,WRAPPEO 10.95 10,95 N
9900 1 HANDLING 6.95 6.95 N
2629 1 EYE WASH, STERILE 1 OZ, 2/UNIT 11.70 11.70 N
1801 1 3-ANTIBIOTIC DINT 0.9 GM 25113X (ZEE) 10.50 10.50 N
LOCATION# 1 LOCATION DESCRIPTION MAIN SUBTOTAL: 74.05
_ rt SAFETY: o0
FIRST AID: 74.05
NONTAXABLE: 74.05
TAXABLE: .00
SUBTOTAL: 74.05
TAX 1: .00
TAX 2: .00
TOTAL 74.05
INVOICE
ZEE MEDICAL INC. PAGE 2
P.O. BOX 204683 DATE 1112412014
DALLAS TX 75320 TIME 11:01:39
877-275-4933
JOE WEBSTER ext509 091009119 OROERIINVOICE# 0158659881
Alt: I I P.O.#
SIGNATURE : DATE: I I
PRINT NAME: TITLE;
ASK US ABOUT FIRST AID AND AED PROGRAMS
THANK YOU FOR YOUR BUSINESS!!
INVOICE IS CONFIDENTIAL - MAY BE SUBJECT TO LATE FEES
VOUCHER NO. WARRANT NO.
ALLOWED 20
Zee Medical, Inc.
IN SUM OF$
P.O. Box 204683
Dallas, TX 75320
jI
$74.05
E
4
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department ,f
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT — Board Members
1110 I 0158659881 I 42-390.12 I $74.05 I 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
Wednesday, November 26, 2014
J
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
I�
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))
11/24/14 0158659881 medical supplies $74.05
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