HomeMy WebLinkAbout244384 04/15/15 \� CITY OF CARMEL, INDIANA VENDOR: 343500
® �• ONE CIVIC SQUARE ZEE MEDICAL, INC. CHECK AMOUNT: $*******1 19.70*
,a? CARMEL, INDIANA 46032 PO BOX 204683 CHECK NUMBER: 244384
y�roN.�o. DALLAS TX 75320 CHECK DATE:' 04/15/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 0158680537 119.70 OTHER EXPENSES
ZEE
INVOICE
ZEE MEDICAL INC. PAGE 1
P.O. BOX 204683 DATE 0313112015
DALLAS TX 75320 TIME 10:45:14
877-275-4933
JOE WEBSTER ext509 091009119 OROERIINVOICE# 0158680537
Alt: 1 I P.O.#
BILL TO # 016166 SHIP TO# 016166
CITY OF CARMEL UTILITIES CITY OF CARMEL UTILITIES
9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY
Indianapolis IN 46280 Indianapolis IN 46280
317-571-2634 A17-571-2634
JEFF COOPER
PART # QTY DESCRIPTION $PRICE $EXTENDED TAX
------ --- ----------- ------ --------- ---
1420 1-IBUTAB-1001BX (ZEE) - -19.45 -19-.45 N
1417 1 PAIN-AID'1001BX (ZEE) 17.60 17.60 N
1446 1 ANTACID; TRIAL 100/BX (ZEE) 16.15 16.15 N
3538 1 DISPOSABLE FORCEP, STERILE 3.05 3.05 N
LOCATION# 1 LOCATION DESCRIPTION - COLLECTIONS SUBTOTAL: 56.25
1420 1 IBUTAB 10018X (ZEE) 19.45 19.45 N
1417 1 PAIN-AID 1001BX (ZEE) 17.60 17.60 N
LOCATION# 2 LOCATION DESCRIPTION : COLLECT MENS SUBTOTAL: 37.05
1420 '1 IBUTAB 100/BX (ZEE) 19.45 19.45 N
9900 1 HANDLING 6.95 6.95 N
LOCATION# 3 LOCATION DESCRIPTION--- LAB SUBTOTAL:- '26.40
x SAFETY: .00
FIRST AID: 119.70
NONTAXABLE: 119.70
TAXABLE: .00
SUBTOTAL: 119.70
TAX 1: .00
TAX 2: .00
TOTAL 119.70
INVOICE
ZEE MEDICAL INC. PAGE 2
P.O. BOX 204683 DATE 0313112015
DALLAS TX 75320 TIME 10:45:14
877-275-4933
JOE WEBSTER ext509 091009119 ORDERIINVOICE# 0158680537
Alt: I / P.O.#
PART # CITY DESCRIPTION $PRICE $EXTENDED TAX
------ --- ---------- ------ --------- ---
SIGNATURE : DATE: ! 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 # 155278 WARRANT # ALLOWED
343500 IN SUM OF $
ZEE MEDICAL INC
P.O. BOX 204683
DALLAS, TX 75320
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT ; Audit Trail Code
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0158680537 01-7200-01 $56.25 ;
0158680537 01-7202-05 $63.45
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Voucher Total $119.70 i
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Cost distribution ledger classification if
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claim paid under vehicle highway fund
Prescribed by State Board of Accounts i 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.
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P.O. BOX 204683 Terms
DALLAS, TX 75320 Due Date 4/9/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
4/9/2015 0158680537 $119.70
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I hereby certify that the attached invoice(s), or bill(s) is (are)true and
correct and I have audited same in accordance with ICp 5-11-10-1.6
Date Officer