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Home My WebLink About249086 08/26/15 (9) CITY OF CARMEL, INDIANA VENDOR: 343500 ONE CIVIC SQUARE ZEE MEDICAL, INC. CHECK AMOUNT: S*******447.35*CARMEL, INDIANA 46032 PO BOX 204683 CHECK NUMBER: 249086 DALLAS TX 75320 CHECK DATE: 08/26/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1701 4239099 158680858 66.35 OTHER MISCELLANOUS 2201 4239012 I068095601 381.00 SAFETY SUPPLIES INVOICE ZEE MEDICAL, INC. PAGE 1 P.O. BOX 204683 DATE 06/17/2015 DALLAS TX 75320 TIME 07 :30 :13 877-275-4933 JOE WEBSTER ext509 09/009/19 ORDER/INVOICE# I068095601 Alt : / / P.O.# BILL TO # SHIP TO# 011420 CARMEL STREET DEPT CARMEL STREET DEPARTMENT 3400 WEST 131ST STREET 2 CIVIC SQUARE Westfield IN 46074 Carmel IN 46032 317-733-2001 317-650-8282 PART # QTY DESCRIPTION $PRICE $EXTENDED TAX ------ --- ----------- ------ --------- --- 0713 1 BNDG-NON-LTX FINGERTIP XLG, 25/BX 10. 00 10. 00 N 1486 1 DILOTAB II, 100/BX 20.20 20.20 N 2207 3 IVY X PRE-CONTACT TOWELETTE, 25/BX 41. 95 125 . 85 *N 2208 3 IVY X CLEANSER TOWELETTE 25/BX 27 .05 81.15 *N 2211 2 INSECT REPELLENT-BUG X TOWEL, 25/BX 46.30 92 .60 *N 0242 1 SUNSCREEN, 30 SPF, 25/BX 34 . 80 34 .80 *N MO15991 2 MEDICAINE STING CRUSH SWABS 10/PK 8 .20 16 .40 N LOCATION# 1 LOCATION DESCRIPTION - LOC DESC SUBTOTAL: 381. 00 * SAFETY: 334 .40 FIRST AID: 46.60 NONTAXABLE: 381. 00 TAXABLE: 0. 00 SUBTOTAL: 381. 00 TAX 1 : 0. 00 TAX 2 : 0. 00 TOTAL 381. 00 ON ACCOUNT SIGNATURE : SIGNATURE ON FILE DATE: 06/17/2015 PRINT NAME: PRINTED NAME ON FILE 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)) 06/17/15 1068095601 $381.00 1 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Zee Medical IN SUM OF $ P.O. Box 204683 Dallas, TX 75320 $381.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members 2201 I 1068095601 1___42-390.12j $381.00 1 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 � d fr Thur sd y 5 r• Street Ge Street Commissioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund ACCOUNT NUMBER TERMS PERIOD ENDING rl GE 000712 UPR 08/10/15 To expedite payment, please reference the invoice number(s) on your check FOR QUESTIONS REGARDING THIS STATE ME NT,CALL: Invoices may be subject to late fees. ACCOUNTS RECEIVABLE (877) 275-4933 CUSTSVC@ZEEMEDICALINC.COM STATEMENT INVOICE DATE INVOICE NUMBER DUE DATE SERVICE ADDRESS ORIGINAL AMOUNT BALANCE DUE 05/28/15 158-680858 05/28/15 Carmel IN 66.35 66.35 TOTAL BALANCE DUE ® 66 . 35 RECENT CASH/CREDIT PAYMENTS MAY NOT BE POSTED AS OF THE STATEMENT DUE CURRENT ""s;ri"., �-t,•,'cr,.' �.,�,^x. ;�.., •• ��; s 16-30 DAYS 31-60 DAYS 61,9QDAYSF, r 3` 9,V720'�AYSsj�' -ii_",DAYS• 0.00 0.00 0 00 "' 5. 'mss _ WE APPRECIATE YOUR PROMPT ATTENTION TO THE PAST DUE INVOICES. tI- 1�gw lum,palimMVIM - o - o a9o7eo Subtotal: 66 .35 Total: 66 .35 INVOICE ZEE MEDICAL, INC. Page:l P.O. BOX 204683 Date:05/28/2015 DALLAS TX 75320 Time:12 :14 :09 877-275-4933 JOE WEBSTER 19/009/09 ORDER/INVOICE # 0158680858 EXT509 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 ANN PART # QTY DESCRIPTION $PRICE $EXTENDED TAX 1487 1 DILOTAB II, 250/BX 38.40 38 .40 N 1478 2 ZEE ALLERGY RELIEF TABLET, 10/BX 10.50 21.00 N 9900 1 HANDLING 6.95 6 .95 N LOCATION# 2 - Supply Room SUBTOTAL: 66 .35 *SAFETY: 0.00 FIRST AID: 66 .35 NONTAXABLE: 66 .35 TAXABLE: 0.00 SUBTOTAL: 66.35 FREIGHT: 0. 00 TAX 1: 0.00 TAX 2 : 0. 00 TOTAL: 66.35 Payment Type: ON ACCOUNT SIGNATURE DATE: 05/28/2015 PRINT NAME: Ann Davis 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 VOUCHED City FormNo.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. a Payee Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) G 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 VOUCHER NO. WARRANT NO. ALLOWED 20 IN SUM OF $ ON ACCOUNT OF APPROPRIATION FOR V-07-_ Board Members PO# INVOICE NO. ACCT#/TITLE AMOUNT DEPT..# I hereby certify that the attached invoice(s), C 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 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund