HomeMy WebLinkAbout252437 1 2/08/1 5 (9)
CITY OF CARMEL, INDIANA VENDOR: 343500
ONE CIVIC SQUARE ZEE MEDICAL, INC. CHECK AMOUNT: $"""""""391.92"CARMEL, INDIANA 46032 PO BOX 204683 CHECK NUMBER: 252437
DALLAS TX 75320 CHECK DATE: 12/08/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 V7124101 354.77 OTHER EXPENSES
651 5023990 V7124201 10.90 OTHER EXPENSES
651 5023990 V7125701 26.25 OTHER EXPENSES
--------------REMIT TO--------------
ZEE MEDICAL, INC. INVOICE NUMBER: v7124101
P.O. BOX 204683 ACCOUNT NUMBER: 008183
DALLAS, TX 75320 INVOICE DATE: 11/30/2015
(877) 275-4933 PAGE NUMBER: 1
*** I N V O I C E ***
+--------------SOLD TO----------------+---------------SHIP TO---------------+
CITY OF CARMEL H.H.W.**BILLING CITY OF CARMEL H.H.W.
30 WEST MAIN ST SUITE 220 901 NORTH RANGELINE ROAD
Carmel . IN 46032 Carmel . IN 46032
+-------------------------------------+-------------------------------------+
OUR ORDER#: v71241 VK YOUR P/O#:
ORDER DATE: 11/30/2015 11:05: 11 PLACED BY: WILLIAM
PICK DATE: 11/30/2015 CONTRACT#:
SHIP DATE: 11/30/2015 JOB#/NAME:
SHIP VIA: SALES REP VAN SALES REP: 19
F.O.B. : origin TERMS: NET 15
ORDERED SHIPPED BCKRD ITEM DESCRIPTION PRICE AMOUNT
------- ------- ----- ------ ----------------- --------- ---------
1 1 LGGOJ7 HAND CLEANER,SU 153.41 153.41
1 1 LGSCCX DRINKING CUP-FO 193.41 193.41
**** SUBTOTAL **** 346.82
1Z43232840302967880 7.95
**** INVOICE TOTAL **** 354.77
Pmt due by 12/15/2015
--------------REMIT TO--------------
ZEE MEDICAL, INC. INVOICE NUMBER: v7125701
P.O. BOX 204683 ACCOUNT NUMBER: 008183
DALLAS, TX 75320 INVOICE DATE: 11/30/2015
(877) 275-4933 PAGE NUMBER: 1
*** I N V O I C E ***
+--------------SOLD TO-----------------*---------------SHIP TO---------------+
CITY OF CARMEL H.H.W. **BILLING CITY OF CARMEL H.H.W.
30 WEST MAIN ST SUITE 220 901 NORTH RANGELINE ROAD
Carmel , IN 46032 Carmel , IN 46032
+-------------------------------------+-------------------------------------+
OUR ORDER#: v71257 VK YOUR P/O#:
ORDER DATE: 11/30/2015 11:07:39 PLACED BY: WILLIAM
PICK DATE: 11/30/2015 CONTRACT#:
SHIP DATE: 11/30/2015 JOB#/NAME:
SHIP VIA: SALES REP VAN SALES REP: 19
F.O.B. : origin TERMS: NET 15
ORDERED SHIPPED BCKRD ITEM DESCRIPTION PRICE AMOUNT
------- ------- ----- ------ ----------------- --------- ---------
1 1 LGGOJ7 DISPENSER-GOJO 26.25 26.25
lz43238402978121 .00
**** INVOICE TOTAL **** 26.25
Pmt due by 12/15/2015
--------------REMIT TO--------------
ZEE MEDICAL, INC. INVOICE NUMBER: D7124201
P.O. BOX 204683 ACCOUNT NUMBER: 008183
DALLAS, TX 75320 INVOICE DATE: 11/23/2015
(877) 275-4933 PAGE NUMBER: 1
*** I N V O I C E ***
+---------------SOLD TO----------------+---------------SHIP TO---------------+
CITY OF CARMEL H.H.W. **BILLING I CITY OF CARMEL H.H.W.
30 WEST MAIN ST SUITE 220 1901 NORTH RANGELINE ROAD
Carmel IN 46032 I BILL
I I Carmel IN 46032
+------------------------------- -{--------------------------------------+
OUR ORDER#: D71242 DS YOUR P/O#: 71242
ORDER DATE: 11/23/2015 16:37:24 PLACED BY: WILLIAM
PICK DATE: 11/23/2015 CONTRACT#: 71242
SHIP- DATE: 11/23/2015 jOB#/NAME:
SHIP VIA: SALES REP VAN SALES REP: 19
F.O.B. : origin TERMS: NET 15
ORDERED SHIPPED BCKRD ITEM DESCRIPTION PRICE AMOUNT
------- ------- ----- ------ ----------------- --------- ---------
1 1 G01984 SPEC-DISPENSER- 10.90 10.90
** Shipped on: 11/23/15 **
**** INVOICE TOTAL **** 10.90
Pmt due by 12/08/2015
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 INC Purchase Order No.
P.O. BOX 204683 Terms
DALLAS, TX 75320 Due Date 12/4/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/4/2015 V7125701 $26.25
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
7411' r"-- -r —
Date Officer
VOUCHER # 156798 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
V7125701 01-720H-08 $26.25
i
3 5 c( 71
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund