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187499 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 343500 Page 1 of 1 j ONE CIVIC SQUARE ZEE MEDICAL, INC. CHECK AMOUNT: $205.39 CARMEL, INDIANA 46032 Po Box 781554 "7ro„ i� INDIANAPOLIS IN 46278 x554 CHECK NUMBER: 187499 CHECK DATE: 717/20/0 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 0158375395 155.14 MATERIALS SUPPLIES 651 5023990 0158375397 50.25 MAT SUPP -HAZ MATERI ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL Am Ywo mnmwCE INVOICE ZEE MEDICAL INC. PAGE 1 PO BOX 781554 DATE 0600/2010 INDIANAPOLIS IN 46278-8554 TIME 10:29:46 877-275-4933 JOE WEBSTER 09/009/19 8RDER/INVOICE# 0158375397 Alt: P.O.# BILL TO 008183 SHIP TO# 008183 CITY OF CARMEL H.H.W. CITY OF CARMEL H.H.W. 901 NORTH RANGELINE ROAD 901 NORTH RANGELINE ROAD CARMEL IN 46032 CARMEL IN 46032 317-571-2624 317-571-2624 WILLIAM PART QTY DESCRIPTION $PRICE $EXTENDED TAX 2629 2 EYE WASH, STERILE 1—OZ., 2/UNIT 9.95 19.90 N 1420 1 ZEE IBUTQB 100/BX 13.15 13.15 N 0614 1 TETRAHYDROZOLINE HCL DROPS 1/2 OZ. 7.40 7.40 N 0601 1 EYE CUPS, PLASTIC 6/VIAL 3.85 3.85 N 9900 1 HANDLING 5.95 5.95 N LOCATION# 1 LOCATION DESCRIPTION A SUBTOTAL: 50.25 SAFETY: .00 FIRST AID: 50.25 NONTAXABLE: 50.25 TAXABLE: .00 SUBTOTAL: 50.25 TAX 1: .00 TAX 2: .00 TOTAL 50.25 North America's #1j provider od first aid, safety, and training CUSTOMER COPY 888' CALL ZEE VOUCHER 105742 WARRANT ALLOWED 343500 IN SUM OF ZEE MEDICAL INC P.O. BOX 4398 CHESTERFIELD, MO 63006 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 158375397 01- 720H -08 $50.25 Voucher Total $50.25 Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)c, 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 4398 Terms CHESTERFIELD, MO 63006 Due Date 6/30/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/30/2010 158375397 $50.25 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 Date Officer ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL Fi J' Fim YEARS OF SERVICE I: N V 0 I C E ZEE MEDICAL INC. PAGE :I. PO BOX 781554 DATE 06/10/2010 INDIANAPOLIS IN 46278 -8554 TIME 09r44:06 877 275 -4933 JOE WEBSTER 09 /009/ 19 ORDER INVOICE# 01` 8375395 Alto P. PILL TO d# 007748 SHIP TO# 007748 CARMEL WATER UTILITIES CARREL WATER UTILITIES 3450 W 131ST STREET 3450 W 131ST STREET' WESTF I ELI'a IN 46074 WESTF I ELD IN 46074 317 317 JAC SPEARS PART OTY DESCRIPTION $PRICE $EXTEhIt"ED TATS 0601 1 EYE CUPS, PLASTIC G /VIAL 3.85 3.85 N 0206 1 HYDROGEN PEROXIDE, NON—AER 4_c. Z. 35 3.Z5 N 0794 1 O WOUND SEAL RAPID RESPONSE 1 r. 9 J 1 7.95 N 0797 1 OR WOUND SEPAL.. WITH APPLICATOR, /PFD. 14.99 14. N 28,45 1 BANDAGE, COMPRESS MULTI FUNCTION L G 8.35 8.35 14 3538 1 D ISPOSABLE C= ORCEP, STE RILE 1.85 1.85 N 6401 24 CREWS CK110 CHECKMATE /CLR COATED 2.30 55.20 *N 05 17 1 MOLD HAN 5. PLUS STATION, 500PR 71.25 71.25 �y *N 99 LOCATI 1 LOCAT D ESCR IPTI ON A SUBTOTAL 182. SAFETY 12 FI RST A I D g 56.29 NONTAXABLE n 182. 7 1 4 TAXAPLE.w .00 SUBTOTAL o 182. 74 TAX 1: .00 T L'. .0 TOTAL 182.74 ON ACCOUNT c rcc�� .2 &eb North America's #1 provider of first aid, safety, and training pQ! CUSTOMER COPY ggg CALL ZEE (225 -5933) zeemedical.com ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL Foy Yws OF SERVICE U I G E. ZEE MED I NC. PO BOX 5Li4 DAT IZ'G 10 24Zl INDIANAPOLIS I N 4G275 --8554 TIME 09:38201 8 77 275 49 ,3 3 JOE WEBSTER 09 /009 /19 DRDER /INVOICE4 01563 75- A I. b v P,. O. D ILL. TO 00 *7 748 SH IP TO -.4I: 00774 CARMEL WATER UTILITIES f A RMEWL_ WATER UTILITIES) 3451 W 131ST G1 REET 4 0 W 131ST STREET WES I ry I- I EL.D I �'F�. 0 4 WESTF I EI.. D IN 411 7 4 317-733-2855 317-733-2855 JACK SPEARS PART #k CITY DESCRIPITIDN `PIRICE $EXTENDED TAX 0601 1 EYE: CUFFS, PLASTIC G /VIAL 3.85 s. 85 N 0206 1 HYDROGEN PEROXIDE, NC1N-- AEROSOL, 207. 3. 5 23. 35 Pal 0794 1 OR WOLIND SEAL.- RAPID RESPONSE= :I.7. 1 3,. 17.95 N 0797 1 OR WOUND SEAL WITH APPLICATOR, E: /pK 14 .99 1.4.9`3 N 26 1, SPINDAGE, COMPRESS PIULT I F't.JNCT I C?N L_G 1 5 S. 35 N 3538 1 DlSPOSABL1 FORCErD, STERILE 1. 5 1.35 N 0401 p'24 CREWS CIS 11121 CF!EC>✓.MATE /CLR COATED 2.317-1 =;x. #1 \1 1 517 1. MOLDEX SPARK {L_UI:3 S'T'ATION, 500PR 71. 7 1. a 3�N 9900 1 HANDL I 1\113 a. q5 5. 9 5 141 LOCAT I ON#k 1 LOCAT DESCR I PIT I DN A SUBTO"r AL 1 R-2. _74 R� SAFETY. 126. 45 FIRST RS A I D- 5G. 29 NONTAXf-'11.31—E 182.74 TAXABLE—. „00 SLJBTOTAL. 1 82. 74 RECEIVED T1"•3X 1.: DATA C� tca -1 o TAX f7-0 l"OT A1.... 182:. 74 PO# ACCT LP. US' 1 North America's #1 provider of- first aid, safety and training p P 1Cl CUSTOMER COPY 888 CALL ZEE (225 -5933) zeemedicaLcom VOUCHER 102008, WARRANT ALLOWED 343500 IN SUM OF ZEE MEDICAL *S P`O. BOX 781554 c!'r INDIANAPOLIS, IN 46278 -8554 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 0158375395 01- 6200 -03 $155.14 Voucher Total $155.14 Cost distribution ledger classification if claim paid under vehicle highway fund 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 Purchase Order No. P.O. BOX 781554 Terms INDIANAPOLIS, IN 46278 -8554 Due Date 6/28/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/28/2010 0158375395 $155.14 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 Date Officer