HomeMy WebLinkAbout196149 03/29/2011 CITY OF CARMEL, INDIANA VENDOR: 343500 Page 1 of 1
ONE CIVIC SQUARE ZEE MEDICAL, INC. CHECK AMOUNT: $141.20
CARMEL, INDIANA 46032 PO BOX 781554
INDIANAPOLIS IN 46278 -8554
CHECK NUMBER: 196149
CHECK DATE: 3/29/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239012 0158376846 141.20 SAFETY SUPPLIES
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
000
/7
FIFTY YEARS OF SERVICE
I N V O I C E
ZEE MEDICAL INC. PAGE i
PO BOX 781554 DATE 03/21/2011
INDIANAPOLIS IN 46278 -8554 TIME 10 :37 :13
877 275 -4933
JOE WEBSTER ext509 09/009/19 ORDER /INVOICE# 0158376846
Alt: P. 0.
BILL TO 000486 SHIP TO# 011420
CARMEL STREET DEFT CARMEL STREET DEPARTMENT
3400 WEST 131ST STREET 2 CIVIC SQUARE
Westfield IN 46074 Carmel IN 46032
317- 733 -2001 317 650 -8282
PARKS FIFER
PART QTY DESCRIPTION $PRICE $EXTENDED TAX
3538 3 DISPOSABLE FORCED, STERILE 1.95 5.85 T
0618 1 EYE DROPS THERA TEARS 4 /PK 5.45 5.45 T
0614 1 TETRAHYDROZOLINE HCL DROPS 1/2 OZ. 7.80 7.60 T
1447 1 ANTACID, TRIAL 250 /BX (ZEE) 20.95 20.95 T
1435 1 E.S. UN- ASPIRIN 100/BX (ZEE) 12.15 12.15 T
1486 1 DILOTAB II, 100/BX 14.70 14.70 T
1478 2 ZEE ALLERGY RELIEF TABLET, 10 /BX 7.95 15.90 T
0206 1 HYDROGEN PEROXIDE, NON AEROSOL, 20Z. 3.65 3.65 T
0794 1 OR WOUND SEAL RAPID RESPONSE 19.35 19.35 T
3044 1 NITRILE GLOVES, 2PR 3.05 3.05 T
0995 1 ZEE FLEX 2" X 5 YDS 4.80 4.80 T
1420 1 ZEE IBUTAB 100/BX 13.85 13.85 T
1410 1 TRIFLE BUFFERED ASPIRIN 100/BX (ZEE) 7.85 7.85 T
9900 1 HANDLING 5.95 5.95 T
LOCATION# 1 LOCATION DESCRIPTION A SUBTOTAL: 141.30
SAFETY: .00
FIRST AID: 141.30
NONTAXABLE: .00
TAXABLE: 141.30
SUBTOTAL: 141.30
TAX 1: 9.90
TAX 2: .00
TOTAL 151.20
PQ C� C North America's #1 provider of first aid, safety, and training
PQv `�u` CUSTOMER COPY 888 CALL ZEE (225 -5933) zeemedical.com
VOUCHER NO. WARRANT NO.
ALLOWED 20
Zee Medical
IN SUM OF
P. O. Box 781554
Indianapolis, W 46278 -8554
$141.20
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
2201 0158376846 42- 390.12 $141.20 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
r.
ii
Friday Ma ch 2011
Y
Street Co missioner
street 'ommissioner
Title
Cost distribution ledger classification if
claim paid motor 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 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))
03/21/11 0158376846 $141.20
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