HomeMy WebLinkAbout198823 06/22/2011 CITY OF CARMEL, INDIANA VENDOR: 343500 Page 1 of 1
ONE CIVIC SQUARE ZEE MEDICAL, INC.
CHECK AMOUNT: $280.80
PO BOX 781554
CARMEL, INDIANA 46032 INDIANAPOLIS IN 46278 -8554
CHECK NUMBER: 198823
CHECK DATE: 6/22/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4239099 0158377296 68.80 OTHER MISCELLANOUS
2201 4239012 0158377339 80.70 SAFETY SUPPLIES
601 5023990 158377297 19.42 OTHER EXPENSES
651 5023990 158377297 19.43 OTHER EXPENSES
651 5023990 15877294 92.45 OTHER EXPENSES
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
FIM,EARS OF SERVIC
INVOICE
ZEE MEDICAL INC. PAGE 1
PO BOX 781554 DATE 06/17/2011
INDIANAPOLIS IN 46278-8554 TIME 11:07:58
877-275-4933
JOE WEBBTER ext509 09/009/19 ORDER/INVOICE# 0158377339
Alt: P.O.#
BILL TO M00486 SHIP TO# 000486
CARMEL STREET DEPT CARMEL STREET DEPT
3400 WEST 131ST STREET 3400 WEST 131ST STREET
Westfield IN 46074 Westfield IN 46074
317-733-2001 317-733-20691
BONNIE
PART QTY DESCRIPTION $PRICE $EXTENDED TAX
0740 1 BNDG NON LTX ELASTIC STRIP, 50/BX 6 5� 6 50 N
v
0206 1 HYDROGEN PEROXIDE, NON—AEROSOL, 2OZ. 3.65 3.65 N
2629 1 EYE WASH, STERILE 1—OZ., 2/UNIT 10.45 10.45 N
0995 1 ZEE FLEX 2" X 5 YDS 4.80 4.80 N
1436 1 E.S. UN—ASPIRIN 250/BX (ZEE) 24.15 24.15 N
1418 1 ZEE PAIN—AID 250/BX 25.20 25.20 W
9900 1 HANDLING 5.95 5.95 T
LOCATION# 1 LOCATION DESCRIPTION BATHROOM SUBTOTAL: 80.70
SAFETY: .00
FIRST AID: 80.70
NONTAXABLE: 74.75
TAXABLE: 5.95
SUBTOTAL: 80.70
TAX 1: .0@
TAX 2: .00
TOTAL 80.70
ON ACCOUNT
North America's #1 provider of first aid, safety, and training
CUSTOMER COPY 888' CALL ZEE (225-5933) zenmedica|com
VOUCHER NO. WARRANT NO.
ALLOWED 20
Zee Medical
IN SUM OF
P. O. Box 781554
Indianapolis, IN 46278 -8554
$80.
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# 1 Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
2201 0158377339 42- 390.12 $80.70 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
l m
Frig June 17, 2011
Street Commi i ner
SlreeL
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))
06/17/11 0158377339 $80.70
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
ZEE MEDICAL PROP H|ETARY AND CONFIDENTIAL
Fim,w�OFSERVICE
INVOICE
ZEE MEDICAL INC. PAGE 1
PO BOX 781554 DATE 06/10/2011
INDIANAPOLIS IN 46278-8554 TIME 08:44:32
877-275-4933
JOE WEBSTER ext509 09/009/19 ORDER/INVOICE# 0158377294
Alt: P.O.#
BILL TO 001107 SHIP TO# 003747
CITY OF CARMEL UTILITIES CARMEL SEWER DEPT
760 3RD AVE SW SUITE 110 901 NORTH RANGELINE ROAD
Carmel IN 46032 Carmel IN 46032
317-571-2443 317-571-2645
PAUL ARNONE
PART QTY DESCRIPTION $PRICE $EXTENDED TAX
1421 1 ZEE IBUTAB 250/BX 29.40 29.40 N
1418 1 ZEE PAIN—AID 250/BX 25.20 25.20 N
1487 1 DILOTAB II, 250/BX 29.95 29.95 N
3538 1 DISPOSABLE FORCEP, STERILE 1.95 1.95 N
9900 1 HANDLING 5.95 5.95 T
LOCATION# 1 LOCATION DESCRIPTION A SUBTOTAL: 92.45
SAFETY: .00
FIRST AID: 92.45
NONTAXABLE: 86.50
TAXABLE: 5'95
SUBTOTAL: 92.45
TAX 1: .00
TAX 2: 00
TOTAL 92.45
p6mmR9 Egg 9? W_ Fd99wT
North America's #1 provider offirst aid, aafety, and training
CUSTOMER COPY 888 CALL ZEE (225-5933) zeemedical.com
VOUCHER 115236 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
158377294 01- 7200 -01 $92.45
Voucher Total $92.45
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 INC Purchase Order No.
P.O. BOX 4398 Terms
CHESTERFIELD, MO 63006 Due Date 6/13/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/13/2011 158377294 $92.45
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 /A
Date icer
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
Fin YEARS mSERVICE
INVOICE
PAGE 1
ZEE MEDICAL INC. DATE 06/10/2011
PO BOX 781554 TIME 10:12:29
INDIANAPOLIS IN 46278-8554
877-275-493
W
JOE EBGTER ext509 09/009/19 ORDER/INVOICE# 0158377297
Alt:
P, O,
SHIP TO# 001107
BILL TO 011801 CITy OF CAAMEL UTILITIES
CITY OF CARMEL H.H^W^**BILLING 760 3RD AVE SW SUITE 110
760 3RD AVE SW SUITE 110 IN 46032
Carmel IN 46032 Carmel 317-571-2443
317-571-2624
LISA KEMPA
PART QTY DESCRI $PRICE $EXTENDED TAX
PTION
95 N
1 DISPOSABLE FORCEP, STERILE 1.95 1.95
3538 1 BUTTERFLY BANDAGES, MEDIUM, 20CT. 3.55 3.55 N
0700 4 35 4 35 N
SPLINTER OUT (ZEE
1 10/PK
3537 g 20 20 N
9
1 WATER JEL BURN JEL 6/BX
2651 13.85 13.85 N
1 ZEE IBUTAB 100/BX
1420 5,95 5.95 N
9900 1 HANDLING
LOCATION# 1 LOCATION DESCRIPTION A SUBTOTAL. 38.85
SAFETY: .00
FIRST AID: 38.85
NONTAXABLE: 38.85
TAXABLE: .00
SUBTOTAL: 38.85
TAX 1� .00
TAX 2: .00
TOTAL 38.85
ON ACCOUNT
15, g111,
r
North America's #1 provider offirst aid, ynfety, and trai
VOUCHER 111539 WARRANT ALLOWED
343500 IN SUM OF
ZEE MEDICAL
P.O. BOX 781554
INDIANAPOLIS, IN 46278 -8554
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
158377297 01- 6200 -08 $19.42
Voucher Total $19.42
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 6/13/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/13/2011 158377297 $19.42
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
Z& a -4
Date Officer
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
mnyw:orxinvm
%NVOICE
ZEE MEDICAL INC. PAGE 1
PO BOX 781554 DATE 06/10/2011
INDIANAPOLIS IN 46278-8554 TIME 10:12:29
877-275-4933
JOE WEBGTER ext509 09/009/19 ORDER/INVOICE# 0158377297
Alt: P.O.#
BILL TO 011801 SHIP TO# 001107
CITY OF CARMEL H.H.W.**BILLING CITY OF CARMEL UTILITIES
760 3RD AVE SW SUITE 110 760 3RD AVE SW SUITE 110
Carmel IN 46032 Carmel IN 46032
317-571-2624 317-571-2443
LISA KEMPA
PART QTY DESCRIPTION $PRICE $EXTENDED TAX
3538 1 DISPOSABLE FORCEP, STERILE 1.95 1.95 N
0700 1 BUTTERFLY BANDAGES, MEDIUM, 20CT. 3.55 3.55 N
3537 1 SPLINTER OUT (ZEE), 10/PK 4.35 4.35 N
2651 1 WATER—JEL BURN JEL 6/BX 9.20 9.20 N
1420 1 ZEE IBUTAB 100/BX 13.85 13.85 N
9900 1 HANDLING 5.95 5~95 N
LOCATION# 1 LOCATION DESCRIPTION A SUBTOTAL: 38.85
SAFETY: .00
FIRST AID: 38.85
NONTAXABLE: 38.85
TAXABLE: .00
SUBTOTAL: 38 85
TAX 1: .00
TAX 2: .00
TOTAL 38.85
ON ACCOUNT
North America's #1 provider of first aid, nnfety, and training
CUSTOMER OQpy 888 CALL ZEE (225'5833) zoemedica|.00m
VOUCHER 115314 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
158377297 01- 7200 -08 $19.43
\l
Voucher Total $19.43
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 INC Purchase Order No.
P.O. BOX 4398 Terms
CHESTERFIELD, MO 63006 Due Date 6/15/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/1 5/2011 158377297 $1 9.43
I hereby certify that the attached invoice(s), or bill is (are) true and
correct and I have audited same in accordance with IC 5- 11- 10 -1.6
u Z/2 G 1 �t
Date Officer
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
Rim YwwmSUM
INVOICE
ZEE MEDICAL INC. PAGE 1
PO BOX 781554 DATE 06/10/2011
INDIANAPOLIS IN 46278-8554 TIME 09:50:19
877-275-4933
JOE WEBSTER ext509 09/009/19 ORDER/INVOICE# 0158377296
Alt: 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 317-571-2414
Ann
PART QTY DESCRIPTION $PRICE $EXTENDED TAX
1487 1 DILOTAB II, 250/BX 29.95 29.95 N
1417 1 ZEE PAIN—AID 100/BX 12.55 12.55 N
1420 1 ZEE IBUTAB 100/BX 13.85 13.85 N
0740 1 BNDG, NON—LTX ELASTIC STRIP, 50/BX 6.50 6.50 N
9900 1 HANDLING 5.95 5.95 N
LOCATION# 1 LOCATION DESCRIPTION A SUBTOTAL: 68.80
SAFETY: .00
FIRST AID: 68.80
NONTAXABLE: 68.80
TAXABLE: .00
SUBTOTAL: 68.80
TAX 1: .00
TAX 2: .0@
TOTAL 68.80
North Arnehca'y #1 provider of first a|d, safety, and training
CUSTOMER COpY D8O' CALL ZEE (225'5833) zeomedicaionm
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 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.
Payee
2 Z C Y /lll.l,i Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
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.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
-T-
q O -N A k A
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
bills) 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
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund