HomeMy WebLinkAbout199743 07/20/2011 CITY OF CARMEL, INDIANA VENDOR: 343500 Page 1 of 1
ONE CIVIC SQUARE ZEE MEDICAL, INC.
CHECK AMOUNT: $76.15
CARMEL, INDIANA 46032 PO BOX 781554
c, o INDIANAPOLIS IN 46278 -8554 CHECK NUMBER: 199743
CHECK DATE: 7/20/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239012 158377432 76.15 SAFETY SUPPLIES
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
mv YEARS OFSERVICE
INVOICE
ZEE MEDICAL INC. PAGE 1
PO BOX 781554 DATE 07/07/2011
INDIANAPOLIS IN 46278-8554 TIME 10:04:44
877-275-4933
JOE WEBSTER ext509 09/009/19 ORDER/INVOICE# 0158377432
Alt: P.O.#
BILL TO 003728 SHIP TO# 003728
CARMEL POLICE CARMEL POLICE
3 CIVIC SQUARE 3 CIVIC SQUARE
Carmel IN 46032 Carmel IN 46032
317-571-2500 317-571-2500
TERESA ANDERSON
PART QTY DESCRIPTION $PRICE $EXTENDED TAX
2641 1 POVIDONE IODINE, 10/UNIT 8.00 8.00 N
1817 1 HYDRO CREAM 1.0%, 0.9 GM 25/BX (ZEE) 9.65 9.65 N
M015991 1 STING SWABS,MEDICAINE STING EASE 10/ 8.10 8.10 N
0618 1 EYE DROPS THERA TEARS 4/PK 5.45 5.45 N
0716 1 BNDG, NON—LTX KNUCKLE, 40/BX 8.50 8.50 N
0740 2 BNDG, NON—LTX ELASTIC STRIP, 50/BX 6.65 13.30 N
60731 1 BNDG NON—LTX SHEER STRIP 1" 100/BX 9.05 9.05 N
9900 1 HANDLING CHARGE 5.95 5.95 N
0743 1 BNDG, NON—LTX LG PATCH, 25/BX 8.15 8-15 N
LOCATION# 1 LOCATION DESCRIPTION BREAKRO8M SUBTOTAL: 76.15
SAFETY: .00
FIRST AID: 76.15
NONTAXABLE: 76.15
TAXABLE: .00
SUBTOTAL: 76.15
TAX 1: .00
TAX 2: .00
TOTAL 76~15
ON ACCOUNT
CUSTOMER COPY
North America's #1 provider offirst aid safety, and training
888 CALL ZEE (225-5933) zeemedical.com
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))
07/07/11 158377432 payment for medical supplies $76.15
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, Inc.
IN SUM OF
P.O. Box 781554
Indianapolis, IN 46278 -8554
$76.15
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
1110 I 158377432 I 42- 390.12 $76.15 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
Thursday, July 14, 2011
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund