HomeMy WebLinkAbout201048 08/30/2011 CITY OF CARMEL, INDIANA VENDOR: 343500 Page 1 of 1
ONE CIVIC SQUARE ZEE MEDICAL, INC.
CHECK AMOUNT: $381.90
CARMEL, INDIANA 46032 PO BOX 781554
INDIANAPOLIS IN 46278 -8554 CHECK NUMBER: 201048
CHECK DATE: 8/30/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 0158377627 170.70 OTHER EXPENSES
601 5023990 0158377631 211.20 OTHER EXPENSES
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
0 0
0 0
FIFTY YEARS OF SENCE
1 N V O 1 C E
ZEE MEDI I NC. PI AGE I
PO LOX 781554 DATE 08/10/2011
677 INDIANAPOLIS I N 46278 --8 554 TIME 08:50:40
JOE WEBSTE.R ext509 09/009/19 ORDER /INVOICE# 0158377627
Alt; P. O.
BILL TO 001 107 SHIP TO# 003747
CITY OF CARMEL UTILITIES CARMEL SEWER DEPT
760 3RD AVE SW SUITE 110 901 NORTH RANGEL I NE ROAD
Carmel IN 46032 Carmel IN 46032
317-571-2443 317- -571 -2645
P AUL ARNONE
FART OTY DESCRIPTION $PRICE $EXTENDED TAX
0501 1 COTTON TIP APPLICATOR 3", NS, 100 VL 3.85 3.85 Id
1805 1 BURN SPRAY, NON AEROSOL, 2 OZ. 6. 6.30 N
1451 1 PEPT --EEZ 42/ PX (ZEE) 11.55 11.55 N
3538 1 FORCEPS, STERILE DISPOSABLE 1.95 1.95 N
5 641 1 MUSCLE JE3. 5rpm, 24 CT. 17.05 17.05 N
09 R
44 1 ELASTIC ROLLER GAUZE N/S JIB X 4. 5 f DS 3.45 3.45 N
0740 1 BNDG, NON -LTX ELASTIC STRIP, 50/0X 6.65 6.65. N
1486 1 DILOTAP II, 100/BX 15.00 15.00 N
1446 1 ANTACID, TRIAL 10O /BX (ZEE) 11.80 11.80 N
180 1 3- -ANTIBIOTIC DINT 0.9 GIB 5 /BX (ZEE) 8.55 8. N
0369 1 Si E RI STRIP 1/4" X 3 3 ENV 7. 60 7.60 N
1421 1 IBUTAB 250/BX (ZEE) 30.00 30.00 N
9900 1 HANDLING CHARGE 6.95 6.95 N
2207 1 IVY X PRE CONTACT TOWELETTE, 25 /BX 40.00 40.00
LOCATION# 1 LOCATION DESCRIPTION IAAIN SUBTOTAL: 170.70
SAFETY: 40.00
FIRST AID: 130.70
NONTAXABLE: 170.70
TAXABLE: .00
SUBTOTAL: 170.70
TAX 1: .00
TAX 2: .00
TOTAL 170.70
PQ North America's Al provider of first aid safety, and training
TRAY show Ismi Issms -.w CUSTOMER COPY
888 -CALL ZEE (2215933 zeemedicai.com
VOUCHER 115712 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
158377627 01- 7200 -01 $170.70
Voucher Total $170.70
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 8/19/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/19/2011 158377627 $170.70
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- 104.6
Date Officer
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
FIM,wSmnmnE
INVOICE
ZEE MEDICAL INC. PAGE 1
PO BOX 781554 DATE 08/10/2011
INDIANAPOLIS IN 46278-8554 r��� TIME 10 22: 12
877-275-4933
JOE WEBSTER ext509 09/009/19 ORDER/INVOICE# 0158377631
Alt: P.O.#
BILL TO 007748 SHIP TO# 007748
CARMEL WATER UTILITIES CARMEL WATER UTILITIES
3450 W 131ST STREET 3450 W 131ST STREET
Westfield IN 46074 Westfield IN 46074
317-733-2855 317-733-2855
JACK SPEARS
PART QTY DESCRIPTION $PRICE $EXTENDED TAX
2629 2 EYE WASH, STERILE 1-OZ', 2/UNIT 10.45 20.90 N
1825 1 FIRST AID CREAM 25/BX 9.20 9.20 N
3044 1 NITRILE GLOVES, 2PR 3.10 3.10 N
5649 1 WATER-JEL BURN DRS 4"X4" STER PAD 10.45 10.45 N
0203 1 CLEAN WIPES 50/BX (ZEE) 5.90 5.90 N
0204 1 ANTISEPTIC SWABS 50/BX (ZEE) 5'90 5.90 N
0749 1 BNDG,NON-LTX XTREME 7/8X4-1/2, 40/BX 10.50 10.50 N
0794 1 OR WOUND SEAL RAPID RESPONSE 19.75 19.75 N
0797 1 OR WOUND SEAL WITH APPLICATOR, 2/PK 16.45 16.45 N
LOCATION# 1 LOCATION DESCRIPTION MIDDLE SUBTOTAL: 102.15
1805 1 BURN SPRAY, NON-AEROSOL, 2 OZ. 6.30 6.30 N
0217 1 SPRAY-ON BANDAGE 3 OZ. AEROSOL 10'25 10.25 N
1825 1 FIRST AID CREAM 25/BX 9.20 9.20 N
0740 2 BNDG, NON-LTX ELASTIC STRIP, 50/BX 6.65 13.30 N
0749 1 BNDG,NON-LTX XTREME 7/8X4-1/2, 40/BX 10.50 10.50 N
0794 1 OR WOUND SEAL RAPID RESPONSE 19.75 19.75 N
0797 1 OR WOUND SEAL WITH APPLICATOR, 2/PK 16.45 16.45 N
LOCATION# 2 LOCATION DESCRIPTION WEST SUBTOTAL: 85.75
0737 1 BNDG, NON-LTX DURA-GTRIP 1", 100/BX 9.70 9.70 N
0740 1 BNDG, NON-LTX ELASTIC STRIP, 50/BX 6.65 6.65 N
9900 1 HANDLING CHARGE 6.95 6.95 N
LOCATION# 3 LOCATION DESCRIPTION OFFICE SUBTOTAL: 23.30
North America's #1 provider of first aid, safety, and training
888 CALL ZEE (225-5933) zeemedical.com
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
a
0 0
S o I
Fim YEARs OF SERVICE
I N V O I C E
Z
ZEE MEDICAL INC. PAGE L
PO BOX '781554 MATE V
INDIANAPOLIS IN 45278 -8554 TIME 10 22 :1.2
877-- 275 -4933
JOE WEBSTER ext509 09/0219/19 ORDER /INVOICE# 0158377631
Alt: f P.O.
PART OTY DESCRIPTION $PRICE $EXTENDED TAX
SAFETY: 00
FIRST AID: 211020
NONTAXABLE: 211.20
TAXABLE: d00
SUBTOTAL: 211.20
TAX 1-. .00
TAX 2: .00
TOTAL 211.20
SIGNATURE a DATE:
PRINT NAME„ TITLE:
ASK US ABOUT FIRST AID TRAINING AND AED PROGRAMS,.
THANK YOU FOR YOUR BUSINESS!!
INVOICE IS CONFIDENTIAL MAY BE SUBJECT TO LATE FEES.
PG1 North America's #1 provider of first aid, safety, and training
CUSTOMER COPY 888 CALL ZEE (225 -5933) zeemedicai.com
VOUCHER 112211 WARRANT ALLOWED
343500 WATER IN SUM OF
ZEE MEDICAL O'ERATlONS
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
0158377631 01- 6200 -06 $211.20
Voucher Total $211.20
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 8/23/2011
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/23/2011 0158377631 $211.20
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
i /t(' /i f C'—Q Yv`--
Date Officer