HomeMy WebLinkAbout203215 10/25/2011 CITY OF CARMEL, INDIANA VENDOR: 343500 Page 1 of 1
`i. ONE CIVIC SQUARE ZEE MEDICAL, INC.
i CHECK AMOUNT: $64.05
CARMEL, INDIANA 46032 PO BOX 781554
INDIANAPOLIS IN 46278 -8554 CHECK NUMBER: 203215
CHECK DATE: 10/25/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4239099 0158377977 64.05 OTHER MISCELLANOUS
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
Ofl
r-
FIFTY YEARS OF SENCE
I N V 0 I C E
ZEE MEDICAL INC. PAGE 1
P °O BOX 781554 DATE 10/11/2011
INDIANAPOLIS IN 4678 -8554 TIME 12 :59 :22
877 275 -4933
JOE WEBSTER ext509 09/009/19 ORDER /INVOICE# 0158377977
Alt: P. O,
BILL TO 000712. SHIP TO# 000712
CITY OF CARMEL CITY OF CARMEL
GIVE CIVIC SQUARE ONE CIVIC SQUARE
CLERK TREASURER CLERK TREASURER
Carmel IN 46032 Carmel IN 46032
317- 571 -2414 317 -571 -2414
Ann
FART QTY DESCRIPTION $PRICE $EXTENDED TAX
0216 1 ANTISEPTIC SPRAY, NON— AEROSOL, 2 OZ 6.30 6.30 N
0206 1 HYDROGEN PEROXIDE, NON AEROSOL, 20Z. 3.65 3.65 N
0795 1 QR WOUND SEAL, 2 /PK 12.10 12.10 N
1417 1 PAIN --AID 100 /BX {ZEE} 12.80 12.80 N
1446 1 ANTACID, TRIAL 100 /BX (ZEE) 11.80 11.80 N
2629 1 EYE WASH, STERILE 1—OZ., 2 /UNIT 10.45 10.45 N
9900 1 HANDLING CHARGE 6.95 6.95 N
LOCATION# 1 LOCATION DESCRIPTION MAIN SUBTOTAL: 64.05
SAFETY: .00
FIRST AID: 64.05
NONTAXABLE; 64.05
TAXABLE: .00
SUBTOTAL: G4.05
TAX 1; .00
TAX 2: .00
TOTAL 64.05
CND North America's #1 provider of first aid, safety, and training
PLJS CUSTOMER COPY 888 -CALL ZEE (225 -5933) zeemedical.com
Vi
Macy", LAY jAiTuBm JR J,
00M KNE W"
MEW XUR Q_-';
MOP 3m vr W W My 81M•N01401
AM
simm or jjijg
'J
jPWAO 10 YTI,
:J -ll!-fCD DAAU08 JIVIO MCI
maquapapT max)
wqn
W MAKATNA, 1.300; W01 YTO TV 0
WOWP- WO AN% 31A q3FITMn
1: F3.1 D.. .100 W omommoo mnoqw mmomm i
!I i I., MQ\R W"12 QHUOW Rw
A %\Wol QlA-Hypq I T: pi
i WAT3 X&MR! JAIAT GljATMA sit i
A "P.01 "P.w rlMU\S 0 .SO-! 1JI93TO MAW AVE
M U1 wK. MIAM AO.TMADUM OUITPAW I umo f TAn
YTAIA0
0u.-3 WA TEAT'l
21.48 00 1 i
71 Xpi
jATU'l
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
'V t lCCA Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
L
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.
n� ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
L �A cc�q C*(w
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. !hereby certify that the attached invoice(s), or
LaL� 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
20
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund