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Home My WebLink About205644 01/17/2012 ±4 CITY OF CARMEL, INDIANA VENDOR: 343500 Page 1 of 1 ONE CIVIC SQUARE ZEE MEDICAL, INC. 2 CARMEL, INDIANA 46032 PO BOX 781554 CHECK AMOUNT: $547.00 INDIANAPOLIS IN 46278 -8554 CHECK NUMBER: 205644 ror CHECK DATE: 1117/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1115 R4350900 27696 01583784585 158.30 2012 OBLIGATIONS 1110 4239012 0158378484 64.30 SAFETY SUPPLIES 1110 R4350000 25928 D2284901 324.40 AED BATTERIES -REMIT TO-------------- ZEE MEDICAL. INC. INVOICE NUMBER: D2284901 P.D. BOX 781554 ACCOUNT NUMBER: 003728 INDPLS. IN 46278 -8554 INVOICE DATE: 12/23/2011 (877) 275 -4933 PAGE NUMBER: 1 I N V O I C E SOLD TO SHIP TO CARMEL POLICE CARMEL POLICE 3 CIVIC SQUARE 3 CIVIC SQUARE Carmel IN 46032 PO #25928 Carmel IN 46032 OUR ORDER D22849 D5 YOUR P /09: 22849 ORDER DATE: 12/23/2011 13:16:20 PLACED BY: TERESA ANDERSON __P1.CK. DATE 12/23/2011 CONTRACT 22,849 SHIP DATE: 12/23/2011 JOB# /NAME: SHIP VIA: SALES REP VAN SALES REP: 19 F.O.B. origin TERMS: Upon Receipt Tracking #s: 1Z2AT5450370608271 ORDERED SHIPPED BCKRD ITEM DESCRIPTION PRICE AMOUNT 2 2 4029 LIFEPAK CR PLUS 162.20 324.40 Shipped on: 12/23/11 INVOICE TOTAL 324.40 Pmt due by 12/23/2011 4 INDIANA RETAIL TAX EXEMPT PAGE a' t C armel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 35- 60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A!P CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 1212M 9 ZGo Modtcaall, Inc. Carmoll Polices Dopaftont VENDOR SHIP 3 Civic squm P.O. Box 78i5m TO CarmoI, IN 46M Indlainapolls, IN 46270 (317) 579 ?Me CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43-M.00 2 Each AED Baftery $162.30 325.00 Sub Total; $325.00 r .,7151 N W �K o Send Invoice To: r.� CEM01 Police DI<apartmont Attn: Toms@ Anderson Cam' Gl, IN Q 2= PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT Carmel Police Dept. PAYMENT x'00 1 A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS;, E ROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS HEREBY CE71 IS AN UNOBLIGATED BALANCE IN SHIP REPAID. THIS APPR RIATI N SUFFICIENT TO PAY FOR THE ABOVE ORDER- C.O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. Ilt PoIIca THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK -TREASURER DOCUMENT CONTROL NO. 2 5 9 2 8 A.P.V. COPY -SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO._ ALLOWED 20 IN THE SUM OF ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #(TITLE AMOUNT DEPT. 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____ 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund VOUCHER NO. WARRANT NO. ALLOWED 20 Zee Medical, Inc. IN SUM OF P.O. Box 781554 Indianapolis, IN 46278 -8554 $324.40 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# i Dept. INVOICE NO. ACCT# /TITLE AMOUNT Board Members Prior Year Encumbered I hereby certify that the attached invoice(s), or 25928 2284901 I 43- 500.00 $324.40 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, January 12, 2012 Chief of Police 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)) 12/23/11 2284901 AED batteries $324.40 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 PROPRIETARY AND CONFIDENTIAL L�.LEff�� Fin,mns orsmwu r. INVOICE ZEE MEDICAL INC' PAGE 1 PO BOX 781554 DATE 01/12/2012 INDIANAPOLIS IN 46278-8554 TIME 14:07:54 877-275-4933 JOE WEBSTER ext509 09/009/19 ORDER/INVOICE# 0158378485 Alt: P.O'# BILL TO M03609 SHIP TON. 003609 CARMEL CLAY COMMUNICATIONS CARMEL-CLAY COMMUNICATIONS 31 1ST. AVE. N.W. 31 1ST AVE N.W. Carmel IN 46032 Carmel IN 46032 317-571-5780 317-571-5780 DIANE PART QTY DESCRIPTION $PRICE $EXTENDED TAX 0203 1 CLEAN WIPES 50/BX (ZEE) 5.90 5.90 N 1435 1 E.S. UN-ASPIRIN 100/BX (ZEE) 12.40 12.40 N 1402 1 ASPIRIN, 5 GR 100/BX (ZEE) 7.85 7.85 N 1418 1 PAIN-AID 250/BX (ZEE) 25.70 25.70 N 1454 1 CHERRY COUGH DROPS 125/BX (ZEE) 17.45 17.45 N 0744 1 BNDG,NON-LTX SMALL STRIP 5/8", 50/BX 5.95 5.95 N 1801 1 3-ANTIBIOTIC OINT 0'9 GM 25/BX (ZEE) 8.55 8.55 N 1451 1 PEPT-EEZ 42/BX (ZEE) 11.55 11.55 N 1457 1 ANTI-DIARRHEAL CAPLETS,2mg,12CT 7.25 7.25 N 0225 1 ANTI-BACTERIAL TOWELETTE 20/BX 5.90 5.90 N 1446 1 ANTACID, TRIAL 100/BX (ZEE) 11.80 11.80 N 9900 1 HANDLING CHARGE 6.95 6.95 N 1478 1 ZEE ALLERGY RELIEF TABLET, 10/BX 8'10 8.10 N 3537 1 SPLINTER OUT (ZEE), 10/PK 4.35 4.35 N 0743 1 BND8, NON-LTX LG PATCH, 25/BX 8.15 8.15 N 2629 1 EYE WASH, STERILE 1-OZ., 2/UNIT 10.45 10.45 N LOCATION# 1 LOCATION DESCRIPTION MAIN SUBTOTAL: 158.30 On North America's #1 provider of first aid safety, and training CUSTOMER COpY 880 CALL ZEE (225-5933) zeemadicu.com ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL c. FirryrmmmumwM INVOICE ZEE MEDICAL INC. PAGE 2 PO BOX 781554 DATE 01/12/2012 INDIANAPOLIS IN 46278-8554 TIME 14:07:54 877-275-4933 JOE WEBSTER ext509 09/009/19 ORDER/INVOICE# 0158378485 Alt: P.O.# PART QTY DESCRIPTION $PRICE $EXTENDED TAX SAFETY: .00 FIRST AID: 158.30 NONTAXABLE: 158.30 TAXABLE: .00 SUBTOTAL: 158.30 TAX 1: .00 TAX 2: .0@ TOTAL 158.30 ON ACCOUNT SIGNATURE DATE: 01/12/2012 SIGNATURE ON FILE PRINT NAME: ARNONE ASK US ABOUT FIRST AID TRAINING AND AED PROGRAMS. THANK YOU FOR YOUR BUSINESS!! INVOICE IS CONFIDENTIAL MAY BE SUBJECT TO LATE FEES. North America's #1 provider of first aid, safety, and training CUSTOMER COPY 888' CALL ZEE zeomodicmicnm VOUCH NO. WARRANT NO. ALLOWED 20 Zee Medical, Inc. IN SUM OF P.O. Box 781 554 Indianapolis, IN 46278 -8554 $158.30 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members Encumbered I hereby certify that the attached invoice(s), or 27696 I 01583784585 43- 509.00 $158.30 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, January 12, 2012 Director 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)) 01/12/12 01583784585 $158.30 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 PROMETARY AND CONFIDENTIAL o LiiLe� Pmvwn uxmwCE INVOICE ZEE MEDICAL INC. PAGE 1 PO BOX 781554 DATE 01/12/2012 INDIANAPOLIS IN 46278-8554 TIME 13:44:41 877-275-4933 JOE WEBSTEA ext509 09/009/19 ORDER/INVOICE# 0158378484 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 0608 1 EYE SKIN BUF. FLUSHING SOL. 8 OZ 11.95 11.95 N 2629 1 EYE WASH, STERILE 1-0Z., 2/UNIT 10.45 10.45 N 0794 1 OR WOUND SEAL RAPID RESPONSE 19.75 19'75 N 0740 1 BNDG, NON—LTX ELASTIC STRIP, 50/BX 6.65 6.65 N 1801 1 3—ANTIBIOTIC OINT 0.9 GM 25/BX (ZEE) 8.55 8,55 N 9900 1 HANDLING CHARGE 6.95 6.95 N LOCAT38N# 1 LOCATION DESCRIPTION MAIN SUBTOTAL: 64.30 SAFETY: .00 FIRST AID; 64.30 NONTAXABLE: 64.30 TAXABLE: .00 SUBTOTAL: 64.30 TAX 1: .00 TAX 2: '00 TOTAL 64.30 Newilaw UPS WAX North America's #1 provider of first aid, safety, and training CUSTOMER COPY 888 CALL ZEE (2]5-5933) zaem8d|caioom VOUCHER NO. WARRANT NO. ALLOWED 20 Zee Medical, Inc. IN SUM OF P.O. Box 781554 Indianapolis, IN 46278 -8554 $6 4.30 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 1110 158378484 42- 390.12 I $64.30 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, January 12, 2012 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund Prescribed by State Board of Accounts City Form Igo. 261 (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)) 01/12/12 158378484 medical supplies $64.30 1 hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordance with IG 5- 11- 10 -1.6 20 Clerk- Treasurer