HomeMy WebLinkAbout206858 02/28/2012 CITY OF CARMEL, INDIANA VENDOR: 343500 Page 1 of 1
ONE CIVIC SQUARE ZEE MEDICAL, INC.
CHECK AMOUNT: $109.20
CARMEL, INDIANA 46032 PO BOX 781554
INDIANAPOLIS IN 46278 -8554 CHECK NUMBER: 206858
CHECK DATE: 2/28/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239012 0158378719 109.20 SAFETY SUPPLIES
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
Fim,m�oFsERME
INVOICE
ZEE MEDICAL INC. PAGE 1
PO BOX 781554 DATE 02/23/2012
INDIANAPOLIS IN 46278-8554 TIME 13:04:35
877-275-4933
JOE WEBGTER ext509 09/009/19 ORDER/INVOICE# 0158378719
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 317-733-2001
BONNIE
PART QTY DESCRIPTION $PRICE $EXTENDED TAX
1486 1 DILOTAB II, 100/BX 15.00 15.00 N
1420 1 IBUTAB 100/BX (ZEE) 14.15 14.15 N
1446 1 ANTACID, TRIAL 100/BX (ZEE) 11.80 11.80 N
1435 1 E.B. UN—ASPIRIN 100/BX (ZEE) 12.40 12.40 N
0744 1 BNDG,NON—LTX SMALL STRIP 5/8", 50/BX 5.95 5.95 N
LOCATION# 1 LOCATION DESCRIPTION SHOP SUBTOTAL: 59.30
1487 1 DILOTAB II, 250/BX 30.55 30.55 N
1435 1 E.S. UN—ASPIRIN 100/BX (ZEE) 12.40 12.40 N
9900 1 HANDLING CHARGE 6.95 6.95 N
LOCATION# 2 LOCATION DESCRIPTION OFFICE SUBTOTAL: 49.90
SAFETY: .00
FIRST AID: 109.20
NONTAXABLE: 109'20
TAXABLE: .00
SUBTOTAL: 109.20
TAX 1: .00
TAX 2: .00
TOTAL 109.20
PMOA39 Egg W
North America's #1 provider Vf first aid, safety, and training
CUSTOMER COPY 888' CALL ZEE (225-5033) zeemedical,com
VOUCHER N WARRANT NO.
ALLOWED 20
Zee Medical
IN SUM OF
P. O. Box 781554
Indianapolis, IN 46278 -8554
$109.20
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Member
2201 0158378719 42- 390.12 $109.20 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', February 23, 2012
7 ti
G
Street Commissioner v
Street Cc:.���i er
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
1
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))
02/23/12 0158378719 $109.20
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