HomeMy WebLinkAbout175239 07/22/2009 CITY OF CARMEL, INDIANA VENDOR: 343500 Page 1 of 1
ONE CIVIC SQUARE ZEE MEDICAL, INC. CHECK AMOUNT: $465.51
CARMEL, INDIANA 46032 PO BOX 781554
s; �o INDIANAPOLIS IN 46278 -8554 CHECK NUMBER: 175239
CHECK DATE: 7/22/2009
DEPARTMENT ACCOUN PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239012 0158286476 X142.09 SAFETY SUPPLIES
1701 4239099 0158286491 X78.49 OTHER MISCELLANOUS
2201 4239012 0158286492 156.19 SAFETY SUPPLIES
601 5023990 0158286493 ,88.74 OTHER EXPENSES
r'
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
I N V O I C E
ZEE MEDICAL INC. PAGE 1
PO PDX 781054 DATE 07/02/2009
INDIANAPOLIS IN 46 278 8554 TIME 10:44 :58
317- 872 -2492
JOE WEBSTER 09/009/19 ORDER /INVOICE# 0158286476
Alt: P. O.
RILL TO 003728 SHIP TO# 003728
CARMEL POLICE CARMEL POLICE
3 CIVIC SQUARE 3 CIVIC SQUARE
CARMEL 7�7. IN 46032 CARMEL IN 46032
317 571 -2500 317 571 2500
TERESA ANDERSON
PART OTY DESCRIPTION $PRICE $EXTENDED TAX
1801 1 3- ANTIBIOTIC OINT, 0. 9GM, 25 /RX (ZEE) 8.10 8.10 N
1453 1 CHERRY COUGH DROPS 50 /BX (ZEE) 8.69 8.69 N
1486 1 DILOTAB II, 100/BX 13.99 13.99 N
1421 1 ZEE IBUTAB 250 /BX 27.99 27.99 N
1417 1 ZEE PAIN -AID 100/BX 11.95 11.95 N
0716 1 BNDG, NON -LTX KNUCKLE, 40 /BX 7.95 7.95 N
0740 1 BNDG, NON -LTX ELASTIC STRIP, 50 /BX 5.99 5.99 N
0995 1 ZEE FLEX 2" X 5 YDS 4.55 4. N
3537 1 SPLINTER OUT (ZEE), 10 /PK 3.99 3.99 N
1447 1 ANTACID, TRIAL 250 /BX (ZEE) 19.95 19.95 N
1436 1 E. S. UN- ASPIRIN 250 /BX (ZEE) 22.99 22.99 N
9900 1 HANDLING 5.95 5.95 N
LOCATION# 1 LOCATION DESCRIPTION A SUBTOTAL: 142.09
SAFETY: .00
FIRST AID: 142.09
SUBTOTAL: 142.09
TAX 1: .00
TAX 2: 00
TOTAL 142.09
pGJ G North America's #1 provider of first aid, safety, and training
PQI WN `sA3 CUSTOMER COPY 888 CALL ZEE (225 -5933) zeemedical.com
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
Zee Medical, Inc. Purchase Order No.
P.O. Box 781554 Terms
Indianapolis, IN 46278 -8554 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
7/2/09 158286476 payment for medical supplies 142.09
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.
ALLOWED 20
Zee Medical, Inc. IN SUM OF
P.O. Box 781554
Indianapolis, IN 46278 -8554
142.09
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 158286476 390 -12 142.09 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
July 15 20 09
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
S
INVOICE
ZEE MEDICAL INC. PAGE 1
PO BOX 781554 DATE 07/07/2009
INDIANAPOLIS IN 46278-8554 TIME 10:50:05
317-872-2492
JOE WEBSTER 09/009/19 ORDER/INVOICE# 0158286491
Alt: P.O.#
BILL TO 000712 SHIP TO# 000712
CITY OF CARMEL CITY OF CARMEL
ONE CIVIC SQUARE ONE CIVIC SQUARE
CLERK TREASURER CLERK TREASURER
CARMEL IN 46032 CARMEL IN 46032
317-571-2414 317-571-2414
Ann
PART QTY DESCRIPTION $PRICE $EXTENDED TAX
1417 1 ZEE PAIN—AID 100/BX 11.95 11.95 N
0744 1 BNDG,NON—LTX SMALL STRIP 5/8 50/BX 4.99 4.99 N
0740 1 BNDG, NON—LTX ELASTIC STRIP, 50/BX 5.99 5.99 N
1420 1 ZEE IBUTAB 100/BX 13.15 13.15 N
3537 1 SPLINTER OUT (ZEE), 10/PK 3.99 3.99 N
1486 1 DILOTAB II, 100/BX 13.99 13.99 N
5665 2 WATER—JEL BURN—JEL EACH 1.75 3.50 N
0920 1 GAUZE PADS 3" X 3", 10/BX (ZEE) 3.99 3.99 N
9900 1 HANDLING 5.95 5.95 N
0795 1 URGENT OR, INDUSTRIAL FORMULA, 2/PK 10.99 10.99 N
LOCATION# 1 LOCATION DESCRIPTION A SUBTOTAL: 78.49
SAFETY: .00
FIRST AID: 78.49
SUBTOTAL: 78.49
TAX 1: .00
TAX 2: .00
TOTAL 78.49
North America's #1 provider of first aid, xnfety, and training
CUSTOMER COPY 888 CALL ZEE zeemedical.00m
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))
f
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.
P ALLOWED 20
IN SUM OF
-7g' 41
ON ACCOUNT OF APPROPRIATION FOR
9 11
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
A
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
1
t
I N V O I C E
ZEE MEDICAL INC. PAGE 1
PO BOX 781 554 DATE 07/07/2009
INDIANAPOLIS IN 46278-8554 TIME 11:35:54
317 872 --2492
JOE WEBSTER 09/009/19 ORDER /INVOICE# 0158286492
Alt: P.O.#
BILL TO M00486 SHIP TO# 000486
CARMEL STREET DEFT CARMEL STREET DEFT
3400 WEST 131ST STREET 3400 WEST 131ST STREET
WESTF I ELD IN 46074 WESTF I I= L..D IN 46074
317-733-2001 317- -733-2001
BONNIE
PART OTY DESCRIPTION $PRICE $EXTENDED TAX
2209 2 CLEANSE -AWAY 4 OZ BTL (POISON IVY) 7.70 15.40 *N
0716 1 BNDG, NON -LTX KNUCKLE, 401/BX 7.95 7.95 N
M015991 1 MEDICAINE STING CRUSH SWAPS 10 /PK 7.70 7 „70 N
LOCATION# 1 LOCATION DESCRIPTION SHOP SUBTOTAL: 31.05
1420 1 ZEE IBUTAB 100/BX 13.15 13.15 N
1417 1 ZEE PAIN -AID 100/BX 11.95 11.95 N
LOCATION# 2 LOCATION DESCRIPTION OFFICE SUBTOTAL: 25.10
0216 1 ANTISEPTIC SPRAY, NON- AEROSOL, 2 OZ 5.96 5.96 *N
M015991 1 MEDICAINE STING CRUSH SWABS 101F'K 7.70 7.70 N
1801 1 3- ANTIBio rIC DINT, 0.9GM, 25 /BX (ZEE) 8.10 8.10 N
1817 1 HYDROCORTIZONE CREAM 1!, 0.9GM 25 /F'K 9.40 9.40 N
2353 2 ICE PACK, ECONOMY, SMALL (ZEE) 2.15 4.30 N
3537 1 SPLINTER OUT (ZEE_), IO /PK 3.99 3.99 N
2629 2 EYE WASH, STERILE i -OZ., /UNIT 9.95 19.90 N
0797 1 OR WITH APPLICATOR, INDUSTRIAL, 1 /PK 14.99 14.99 N
0601 1 EYE. CUPS, PLASTIC 6 /VIAL 3.85 3.85 N
9900 1 HANDLING 5.95 5.95 N
0608 1 EYE R SKIN BUF. FLUSHING SOL. 8 OZ. 10.75 10.75 N
171618 1 EYE DROPS THERA TEARS 4 /PK 5.15 5.15 N
LOCATION# 3 LOCATION DESCRIPTION BATHRM SUBTOTAL: 100.04
Pavwgff Egg 9pw North America's #1 provider of first aid, safety, and training
pQ� v o CUSTOMER COPY 888 CALL ZEE (225 -5933) zeemedical.com
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
I N V O I C E
ZEE MEDICAL INC. PAGE
PO BOX 781554 DATE 07/07/2009
INDIANAPOLIS IN 46278 -8554 TIME 11.35:54
317-87
2 2492
JOE WEBSTER 09/009/19 ORDER /INVOICE# 0158286492
Alt: P. O,
PART OTY DESCRIPTION $PRICE $EXTENDED TAX
SAFETY. 21.36
FIRST AID. 134.83
SUBTOTAL: 156°19
TAX 1: .00
TAX 2. .00
TOTAL 156.19
SIGNATURE DATE.
PRINT NAME: TITLE:
I
PQ North America's #1 provider of first aid, safety, and training
pQ� CUSTOMER COPY 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))
07/07/09 0158286492 $156.19
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
VO UCHER NO. WARRANT NO.
ALLOWED 20
Zee Medical
IN SUM OF
P. O. Box 781554
Indianapolis, IN 46278 -8554
$156.19
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
2201 0158286492 42- 390.12 $156.19 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
Friday, July 17, 2009
Street Commigs,
pner
Sire;
Cost distribution ledger classification if
claim paid motor vehicle highway fund
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
I nl V 0 I C E
ZEE MEDICAL INC. PAGE 1
PO BOX 7815..54 DATE 07/07/=009
INDIANAPOLIS IN 46278 -8554 TIME 11:54 -.20
317 872 -2492
JOE WEBSTER 09/009/19 ORDER /INVOICE# 0158286493
Alt- P. O.
BILL TO 007748 SHIP TO# 007748
CARMEL WATER UTILITIES CARMEL WATER UTILITIES
3450 W 131ST STREET 3400 W 131ST STREET
WESTFIELD IN 46074 WESTFIELD IN 48074
317 733 -2855 ,.317- 733 -2855
JACK SPEARS
FART OTY DESCRIPTION $PRICE $EXTENDED TAX
1805 1 BURN SPRAY, NUN -AEROSOL, 2 OZ. 5.96 5.96 *N
0216 1 ANTISEPTIC SPRAY, NON—AEROSOL, 2 OZ 5.96 5.96 *N
0602 2 EYE WASH, STERILE 1 —OZ (ZEE) 4.95 9.90 N
LOCATION# 1 LOCATION DESCRIPTION A SUBTOTAL-. 21.82
0602 2 EYE WASH, STERILE 1 —OZ (ZEE) 4.95 9.90 N
0740 1 BNDG, NON —LTX ELASTIC STRIP, 50 /PX 5.99 5.99 N
0216 1 ANTISEPTIC SPRAY, NON AEROSOL, 2 OZ 5 .,.96 5.96 *IV
0618 1 EYE DROPS THERA TEARS 4 /F'N, 5.15 5.15 N
LOCA°f ION# 2 LOCATION DESCRIPTION B SUBTOTAL-. 27.00
1801 1 3-- ANTIBIOTIC DINT, 0.96M, 25 /PX (ZEE) 8.10 8.10 N
1817 1 HYDROCORTIZONE CREAK{ 1/, 0.9GM 25 /PK 9.40 9.40 N
0216 1 ANTISEPTIC SPRAY, NON—AEROSOL, 2 OZ 5.96 5.96 *N
1805 1 BURN SPRAY, NON— AEROSOL, 2 OZ. 5.96 5.96 *N
0995 1 ZEE FLEX 2" X 5 YDS 4.55 4.55 N
9900 1 HANDLING 5.955.95 N
LOCATION# 3 LOCATION DESCRIPTION OFFICE SUBTOTAL-. 39.92
North America's #1 provider of first aid, safety, and training
CUSTOMER COPY 888 CALL ZEE (225 -5933) zeemedical.com
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
INVOICE
ZEE MEDICAL INC. PAGE 2
PO BOX.781554 DATE 07/07/2009
INDIANAPOLIS IN 46278-8554 TIME 11:54:20
317-872-2492
JOE WEBSTER 09/009/19 ORDER/INVOICE# 0158286493
Alt: P.O.#
PART QTY DESCRIPTION $PRICE $EXTENDED TAX
SAFETY: 29,80
FIRST AID: 58.94
SUBTOTAL: 88.74
TAX 1: .00
TAX 2: .00
TOTAL 88.74
[n
SIGNATURE DATE:
PRINT NAME: TITLE:
North America's #1 provider of first aid, safety, and training
CUSTOMER COPY 888 CALL ZEE 3A zemmadkaioom
s
Prescribed by State Board of Accounts City Forrr�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 7/13/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/13/2009 0158286493 $88.74
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
Date Officer
VOUCHER 002285 WARRANT ALLOWED
343500 IN SUM OF
ZEE MEDICAL N
P.O. BOX 781554
O
3
INDIANAPOLIS, IN 46278- 8554
'!v
1
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
0158286493 01- 6200 -06 S88.74
C
A
a
Voucher Total $88.74
Cost distribution ledger classification if
claim paid under vehicle highway fund