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209405 05/22/2012 CITY OF CARMEL, INDIANA VENDOR: 343500 Page 1 of 1 ONE CIVIC SQUARE ZEE MEDICAL, INC. CARMEL, INDIANA 46032 PO BOX 781554 CHECK AMOUNT: $414.22 INDIANAPOLIS IN 46278 -8554 CHECK NUMBER: 209405 CHECK DATE: 5122/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 0158379112 165.17 MAT SUPP -HAZ MATERI 2201 4239012 0158379148 136.95 SAFETY SUPPLIES 601 5023990 0158379149 112.10 MATERIALS SUPPLIES ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL �-l�� Fm Yam msMICE INVOICE ZEE MEDICAL INC. PAGE 1 PO BOX 781554 DATE 05/15/2012 INDIANAPOLIS IN 46278-8554 TIME 13:39:30 877-275-4933 JOE WEBSTER ext509 09/009/19 ORDER/INVOICE# 0158379148 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 1420 1 IBUTAB 100/BX (ZEE) 15.15 15.15 N LOCATION# 1 LOCATION DESCRIPTION SHOP SUBTOTAL: 15.15 1487 1 DILOTAB II, 250/BX 32.70 32.70 N 0206 1 HYDROGEN PEROXIDE, NON-AEROSOL, 20Z. 4.35 4.35 N 1421 1 IBUTAB 250/BX (ZEE) 31.95 31.95 N 1418 1 PAIN-AID 250/BX (ZEE) 26.95 26.95 N LOCATION# 2 LOCATION DESCRIPTION OFFICE SUBTOTAL: 95.95 0740 1 BNDG, NON-LTX ELASTIC STRIP, 50/BX 7.45 7.45 N 1801 1 3-ANTIBIOTIC OINT 0.9 GM 25/BX (ZEE) 9.35 9.35 N 3538 1 FORCEPS, STERILE DISPOSABLE 2.10 2.10 N 9900 1 HANDLING CHARGE 6.95 6.95 N LOCATION# 3 LOCATION DESCRIPTION BATHROOM SUBTOTAL: 25.85 SAFETY: .00 FIRST AID: 136.95 NONTAXABLE: 136.95 TAXABLE: .00 SUBTOTAL: 136.95 TAX 1: .00 TAX 2: .00 TOTAL 136.95 i North America's #1 provider of first aid, aafety, and training CUSTOMER COPY 888 CALL ZEE (225-5930 Z8S0Sdical.c00 VOUCHER NO. WARRANT NO. ALLOWED 20 Zee Medical IN SUM OF P. O. Box 781554 Indianapolis, IN 46278 -8554 $136.95 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 2201 I 0158379148 I 42- 390.121 $136.95 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 Tht✓rsday�M y 17� 012 Street Commissioner 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)) 05/15/12 0158379148 $136.95 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 F(FryvEARoOFxERwm INVOICE ZEE MEDICAL INC. PAGE 1 PO BOX 781554 DATE 05/09/2012 INDIANAPOLIS IN 46278-8554 TIME 09:47:40 877-275-4933 JOE WEBSTER ext509 09/009/19 ORDER/INVOICE# 0158379112 Alt: P.O.# BILL TO 011801 SHIP TO# 001107 CITY OF CARMEL H.H.W.**BILLING CITY OF CARMEL UTILITIES 760 3RD AVE SW SUITE 110 760 3RD AVE SW SUITE 110 Carmel IN 46032 Carmel IN 46032 317-571-2624 317-571-2443 LISA KEMPA PART QTY DESCRIPTION $PRICE $EXTENDED TAX 1446 1 ANTACID, TRIAL 100/BX (ZEE) 12.80 12.80 N 1435 1 E.S. UN-ASPIRIN 100/BX (ZEE) 13.40 13.40 N 1486 1 DILOTAB II, 100/BX 16.10 16.10 N 1417 1 PAIN-AID 1001BX (ZEE) 13.80 13.80 N 0740 1 BNDG, NON-LTX ELASTIC STRIP, 50/BX 7.45 7.45 N 1801 1 3-ANTIBIOTIC OINT 0.9 GM 25/BX (ZEE) 9.35 9.35 N 1817 1 HYDRO CREAM 1.0%, 0.9 GM 25/BX (ZEE) 10.65 10.65 N 0797 1 OR WOUND SEAL WITH APPLICATOR, 2/PK 17.52 17.52 N 0794 1 OR WOUND SEAL RAPID RESPONSE 19.75 19.75 N 0614 1 TETRAHYDRO. EYE DROPS, 1/2 OZ. 7.80 7.80 N 0618 1 EYE DROPS THERA TEARS 4/PK 5.75 5.75 N 0608 1 EYE SKIN BUF. FLUSHING SOL. 8 OZ 12.95 12.95 N 2629 1 EYE WASH, STERILE 1-OZ., 2/UNIT 10.90 10.90 N 9900 1 HANDLING CHARGE 6.95 6.95 N LOCATION# 1 LOCATION DESCRIPTION BREAKROOM SUBTOTAL: 165.17 SAFETY: .00 FIRST AID: 165.17 NONTAXABLE: 165.17 TAXABLE: .00 SUBTOTAL: 165.17 TAX 1: .00 TAX 2: .00 TOTAL 165.17 North America's #1 provider of first oid, xufetv, and training CUSTOMER COPY 888 CALL ZEE (225-5933) zeemedical.com VOUCHER 117308 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 158379112 01- 720H -08 $165.17 Voucher Total $165.17 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 5/14/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/14/2012 158379112 $165.17 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 ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL FiFryvEAR,OF SERGE INVOICE ZEE MEDICAL INC. PAGE 1 PO BOX 781554 DATE 05/15/2012 INDIANAPOLIS IN 46278-8554 TIME 13:57:55 877-275-4933 JOE WEBSTER ext509 09/009/19 ORDER/INVOICE# 0158379149 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 0995 2 ZEE FLEX 2" X 5 YDS 4.90 9.80 N 0740 2 BNDG, NON-LTX ELASTIC STRIP, 50/BX 7.45 14.90 N 0921 1 GAUZE PADS 3" X 3 (ZEE) 7 G5 7 65 N 0794 1 OR WOUND SEAL RAPID RESPONSE 19.75 19.75 N LOCATION# 1 LOCATION DESCRIPTION GARAGE SUBTOTAL: 52.10 2629 2 EYE WASH, STERILE 1-OZ., 2/UNIT 10.90 21.80 N 3538 1 FORCEPS, STERILE DISPOSABLE 2.10 2.10 N 1801 1 3-ANTIBIOTIC DINT 0.9 GM 25/BX (ZEE) 9.35 9.35 N 0740 1 BNDG, NON-LTX ELASTIC STRIP, 50/BX 7.45 7.45 N 0370 1 TAPE, ELASTIC 1" X 5 YD. SPOOL 7.45 7.45 N 0995 1 ZEE FLEX 2" X 5 YDS 4.90 4.90 N 9900 1 HANDLING CHARGE 6.95 6.95 N LOCATION# 2 LOCATION DESCRIPTION WEST SUBTOTAL: 60.00 SAFETY: .00 FIRST AID: 112.10 NONTAXABLE: 112.10 TAXABLE: .00 SUBTOTAL: 112.10 TAX 1: .00 TAX 2: .00 TOTAL 112.10 North America's #1 provider of first okd, yefety and t CUSTOMER COPY 888' CALL ZEE (225-5S30 zeamedkmioum VOUCHER 114594 WARRANT ALLOWED 343500 IN SUM OF ZEE MEDICAL P.O. BOX 781554 i INDIANAPOLIS, IN 46278 -8554 I Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR i Board members PO INV ACCT AMOUNT Audit Trail Code 0158379149 01- 6200 -06 $112.10 i I i Voucher Total $112.10 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 5/15/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/15/2012 0158379149 $112.10 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 z- -min Date Officer