HomeMy WebLinkAbout210179 06/20/2012 CITY OF CARMEL, INDIANA VENDOR: 343500 Page 1 of 1
ONE CIVIC SQUARE ZEE MEDICAL, INC.
CARMEL, INDIANA 46032 PO BOX 781554 CHECK AMOUNT: $104.60
INDIANAPOLIS IN 46278 -8554
CHECK NUMBER: 210179
CHECK DATE: 6/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 158379202 104.60 OTHER EXPENSES
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
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INVOICE
ZEE MEDICAL INC. PAGE 1
PO BOX 781554 DATE 05/29/2012
INDIANAPOLIS IN 46278-8554 TIME 14:14:28
877-275-4933
JOE WEBSTER ext509 09/009/19 ORDER/INVOICE# 0158379202
Alt: P.O.#
BILL TO 001107 SHIP TO# 003747
CITY OF CARMEL UTILITIES CARMEL SEWER DEPT
760 3RD AVE SW SUITE 110 901 NORTH RANGELINE ROAD
Carmel IN 46032 Carmel IN 46032
317-571-2443 317-571-2645
PAUL ARNONE
PART QTY DESCRIPTION $PRICE $EXTENDED TAX
3538 1 FORCEPS, STERILE DISPOSABLE 2.10 2.10 N
1418 1 PAIN—AID 250/BX (ZEE) 26.95 26.95 N
0740 1 BNDG, NON—LTX ELASTIC STRIP, 50/BX 7.45 7.45 N
9900 1 HANDLING CHARGE 6.95 6.95 N
1421 1 IBUTAB 250/BX (ZEE) 31.95 31.95 N
5649 1 WATER—JEL BURN DRS 4"X4" STER PAD 11.45 11.45 N
5641 1 MUSCLE JEL 3.5gm, 24 CT. 17.75 17.75 N
LOCATION# 1 LOCATION DESCRIPTION MAIN SUBTOTAL: 104.60
SAFETY: .00
FIRST AID: 104.60
NONTAXABLE: 104.60
TAXABLE: .00
SUBTOTAL: 104.60
TAX 1: .00
TAX 2: .00
TOTAL 104.60
North #1 provider of first aid. safety, and ha:inriu
CUSTOMER COPY 888 CALL ZEE (225-5933) zeemedical.com
VOUCHER 125066 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
158379202 01- 7200 -01 $104.60
Voucher Total $1.04.60
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 6/4/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/4/2012 158379202 $104.60
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