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Home My WebLink About215226 12/04/2012 r - CITY OF CARMEL, INDIANA VENDOR: 343500 Page 1 of 1 0 ONE CIVIC SQUARE ZEE MEDICAL, INC. CHECK AMOUNT: $651.16 CARMEL, INDIANA 46032 PO BOX 781554 INDIANAPOLIS IN 46278-8554 CHECK NUMBER: 215226 CHECK DATE: 12/412012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 0158482173 368 .42 MATERIALS & SUPPLIES 2201 4239012 0158482174 195 . 17 SAFETY SUPPLIES 1701 4239099 0158482201 87 . 57 OTHER MISCELLANOUS ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL �z ^�7F��''= / FFn YEARS OFSERVICE INVOICE ZEE MEDICAL INC. PAGE 1 PO BOX 781554 DATE 11 /16/2012 INDIANAPOLIS IN 46278-8554 TIME ^ 13:47: 12 877-275-4933 JOE WEBSTER ext509 09/009/19 ORDER/INVOICE# 0158482174 ' Alt : / / PI. 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 1801 1 3-ANTIBIOTIC OINT 0. 9 GM 25/BX (ZEE) 9. 35 9. 35 N 0206 1 HYDROGEN PEROXIDE, NON-AEROSOL, 2OZ. 4. 35 4. 35 N 2331 1 EMERGENCY FIRST AID POCKET GUIDE 5. 15 5. 15 N 0795 1 OR WOUND SEAL, 2/PK 12. 95 12. 95 N 0797 1 OR WOUND SEAL WITH APPLICATOR, 2/PK 17. 52 17. 52 N 0740 1 BNDG, NON-LTX ELASTIC STRIP, 50/BX 7. 45 7. 45 N 0716 1 BNDG, NON-LTX KNUCKLE, 40/BX 9. 40 9. 40 N | 0744 1 BNDG, NON-LTX SMALL STRIP 5/811, 50/8X 6. 45 6. 45 N | 0618 1 EYE DROPS - THERA TEARS 4/PK 5. 75 5. 75 N LOCATION# 1 LOCATION DESCRIPTION - BLD 2 SUBTOTAL: 78. 37 1418 1 PAIN-AID 250/BX (ZEE) 26. 95 26. 95 N 1487 1 DILOTAB II, 250/BX 32. 70 32. 70 N 1468 ' ' 1 SORE THROAT LZNGS CHERRY 181BX (ZEE) 8. 95 8. 95 N LOCATION# 2 LOCATION DESCRIPTION - OFFICE SUBTOTAL. 68. 60 3538 2 FORCEPS, STERILE DISPOSABLE 2. 10 4. 20 N 0618 1 EYE DROPS - THERA TEARS 4/PK 5. 75 5. 75 N 0740 1 BNDG, NON-LTX ELASTIC STRIP, 50/8X 7. 45 7. 45 N 0743 1 BNDG, NON-LTX LG PATCH, 25/BX 8. 95 8. 95 N 1817 1 HYDRO CREAM 1. 0%, 0. 9 GM 25/BX (ZEE) 10. 65 10. 65 N 0501 1 COTTON TIP APPLICATOR 3", NS, 100/VL 4. 25 4. 25 N 9900 1 HANDLING CHARGE 6. 95 6. 95 T LOCATION# 3 LOCATION DESCRIPTION - BATHROOM SUBTOTAL: 48. 20 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 L f( J = FIFry YEARS OF SERVICE " I N V 0 I C E ZEE MEDICAL INC. PAGE E PO BOX 781554 DATE 11/16/2012 INDIANAPOLIS IN 46278--8554 TIME 13:47: 12 877-275-4333 JOE WEBSTER ext503 03/003/13 ORDER/INVOICE# 015648: 174 Alt : / / P. O. # PART # OTY DESCRIPTION $PRICE $EXTENDED TAX SAFETY: . 00 FIRST AID: 1`35. 17 NONTAXABLE: 188. 22 ..TAXABLE: 6. 95 SUBTOTAL: 195. 17 TAX 1 : . 00 TAX 2: . 00 -TOTAL 195. 17 SIGNATURE : DATE: PRINT NAME: TITLE: ASK US ABOUT FIRST AID 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 m ' ° lum M96@M CUSTOMER COPY 888 - CALL ZEE (225-5933) zeemedical.com VOUCHER NO. WARRANT NO. ALLOWED 20 Zee Medical IN SUM OF $ P. O. Box 781554 Indianapolis, IN 46278-8554 $195.17 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 1 0158482174 1 42-390.121 $195.17 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, November 29, 2012 Street Commissioner Title�� . v 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)) 11/16/12 0158482174 $195.17 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 20 Clerk-Treasurer ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL FIF ry YEARS OF SERVICE I 1\1 V O I C E ZEE MEDICAL INC. PAGE 1 PO BOX 781554 DATE 11 /16/2012 I ND I ANAPOL.I S IN 46278--8554 j .1_I ME 13: 17: 17 877-275-4533 � a .JOE WEBSTER ext509 09/049/19 ORDER/INVOICE# 0158482173 Alt : / P. O. # BILL TO # 007748 SHIP TO# 007746 CARMEL WATER UTILITIES C:ARMEL WATER UTILITIES 3450 W 131ST STREET 3450 W - 131ST STREET Westfield IN 46074 Westfield ITV 46 07 4 17-733-2855 31'7-733-2855 JACK SPEARS PART # OTY DESCRIPTION $PRICE $EXTENDED 'FAX 0794 1 OR WOUND SEAL RAPID RE'SP'ONSE 19. 75 19. 75 N 0206 1 HYDROGEN PEROXIDE, NUN-AEROSOL, 20Z. 4. 35 4. 35 N 0216 1 ANTISEPTIC SPRAY, NON-AEROSOL, E OZ 6. 90 6. 90 N 1805 1 BURN SP'RA'Y`, NON-AEROSOL, ` OZ. 6. 65 6. 85 N 0608 1 EYE & SKIN BUF. FLUSHING SOL. 9 OZ 12. 95 12. 95 N 2629 2 EYE WASH, STERILE 1-OZ. , 2/UNIT 10. 90 21. 80 N 2331 1 EMERGENCY FIRST AID POCKET GUIDE 5. 115 ;;. 15 N 0744 1 BNDG, NON-LTX SMALL S'C'RIP' 5/8", 50/BX 6. 45 6. 45 N 0618 1 EYE DROPS -- THERA TEARS 4/PK 5. 75 5. 75 N 2651 1 WATER-JEL BURN J'EL 6/BX, WRAPPED 9. 70 9. 70 N 1801 1 3-ANTIBIOTIC DINT 0. 9 GM 25/BX (ZEE) 9. 35 9. 35 N __LOCAT_I ON* - 1 LOCATION DESCRIPTION - OFFICE SUB`('OTAL e 109. 00 0213 1 BLOOD CLOTTING SPRAY 3 OZ. AEROSOL 15. 85 15. 65 N 0216 1 ANTISEPTIC SPRAY, NON-AEROSOL, E OZ 6. 90 _ ---G.. 90 N 1805 1 BURN SPRAY, NON-AEROSOL, 2 OZ. 8. 85 5. 85 N 0206 1 HYDROGEN PEROXIDE, NON-AEROSOL, 20Z. 4. 35 4. 35 N 0749 1 BNDG, NON-LTX XTREME 7/8X4--1/2, 40/BX 11. 50 11. 50 N 0716 1 BNDG, NON-LTX KNUCKLE, 40/BX 9. 40 9. 40 N 0794 1 OR WOUND SEAL RAPID RESPONSE 19. 75 19. 1`5 N 2331 1 EMERGENCY FIRST AID POCKET' GUIDE 5. 15 5. 15 N 2651 1 WATER-JEL BURN JEL 6/BX, WRAP'P'ED 9. 70 9. 70 N 0614 1 TETRAHYDRO. EYE DROPS, 1/2 OZ. 7. 80 7. 80 1\1 2354 E ICE PACK, DELUXE, SMALL (ZEE:) 2. 95 5. 13 N 0618 2 EYE DROPS - THERA TEARS 4/PK 5. 75 11. 50 N LOCATION# 2 LOCATION DESCRIPTION - 1 SU84*0 1-AL: 114. 65 2331 1 EMERGENCY FIRST AID POCKET GUIDE. 5. 15 5. 15 N ` q 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 IN 0 - 1 t'� �� r - \_ - .BLS= _`:� 1 f 4 FIFTY YEARS OF SERVICE r I N V 0 1 C E ZEE MEDICAL INC. PAGE 2 PO PDX 781554 DATE 11/16/2012 INDIANAPOLIS IN 46278-8554 TIME 13: 17: 17 877-275-4933 JOE WEBSTER ext509 09/009/19 ORDER/INVOICE# 0158482173 Alta / / P. O. # PART # QTY DESCRIPTION $PRICE $EXT-ENDED TAX 0618 1 EYE DROPS - THERA TEARS 4/PK 5. 75 5. 75 N 0614 1 TETRAHYDRO. EYE DROPS, 112 OZ. 7. 80 7. 80 N 2651 1 WATER-JEL BURN JE:L 6/BX, WRAPPED 9. 70 9. 70 N 0501 1 COTTON TIP APPLICATOR 311, NS, 100/VL 4. 25 4. 25 N 0216 1 ANTISEPTIC SPRAY, NON-AEROSOL, 2 OZ 6. 90 6. 90 N 0608 1 EYE & SKIN BU1=. FLUSHING SOL. 8 OZ 12. 95 12. 95 N 2629 2 EYE WASH, STERILE 1-OZ. , 2/UNIT 10. 90 21. 80 N 0749 1 BNDG, NON--L-fX XTREME 7/8X4--1/2, 40/LAX 11. 50 11. 50 N 0737 1 BNDG, NON-LTX DURA-STRIP 1 ", 100/BX 10. 20 10. 20 N 0744 1 BNDG, NON--LTX SMALL STRIP 5/8", `50/BX 6. 45 6. 45 N 0713 1 BNDG, NON--LI X FINGERTIP XLG, 251 BX 8. Q15 8. Q15 N 0995 2 GEL' I=LEX 2 X 5 YDJ 4. 90 9. 80 N 9900 1 HANDLING CHARGE 6. 95 6. 95 N 0001 1 CABINET CLEANED" AND ORGANIZED . 00 . 00 *N 0797 1 OR WOUND SEAL WITH APPLICATOR, 2/PK 17. 52 17. 52 N LOCATION# 3 LOCATION DESCRIPTION - WEST SUBTOTAL: 144. 77 * SAFETY: . 00 FIRST AID: -365-. 42 P NONTAXABLE: 368. 42 TAXABLE: . 011) SUBTOTAL: 368. 42 TAX 1 : . 00 TAX 2: . 00 TOTAL F 1 AL 368. 42 i ® North America's #1 provider of first aid, safety, and training C�m UMM CUSTOMER COPY 888 - CALL ZEE (225-5933) zeemedical.com VOUCHER # 122847 WARRANT # ALLOWED 343500 IN SUM OF $ ZEE MEDICAL P.O. BOX 781554 INDIANAPOLIS, IN 46278-8554 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 0158482173 01-6200-06 $368.42 I Voucher Total $368.42 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 11/26/2012 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 11/26/201,' 0158482173 $368.42 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 )1.)yc%! , ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL � ._ ��,�mmomwm ,�_ / lNVOl E ZEE MEUlCHL INC. PAGE 1 PU 8UX 781tj54 DATE 11/27/2012 11%DIANAPOLi�j IN 46278-8554 TIME 13:5@:00 87}—ii�'/b-4933 JUF: WEbSTER ext5kl9 0119 VOID 1IJ uHDER/INVOICE# 0158482201 Alt � / / P. O. # 8lLL 01160712 SHlP TO# 000712 Cl [Y OF CAHMEL ClTY OF CAHMEL ' ONE CloIC SQUARE ONE CIVIC SQUARE CLERK (REH6UMEM CLERI-� lREASURER �armel IN 466132 Carmel IN 46032 317-57l-2�l� 3l7-571-241� Ann PART # QTY UESCHlPTION $PRICE $EXTENDED TAX ___ ___________ ______ _________ ___ 0797 1 QR WOUND SEAL WIlH APPLlCA7OH, 2/PK 17. 52 17. 52 N 1487 1 DILOTA8 ll, 250/bA 32. 70 32. 70 N 0730 1 8NUG, NON—L' X SHEER 81-HP 3/4", 100/8X 9. 75 9. 75 N 1435 l E. S. UN—ASPIRIN 100/8X (ZEE) 13. 40 13. 40 N 1457 1 ANf1-1)I.AHRMEAL CHPLET6, 2mg, 12CT 7. 25 7. 25 N 99690 1 HANDLING CHARGE 6. 95 6. 95 N LOCA[lUN4 l LUCA7lUN DESCRlPTIUN — MAIN SUBTOTAL: 87. 57 * SAFETY: . 00 FIRST AID: 87. 57 NONTAXABLE: 87. 57 TAXABLE: . 00 SUBTOTAL: 87. 57 TAX 1 : . 00 TAX 2: . 00 TOTAL 87. 57 Ely North AmShC8'S #1 provider of first aid, safety, and training CUSTOMER COPY O80 ' CALL ZEE (225'5833) zoemodioaiuom 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 I,do Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Stu 971 51 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 IN SUM OF $ RW7 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 i 4 00 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund