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Home My WebLink About217870 02/26/2013 CITY OF CARMEL, INDIANA VENDOR: 343500 Page 1 of 1 ONE CIVIC SQUARE ZEE MEDICAL,INC. s CHECK AMOUNT: $871.58 CARMEL, INDIANA 46032 PO BOX 781554 INDIANAPOLIS IN 46278-8554 CHECK NUMBER: 217870 CHECK DATE: 2/2612013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 0158482640 205 . 35 OTHER EXPENSES 2201 4239012 0158482641 199 . 35 SAFETY SUPPLIES 601 5023990 0158482642 36 .45 OTHER EXPENSES 651 5023990 0158482642 36 .45 OTHER EXPENSES 2201 4239012 0158482643 192 . 62 SAFETY SUPPLIES 651 5023990 V2561201 201 . 36 OTHER EXPENSES ZED INVOICE ZEE MEDICAL INC. PAGE 1 PO BOX 781554 DATE 0211912013 INDIANAPOLIS IN 46278-8554 TIME 08:28:25 877-275-4933 JOE WEBSTER ext509 091009119 ORDERIINVOICE# 0158482641 Alt: 1 1 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 ------ --- ----------- ------ --------- - 1801 1 3-ANTIBIOTIC DINT 0.9 GM 251BX (ZEE) 9.35 9.35 N 0204 1 ANTISEPTIC SWABS 501BX (ZEE) 6.40 6.40 N 2651 1 WATER-JEL BURN JEL 61BX,WRAPPED 9.70 9.70 N 2641 1 POVIDONE IODINE, 101UNIT 8.75 8.75 N 0794 1 QR WOUND SEAL RAPID RESPONSE 19.75 19.75 N 3537 1 SPLINTER OUT (ZEE), 101PK 4.35 4.35 N 5641 1 MUSCLE JEL 3.5gm, 24 CT. 17.75 17.75 N LOCATION# 1 LOCATION DESCRIPTION - SHOP SUBTOTAL: 76.05 1420 1 IBUTAB 1001BX (ZEE) 15.15 15.15 N 1417 1 PAIN-AID 1001BX (ZEE) 13.80 13.80 N 1487 1 DILOTAB II, 2501BX 32.70 32.70 N 1468 1 SORE THROAT LZNGS CHERRY 181BX (ZEE) 8.95 8.95 N 1446 1 ANTACID, TRIAL 1001BX (ZEE) 12.80 12.80 N LOCATION# 2 LOCATION DESCRIPTION - OFFICE SUBTOTAL: 83.40 0206 1 HYDROGEN PEROXIDE, NON-AEROSOL, 20Z. 4.35 4.35 N 0216 1 ANTISEPTIC SPRAY, NON-AEROSOL, 2 OZ 6.90 6.90 N 1801 1 3-ANTIBIOTIC DINT 0.9 GM 251BX (ZEE) 9.35 9.35 N 0995 1 ZEE FLEX 2" X 5 YDS 4.90 4.90 N 0370 1 TAPE, ELASTIC 1" X 5 YD. SPOOL 7.45 7.45 N 9900 1 HANDLING CHARGE 6.95 6.95 N LOCATION# 3 LOCATION DESCRIPTION - BATHROOM SUBTOTAL: 39.90 INVOICE ZEE MEDICAL INC. PAGE 2 PO BOX 781554 DATE 0211912013 INDIANAPOLIS IN 46278-8554 TIME 08:28:25 877-275-4933 JOE WEBSTER ext509 091009119 ORDERIINVOICE# 0158482641 Alt: ! 1 P.O.# PART # QTY DESCRIPTION $PRICE $EXTENDED TAX ------ --- ----------- --- --------- --- " SAFETY: .00 FIRST AID: 199.35 NONTAXABLE: 199.35 TAXABLE: .00 SUBTOTAL: 199.35 TAX 1: .00 TAX 2: .00 TOTAL 199.35 SIGNATURE : DATE: ! I 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 ZEE p, INVOICE ZEE MEDICAL INC. PAGE 1 PO BOX 781554 DATE 02/1912013 INDIANAPOLIS IN 46278-8554 TIME 09:27:48 877-275-4933 JOE WEBSTER ext509 09/009119 ORDERIINVOICE# 0158482643 Alt: ! 1 P.O.# BILL TO # 000486 SHIP TO# 011420 CARMEL STREET DEPT CARMEL STREET DEPARTMENT 3400 WEST 131ST STREET 2 CIVIC SQUARE Westfield IN 46074 Carmel IN 46032 317-733.2001 317-650-8282 PARKS PIFER PART # QTY DESCRIPTION $PRICE $EXTENDED TAX ------ --- ----------- ------ --------- --- 2629 2 EYE WASH, STERILE 1-OZ., 21UNIT 10.90 21.80 N 1421 1 IBUTAB 2501BX (ZEE) 31.95 31.95 N 1486 1 DILOTAB ll, 1001BX 16,10 16.10 N 1417 1 PAIN-AID 1001BX (ZEE) 13.80 1180 N 1453 1 CHERRY COUGH DROPS 501BX (ZEE) 9.75 9.75 N 1492 1 CONGEST AID II, 1001BX 16.00 16.00 N 3044 1 GLOVE-NITRILE PWDR EXAM 2PRIBAG, L 3.50 3.50 N 0794 1 QR WOUND SEAL RAPID RESPONSE 19,75 19.75 N 0797 1 QR WOUND SEAL WITH APPLICATOR, 21PK 17.52 17.52 N 9900 1 HANDLING CHARGE 6.95 6.95 N 0740 1 BNDG, NON-LTX ELASTIC STRIP, 501BX 7.45 7.45 N 0716 1 BNDG, NON-LTX KNUCKLE, 401BX 9.40 9.40 N 0743 1 BNDG, NON-LTX LG PATCH, 251BX 8.95 8.95 N 2651 1 WATER-JEL BURN JEL 61BX,WRAPPED 9.70 9.70 N LOCATION# 1 LOCATION DESCRIPTION - MAIN SUBTOTAL: 192.62 " SAFETY: .00 FIRST AID: 192.62 NONTAXABLE: 192.62 TAXABLE: .00 SUBTOTAL: 192.62 TAX 1: .00 , TAX 2: .00 TOTAL 192.62 INVOICE ZEE MEDICAL INC. PAGE 2 PO BOX 781554 DATE 02119/2013 INDIANAPOLIS IN 46278-8554 TIME 09:27:48 877-275-4933 JOE WEBSTER ext509 09/009119 OROERIINVOICE# 0158482643 Alt: 1 I P.O.# PART # QTY DESCRIPTION $PRICE $EXTENDED TAX. ------ --- ----------- ------ --------- --- SIGNATURE : DATE: 1 1 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 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)) 02/19/13 0158482641 $199.35 02/19/13 0158482643 $192.62 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. — 20 — ALLOWED Zee Medical IN SUM OF $ P. O. Box 781554 Indianapolis, IN 46278-8554 $391.97 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members li P 2201 0158482641 42-390.12 $199.35 1 hereby certify that the attached invoice(s), or 2201 0158482643 42-390.12 $192.62 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 i i i ebruary 2E, 20EII �1 I WjsVd�' reet Comoner C P Title Cos t distribution ledger classification if claim paid motor vehicle highway fund .t ZEE INVOICE ZEE MEDICAL INC. PAGE 1 PO BOX 781554 DATE 0211912013 INDIANAPOLIS IN 46278-8554 TIME 07:57:57 877.275-4933 JOE WEBSTER ext509 091009119 ORDERIINVOICE# 0158482640 C Alt: 1 f P.O.# BILL TO M 007748 SHIP TOM 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 M QTY DESCRIPTION $PRICE $EXTENDED TAX --- ----------- -----• --•-•--•- --- 0743 1 BNDG, NON-LTX LG PATCH, 25IBX 8.95 8.95 N 0740 2 BNDG, NON-LTX ELASTIC STRIP, 50IBX 7.45 14.90 N 1801 1 3-ANTIBIOTIC DINT 0.9 GM 25IBX (ZEE) 9.35 9.35 N 5641 1 MUSCLE JEL 3.5gm, 24 CT. 17.75 17.75 N 3538 1 FORCEPS, STERILE DISPOSABLE 2.10 2.10 N 0501 i 1 COTTON TIP APPLICATOR 3", NS, 100IVL 4.25 4.25 N 6625 1 INFECTION CONTROL KIT EACH 49.05 49.05 "N LOCATION# 1 LOCATION DESCRIPTION - SHOP 1 SUBTOTAL: 106.35 0714 1 BNDG, NON-LTX FINGERTIP, 401BX 9.40 9.40 N 0213 1 BLOOD CLOTTING SPRAY 3 OZ. AEROSOL 15.85 15.85 N 6625 1 INFECTION CONTROL KIT EACH 49.05 49.05 "N 9900 1 HANDLING CHARGE 6.95 6.95 N 5641 1 MUSCLE JEL 3.5gm, '24 CT. 17.75 17.75 N - LOCATION# 2 LOCATION DESCRIPTION - SHOP 2 SUBTOTAL: 99.00 " SAFETY: 98.10 FIRST AID: 107.25 NONTAXABLE: 205.35 r� TAXABLE: .00 V SUBTOTAL: 205.35 TAX 1: .00 TAX 2: .00 TOTAL 205.35 INVOICE ZEE MEDICAL INC. PAGE 2 PO BOX 781554 DATE 0211912013 INDIANAPOLIS IN 46278-8554 TIME 07:57:57 877-275-4933 JOE WEBSTER ext509 09/009119 OROERIINVOICE# 0158482640 Alt: I I P.O.# PART # QTY DESCRIPTION $PRICE $EXTENDED TAX ----------- ------ --------- --- SIGNATURE : DATE: I ! 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 VOUCHER # 123603 WARRANT# ALLOWED 343500 ZEE MEDICAL IN SUM OF $ P.O. BOX 781554 INDIANAPOLIS, IN 46278-8554 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR i Board members p0 # =NV ACCT# AMOUNT Audit Trail Code yr i 0158482640 � 01-6200-06 $205.35 F� Voucher Total �-� $205.35 Q� �ution ledger classification if hder vehicle highway fund I� City Form No.201(Rev 19951 Prescribed by State Board of Accounts 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 2/1812013 t Invoice Invoice Description Anioun Date Number (or note attached invoice(s) or bill(s)) 5 $205.3 2/18/2013 0158482640 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 +� Officer ZEE r INVOICE ZEE MEDICAL INC. PAGE 1 PO BOX 781554 DATE 02/19/2013 INDIANAPOLIS IN 46278-8554 TIME 09:05:36 877-275-4933 JOE WEBSTER ext509 09/009/19 ORDER/INVOICE# 0158482642 Alt: ! ! P.0,# 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 I LISA KEMPA PART # QTY DESCRIPTION $PRICE $EXTENDED TAX i --- ----------- ------ --------- --- 1805 1 BURN SPRAY, NON-AEROSOL, 2 OZ. 6.85 6.85 N 0206 1 HYDROGEN PEROXIDE, NON-AEROSOL, 20Z, 4.35 4.35 N 0216 1 ANTISEPTIC SPRAY, NON-AEROSOL, 2 OZ 6.90 6.90 N 1420 1 IBUTAB 1001BX (ZEE) 15.15 15.15 N 1417 1 PAIN-AID 100/BX (ZEE) 13.80 13.80 N 5649 1 WATER-JEL BURN DRS 414" STER PAD 11.45 11.45 N 0740 1 BNDG, NON-LTX ELASTIC STRIP, 50/BX 7.45 7.45 N 9900 1 HANDLING CHARGE 6.95 6.95 T LOCATION# 1 LOCATION DESCRIPTION MAIN SUBTOTAL: 72.90 " SAFETY: .00 FIRST AID: 72.90 NONTAXABLE: 65.95 7 " TAXABLE: 6.95 SUBTOTAL: 72.90 TAX 1: .00 TAX 2: .00 TOTAL 72.90 INVOICE ZEE MEDICAL INC. PAGE 2 PO BOX 781554 DATE 02!1912013 I INDIANAPOLIS IN 46278-8554 TIME 09:05:36 877-275-4933 _ I JOE WEBSTER ext509 09/009/19 ORDER/INVOICE# 0158482642 Alt: ! I P.O.# SIGNATURE DATE: I 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 VOUCHER # 126750 WARRANT # ALLOWED 343500 IN SUM OF $ ZEE MEDICAL INC P.O. BOX 4398 CHESTERFIELD, MO 63006 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR s Board members PO# INV# ACCT# AMOUNT Audit Trail Code 0158482642 01-7200-08 $36.45 i _ Voucher Total $36.45 Cost distribution ledger classification if claim paid under vehicle highway fund rd of Accounts City Form No.201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL bill to be properly itemized must show, kind of service, where a te of service rendered, by whom, rates per day, number of units, Il 'F t, etc. Payee )ICAL INC Purchase Order No. ( 4398 Terms ERFIELD, MO 63006 Due Date 2/19/2013 Invoice Description Number (or note attached invoice(s) or bill(s)) Amount " 2013 0158482642 $36.45 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 v/�'//3 "`"" Date Officer 1 F INVOICE ZEE MEDICAL INC. PAGE 1 PO BOX 781554 DATE 02/19/2013 INDIANAPOLIS IN 46278-6554 TIME 09:05:36 877-275-4933 JOE WEBSTER ext509 09/009119 ORDERIINVOICEN 0158482642 Alt: I ! P.O.# BILL TO n 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 # CITY DESCRIPTION $PRICE $EXTENDED TAX ------ --- ----------- ------ --------- --- 1805 1 BURN SPRAY, NON-AEROSOL, 2 OZ. 6.85 6.85 N 0206 1 HYDROGEN PEROXIDE, NON-AEROSOL, 20Z. 4.35 4.35 N 0216 1 ANTISEPTIC SPRAY, NON-AEROSOL, 2 OZ 6.90 6.90 N 1420 1 IBUTAB 1000 (ZEE) 15.15 15.15 N 1417 1 PAIN-AID 10018X (ZEE) 13.80 13.80 N 5649 1 WATER-JEL BURN DRS 414" STER PAD 11.45 11.45 N 0740 1 BNDG, NON-LTX ELASTIC STRIP, 5018X 7.45 7.45 N 9900 1 HANDLING CHARGE 6.95 6.95 T LOCATION# 1 LOCATION DESCRIPTION MAIN SUBTOTAL: 72.90 SAFETY: .00 b FIRST AID: 72.90 NONTAXABLE: 65.95 TAXABLE: 6.95 SUBTOTAL: 72.90 TAX 1: .00 TAX 2: .00 TOTAL 72.90 INVOICE ZEE MEDICAL INC. PAGE 2 PO BOX 781554 DATE 0211912013 INDIANAPOLIS IN 46278-8554 TIME 09:05:36 877-275-4933 JOE WEBSTER ext509 091009119 ORDERIINVOICE✓r 0158482642 Alt: I ! P.O.# 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 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 2/19/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/19/2013 0158482642 $36.45 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-l z?-t/3 -- Date Officer VOUCHER # 123638 , WARRANT # ALLOWED 343500 IN SUM OF $ :f 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 / 0158482642 01-6200-08 $36.45 Y J y t 1 Voucher Total $36.45 Cost distribution ledger classification if claim paid under vehicle highway fund --------------REMIT TO-------------- ZEE MEDICAL. INC. INVOICE NUMBER: V2561201 P.O. BOX 781554 ACCOUNT NUMBER: 008183 INDPLS . IN 46278-8554 INVOICE DATE : 01/28/2013 (877) 275-4933 PAGE NUMBER: 1 *** I N V O I C E *** +--------------SOLD TO----------------+---------------SHIP TO---------------+ CITY OF CARMEL H.H.W. ; CITY OF CARMEL H.H.W. 901 NORTH RANGELINE ROAD ; 901 NORTH RANGELINE ROAD Carmel . IN 46032 Carmel . IN 46032 +-------------------------------------+-------------------------------------+ OUR ORDER#: V25612 VK YOUR P/O#: ORDER DATE: 01/28/2013 14: 39: 25 PLACED BY: WILLIAM PICK DATE: 01/28/2013 CONTRACT#: _ SHIP DATE 01/28/2013 JOB#/NAME: SHIP VIA: SALES REP VAN SALES REP: 19 F.O.B. : origin TERMS: NET 15 ORDERED SHIPPED BCKRD ITEM DESCRIPTION PRICE AMOUNT ------- ------- ----- ------ ----------------- --------- -------- 1 1 LGSCCX DRINKING CUP-FO 193.41 193.41 **** SUBTOTAL **** 193.41 Freight Charge 7. 95 **** INVOICE TOTAL **** 201. 36 Pmt due by 02/12/2013 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 343500 ZEE MEDICAL INC P.O. BOX 4398 EDu rder No. CHESTERFIELD, MO 63006 2/18/2013 Invo ice Invoice Date Description Number (or note attached invoice(s) r bill(s))� ( )) Amount 2/18/2013 V2561201 $201.36 hereby certify that the attached invoice(s), or bill(s) is (are) true and ;orrect and I have audited same in accordance with IC 5-11-10-1.6 Date O ALLOWED VOUCHER# 126745 WARRANT # IN SUM OF $ } 343500 ZEE MEDICAL INC P.O. BOX 4398 CHESTERFIELD, MO 63006 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members Audit Trail Code " PO# INV# ACCT# AMOUNT $201.36 V2561201 01-720H-08 µ' • $201.36 Voucher Total �- ost distribution ledger class=fund �- Ill aim paid under vehicle highway