The URL can be used to link to this page

222223 07/17/2013 CITY OF CARMEL, INDIANA VENDOR: 343500 Page 1 of 1 ONE CIVIC SQUARE ZEE MEDICAL, INC. CARMEL, INDIANA 46032 PO BOX 781554 CHECK AMOUNT: $513.95 INDIANAPOLIS IN 46278-8554 CHECK NUMBER: 222223 CHECK DATE: 7/17/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4239012 0158503327 116 . 75 SAFETY SUPPLIES 601 5023990 0158503374 186 . 95 OTHER EXPENSES 2201 4239012 0158503375 210 . 25 SAFETY SUPPLIES ZEE N.r. INVOICE ZEE MEDICAL INC. PAGE 1 PO BOX 781554 DATE 06126/2013 INDIANAPOLIS IN 46278-8554 TIME 12:02:21 877-275-4933 JOE WEBSTER ext509 09/009/19 ORDER/INVOICE# 0158503327 Alt: I ! 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 ...... --- ----------- ------ --------- --- 1402 1 ASPIRIN, 5 GR 10018X (ZEE) 8.25 8.25 N 1420 1 IBUTAB 100/BX (ZEE) 16.75 16.75 N 2208 1 IVY X CLEANSER TOWELETTE. 25/BX 25.90 25.90 "N 0795 1 QR WOUND SEAL, 21PK 13.95 13.95 N 2211 1 INSECT REPELLENT-BUG_X—TOWEL, 25/BX 44.95 44.95 "N 9900 1 HANDLING CHARGE 6.95 6.95 N LOCATION# 1 LOCATION DESCRIPTION - MAIN SUBTOTAL: 116.75 " SAFETY: 70.85 FIRST AID: 45.90 NONTAXABLE: 116.75 TAXABLE: .00 SUBTOTAL: 116.75 TAX 1: .00 TAX 2: .00 TOTAL 116.75 INVOICE ZEE MEDICAL INC. PAGE 2 PO BOX 781554 DATE 06/2612013 INDIANAPOLIS IN 46278-8554 TIME 12:02:21 877-275-4933 JOE WEBSTER ext509 09/009/19 ORDERIINVOICE# 0158503327 Alt: 1 1 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 r ZEE INVOICE ZEE MEDICAL INC. PAGE 1 PO BOX 781554 DATE 07/0212013 INDIANAPOLIS IN 46278-8554 TIME 13:31:00 877-275-4933 JOE WEBSTER ext509 09/009/19 OROERIINVOICE# 0158503375 Alt: I I 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 AMY LUNN PART # QTY DESCRIPTION $PRICE $EXTENDED TAX -----• --- ----------- ------ -----••-- --- 1487 1 DILOTAB II, 2501BX 35.50 35.50 N 1436 1 E.S. UN-ASPIRIN 2501BX (ZEE)- 28.50 28.50 N 1418 1 PAIN-AID 2501BX (ZEE) 29.30 29.30 N 1446 1 ANTACID, TRIAL 100IBX (ZEE) 13.95 13.95 N 1421 1 IBUTAB 2501BX (ZEE) 34.50 34,50 N LOCATION# 1 LOCATION DESCRIPTION - OFFICE SUBTOTAL: 141.75 0740 1 BNDG, NON-LTX ELASTIC STRIP, 50IBX 7.95 7.95 N 0743 1 BNDG, NON-LTX LG PATCH, 251BX 9.90 9.90 N 0995 1 ZEE FLEX 2" X 5 YDS 5.30 5.30 N LOCATION# 2 LOCATION DESCRIPTION - BATHROOM SUBTOTAL: 23.15 1420 1 IBUTAB 100IBX (ZEE) 16.75 16.75 N 0995 1 ZEE FLEX 2" X 5 YDS 5.30 5.30 N 0944 1 ELASTIC ROLLER GAUZE N1S 3" X 4.5YDS 3.90 3.90 N 5649 1 WATER-JEL BURN DRS 414" STER PAD 12.45 12.45 N 9900 1 HANDLING CHARGE 6.95 6.95 T LOCATION# 3 LOCATION DESCRIPTION - BLD 2 SUBTOTAL: 45.35 INVOICE ZEE MEDICAL INC. PAGE 2 PO BOX 781554 DATE 0710212013 INDIANAPOLIS IN 46278-8554 TIME 13:31:00 877-275-4933 JOE WEBSTER ext509 091009119 ORDERIINVOICE# 0158503375 Alt: 1 1 P.O.# PART # QTY DESCRIPTION $PRICE $EXTENDED TAX " SAFETY: .00 FIRST AID: 210.25 NONTAXABLE: 203.30 TAXABLE: 6.95 SUBTOTAL: 210.25 TAX 1: .00 TAX 2: .00 TOTAL 210.25 SIGNATURE : DATE: I 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 VOUCHER NO. WARRANT NO. Zee Medical ' ALLOWED 20 IN SUM OF $ P. O. Box 781554 Indianapolis, IN 46278-8554 $327.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 0158503327 42-390.12 $116.75 1 hereby certify that the attached invoice(s), or 2201 0158503375 42-390.12 $210.25 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 e Redn , 2013 Straw-&RrCMn ner 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)) 06/26/13 0158503327 $116.75 07/02/13 0158503375 $210.25 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 e INVOICE ZEE MEDICAL INC. PAGE 1 PO BOX 781554 DATE 07102/2013 INDIANAPOLIS IN 46278-8554 TIME 13:02:19 877-275-4933 JOE WEBSTER ext509 091009119 ORDER/INVOICE# 0158503374 Alt: I I 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 ------ --- ----------- ------ --------- --- 1817 1 HYDRO CREAM 1.0%, 0.9 GM 25/8X (ZEE) 11.25 11.25 N 0944 1 ELASTIC ROLLER GAUZE NIS 3" X 4.5YDS 190 3.90 N 0714 1 BNDG, NON-LTX FINGERTIP, 40/8X 9.95 9.95 N 2629 1 EYE WASH, STERILE 1-OZ., 2/UNIT 1115 11.35 N 5641 1 MUSCLE JEL 3.5gm, 24 CT. 18,40 18.40 N LOCATION# 1 LOCATION DESCRIPTION - SHOP 1 SUBTOTAL: 54.85 3538 2 FORCEPS, STERILE DISPOSABLE 2.45 4.90 N 0213 1 BLOOD CLOTTING SPRAY 3 OZ. AEROSOL 16.75 16.75 N 0206 1 HYDROGEN PEROXIDE, NON-AEROSOL, 20Z. 4.50 4.50 N 0716 1 BNDG, NON-LTX KNUCKLE, 40/BX 9.95 9.95 N 0944 1 ELASTIC ROLLER GAUZE NIS 3" X 4.5YDS 3.90 3.90 N 2354 2 ICE PACK, DELUXE, SMALL (ZEE) 3.00 6.00 N 5641 1 MUSCLE JEL 3.5gm, 24 CT. 18.40 18.40 N 1801 1 3-ANTIBIOTIC DINT 0.9 GM 25/BX (ZEE) 9.95 9.95 N 1817 1 HYDRO CREAM 1.0%, 0.9 GM 25/BX (ZEE) 11.25 11.25 N 1825 1 FIRST AID CREAM 25/BX 10.95 10.95 N LOCATION# 2 LOCATION DESCRIPTION - SHOP 2 SUBTOTAL: 96.55 0797 1 QR WOUND SEAL WITH APPLICATOR, 21PK 18.20 18.20 N 0740 1 BNDG, NON-LTX ELASTIC STRIP, 50/BX 7.95 7.95 N 3538 1 FORCEPS, STERILE DISPOSABLE 2.45 2.45 N 9900 1 HANDLING CHARGE 6.95 6.95 N LOCATION# 3 LOCATION DESCRIPTION - OFFICE SUBTOTAL: 35.55 INVOICE ZEE MEDICAL INC. PAGE 2 PO BOX 781554 DATE 07/02/2013 INDIANAPOLIS IN 46278-8554 TIME 13:02:19 877-275-4933 JOE WEBSTER ext509 09/009119 ORDER/INVOICE# 0158503374 - - AI-t:- . I 1 P.O.# PART # QTY DESCRIPTION $PRICE $EXTENDED TAX ------ ... ........... ------ --------- --- " SAFETY: .00 \(�, FIRST AID: 186.95 �1v NONTAXABLE: 186.95 \ �O TAXABLE: ,00 SUBTOTAL: 186.95 TAX 1: ,00 TAX 2: .00 TOTAL . 186.95 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 # 131999 WARRANT # ALLOWED 343500 IN SUM OF $ ZEE MEDICAL P.O. BOX 781554 INDIANAPOLIS, IN 46278-8554 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR ! I Board members PO# INV# ACCT# AMOUNT Audit Trail Code 0158503374 01-6200-06 $186.95 I ;i Voucher Total $186.95 Cost distribution ledger classification if claim paid under vehicle highway fund i 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 7/8/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/8/2013 0158503374 $186.95 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