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Home My WebLink About225609 10/23/2013 CITY OF CARMEL, INDIANA VENDOR: 343500 Page 1 of 1 ONE CIVIC SQUARE ZEE MEDICAL,INC. CARMEL, INDIANA 46032 PO BOX 781554 CHECK AMOUNT: $872.20 4? INDIANAPOLIS IN 46278-8554 CHECK NUMBER: 225609 CHECK DATE: 10/2312013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 0158503893 703 . 05 OTHER EXPENSES 601 5023990 0158503894 169 . 15 OTHER EXPENSES ZEE A& INVOICE ZEE MEDICAL INC. PAGE 1 PO BOX 781554 DATE 1011512013 INDIANAPOLIS IN 46278-8554 TIME 14:26:55 877-275-4933 JOE WEBSTER ext509 091009119 ORDERIINVOICE# 0156503893 Alt: 1 1 P.O.# KR92713 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 ------ --- ----------- ------ --------- --- 0206 16 HYDROGEN PEROXIDE, NON-AEROSOL, 20Z 7.15 114.40 N 1446 1 ANTACID, TRIAL 10018X (ZEE) 13.95 13.95 N 1453 1 CHERRY COUGH DROPS 501BX (ZEE) 10.10 10,10 N 2629 8 EYE WASH, STERILE 1 OZ, 21UNIT 11.35 90.80 N 0606 2 EYE WASH, STERILE 4 OZ. (ZEE) 8.25 16,50 N 5657 2 WATER-JEL BURN JEL 251BX 34.75 69.50 N 1492 1 CONGEST AID II, 1001BX 17.50 17.50 N 1417 1 PAIN-AID 1001BX (ZEE) 14.95 14.95 N 3045 1 GLOVE-NTRL PWDR EXAM 5PRIBOX, L 8.10 8.10 N 0743 1 BNDG-NON-LTX LG PATCH, 251BX 9.90 9.90 N 0040 2 KIT, STND TRUCK, PLASTIC, FULL(ANSI) 66.60 133.20 "N 3084 17 CPR MICROSHIELD TAMPER EVIDENT 11.60 197.20 "N 9900 1 HANDLING CHARGE 6.95 6.95 N LOCATION# 1 LOCATION DESCRIPTION SUPPLIES SUBTOTAL: 703.05 " SAFETY: 330.40 FIRST AID: 372.65 NONTAXABLE: 703.05 TAXABLE: .00 SUBTOTAL: 703.05 TAX 1: .00 TAX 2: .00 TOTAL 703.05 4� INVOICE ZEE MEDICAL INC. PAGE 2 PO BOX 781554 DATE 1011512013 INDIANAPOLIS IN 46278-8554 TIME 14:26:55 877-275-4933 JOE WEBSTER. ext509 091009119 ORDER/-INVOICE# 0158503893 Alt: 1 1 P.O.# KR92713 PART # QTY DESCRIPTION $PRICE $EXTENDED TAX ------ --- ----------- ------ --------- --- 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 ZEE INVOICE ZEE MEDICAL INC. PAGE 1 PO BOX 781554 DATE 1011512013 INDIANAPOLIS IN 46278-8554 TIME 14:48:12 877-275-4933 JOE WEBSTER ext509 091009119 ORDER/INVOICE# 0158503894 Alt: 1 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 HYORO CREAM 1.0%, 0.9 GM 25/BX (ZEE) 11.25 11.25 N LOCATION# 1 LOCATION DESCRIPTION - OFFICE SUBTOTAL: 11.25 0217 1 SPRAY-ON BANDAGE 3 OZ. AEROSOL 10.95 10.95 N 0203 1 CLEAN WIPES 50 1BX (ZEE) 6.95 6.95 N 0744 1 BNDG-NON-LTX SMALL STRIP 5/8in, 50/B 6.95 6.95 N 0370 1 TAPE, ELASTIC lin X 5 YD. SPOOL 7.95 7.95 N 2651 1 WATER-JEL BURN JEL 6/BX,WRAPPEO 10.40 10.40 N 0716 1 BNDG-NON-LTX KNUCKLE, 401BX 9.95 9.95 N 0713 1 BNDG-NON-LTX FINGERTIP XLG, 25/BX 8.80 8.80 N LOCATION# 2 LOCATION DESCRIPTION - SHOP SUBTOTAL: 61.95 0213 1 BLOOD CLOTTING SPRAY 3 OZ. AEROSOL 16.75 16.75 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 251BX (ZEE) 11.25 11.25 'N 0797 1 QR WOUND SEAL WITH APPLICATOR, 2/PK 18.20 18.20 N 3538 1 DISPOSABLE FORCEP, STERILE 2.45 2.45 N 0716 1 BNDG-NON-LTX KNUCKLE, 40/BX 9.95 9.95 N 9900 1 HANDLING CHARGE 6.95 6.95 N 0794 1 QR WOUND SEAL RAPID RESPONSE 20.45 20.45 N LOCATION# 3 LOCATION DESCRIPTION - WEST SHOP SUBTOTAL: 95.95 INVOICE ZEE MEDICAL INC. PAGE 2 PO BOX 781554 DATE 10/15/2013 INDIANAPOLIS IN 46278-8554 TIME 14:48:12 877-275-4933 JOE WEBSTER ext509 09/009/19 ORDER/INVOICE# 0158503894 Alt: I ! P.O.# PART # QTY DESCRIPTION $PRICE $EXTENDED TAX ------ --- ----------- ------ --------- --- " SAFETY: .00 O. FIRST AID: 169.15 NONTAXABLE: 169.15 TAXABLE: .00 SUBTOTAL: 169.15 TAX 1: .00 TAX 2: .00 TOTAL 169.15 SIGNATURE : DATE: I 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 # 133076 WARRANT # ALLOWED 343500 IN SUM OF $ ZEE MEDICAL P.O. BOX 781554 INDIANAPOLIS, IN 46278-8554 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR y J Board members i PO# INV# ACCT# AMOUNT Audit Trail Code t 0158503894 01-6200-06 $169.15 b15$5t3�93 ol.tG2co•�3 "?r✓3.GS I i Voucher Total S'7� ,L�$4 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 10/15/2013 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/15/201; 0158503894 $169.15 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