241618 01/27/15 CITY OF CARMEL, INDIANA VENDOR: 343500
® t:; ONE CIVIC SQUARE ZEE MEDICAL, INC. CHECK AMOUNT: $**....*258.69*
CARMEL, INDIANA 46032 PO BOX 204683 CHECK NUMBER: 241618
4tM,�roN.co�' DALLAS TX 75320 CHECK DATE: 01/27/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 0158659305 49.60 MAT & SUPP-HAZ MATERI
651 5023990 1568680136 209.09 OTHER EXPENSES
I N V O I C E
ZEE MEDICAL INC. PAGE 1
P.O. BOX 204683 DATE 07/29/2014
DALLAS TX 75320 TIME 11:01:38
877-275-4933
JOE WEBSTER ext509 09/009/19 ORDER/INVOICE# 0158659305
Alt:/ / / P.O.#
BILL TO # 008183 SHIP TO# 008183
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
317-571-2624 317-571-2624
WILLIAM
---QTY_.-DESCRI-PTION--------- - - - — $-PR2CE=$EXTENDED--TAX—__._ ____
------ --- ----------- ------ --------- ---
1486 1 DILOTAB II, 100/BX 18.35 18 .35 N
1446 1 ANTACID, TRIAL 100/BX (ZEE) 14 .75 14 .75 N
1478 1 ZEE ALLERGY RELIEF TABLET, 10/BX 9.55 9.55 N
9900 1 HANDLING 6.95 6 .95 N
LOCATION# 1 LOCATION DESCRIPTION - MAIN SUBTOTAL: 49.60
* SAFETY: .00
FIRST AID: 49.60
NONTAXABLE: 49.60
TAXABLE: .00
SUBTOTAL: 49.60
TAX 1: .00
TAX 2 : .00
TOTAL 49.60
ON ACCOUNT
VOUCHER # 146550 WARRANT # ALLOWED
343500 IN SUM OF $
ZEE MEDICAL INC
P.O. BOX 204683
DALLAS, TX 75320
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
158659305 01-720H-08 $49.60
Voucher Total $49.60
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 204683 Terms
4 DALLAS, TX 75320 Due Date 12/29/2014
I
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
i
12/29/201. 158659305 $49.60
i
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
�X4
Date tr C;fffcer
ZEE
S
INVOICE
ZEE MEDICAL INC. PAGE 1
P.O. BOX 204683 DATE 01120/2015
DALLAS TX 75320 TIME 11:11:64
877-275-4933
JOE WEBSTER ext509 091009/19 ORDER/INVOICE# 0158680136
Alt: I / P.O:#
BILL TO # 016166 SHIP TO# 016166
CITY OF CARMEL UTILITIES CITY OF CARMEL UTILITIES
9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY
Indianapolis IN 46280 Indianapolis IN 46280
317-571-2634 317-571-2634
JEFF COOPER
PART # QTY DESCRIPTION $PRICE $EXTENDED TAX
------ --- ----------- ------ --------- ---
3538 1 DISPOSABLE FORCEP, STERILE - 2.75 2.75 N
2629 2 EYE WASH, STERILE 1 OZ, 2/UNIT 11.70 23,40 N
0713 1 BNDG-NON-LTX FINGERTIP XLG, 26/BX 9.10 9.10 N
2354 1 ICE PACK, DELUXE, SMALL (ZEE) 3.20 3.20 N
1801 1 3-ANTIBIOTIC DINT 0.9 GM 26/BX (ZEE) 10.50 10.50 N
2645 1 BANDAGE, COMPRESS MULTI FUNCTION LG 10.90 10.90 N
1420 1 IBUTAB 1001BX (ZEE) 17.85 17.85 N
1471 1 NAPROXEN SODIUM, 501BX (ZEE) 17,99 17.99 N
LOCATION# 1 LOCATION DESCRIPTION - COLLECTION MENS SUBTOTAL: 95.69
1486 1 OILOTAB II, 100/BX 18.35 18.35 N
1420 1 IBUTAB 100/BX (ZEE) 17.85 17.85 N
1417 1 PAIN-AID 100/BX (ZEE) 15.95 15.95 N
1405 1 PA BACK RELIEF FORMULA- 100/BX 19.15 19.15 N
0203 1 CLEAN WIPES 501BX (ZEE) 7.40 7,40 N
LOCATION# 2 LOCATION DESCRIPTION - COLLECTION OFFI SUBTOTAL: 78.70
0001 1 CABINET CLEANEDIORGANIZEO .00 .00 "N
LOCATION# 3 LOCATION DESCRIPTION - LAB SUBTOTAL: ,00
5649 1 WATER-JEL BURN DRESS 4x41N STER PAD 13.95 13.95 N
0204 1 ANTISEPTIC WIPES 501BX (ZEE) 7.40 7.40 N
0225 1 TOWELETTE,MOIST CLEANSING,20/BX ZEE 6.40 6.40 N
9900 1 HANDLING 6.95 6.95 N
LOCATION# 4 LOCATION DESCRIPTION - MAINTENANCE SUBTOTAL: 34.70
INVOICE
ZEE MEDICAL INC. PAGE 2
P.O. BOX 204683 DATE 0112012015
DALLAS TX 75320 TIME 11:11:54
877-275-4933
JOE WEBSTER ext509 091009119 ORDER/INVOICE# 0158680136
Alt: ! 1 P.O.#
PART # QTY DESCRIPTION $PRICE $EXTENDED TAX
--- ----------- ------ --------- ---
SAFETY: .00
FIRST AID: 209.09
NONTAXABLE: 209.09
TAXABLE: .00
SUBTOTAL: 209,09
TAX 1: .00
TAX 2: .00
TOTAL 209.09
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
VOUCHER # 146525 WARRANT # ALLOWED
I
343500 IN SUM OF $ '
ZEE MEDICAL INC
P.O. BOX 204683
DALLAS, TX 75320
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
I
Board members
PO# INV* ACCT# AMOUNT Audit Trail Code
I
1568680136 01-7202-05 $209.09
1
' I
Voucher Total $209.09 I
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 204683 Terms
i
DALLAS, TX 75320 Due Date 1/23/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/23/2015 1568680136 $209.09
I
I hereby certify that the attached invoice(s), or bill(s) is (are) true and
correct and I/lhave audited same in accordance with IC 5-11-10-1.6
Date Officer