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242870 03/03/15 `{�,.c4q,,° CITY OF CARMEL, INDIANA VENDOR: 343500 F ® ONE CIVIC SQUARE ZEE MEDICAL, INC. CHECK AMOUNT: $*******575.18* r CARMEL, INDIANA 46032 PO BOX 204683 CHECK NUMBER: 242870 9��raN`�°` DALLAS TX 75320 CHECK DATE: 03/03/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 0158680136 209.09 OTHER EXPENSES 2201 4239012 0158680342 140.25 SAFETY SUPPLIES 2201 4239012 0158680351 225.84 SAFETY SUPPLIES ZEE j -' INVOICE ZEE MEDICAL INC, PAGE 1 P.O. BOX 204683 DATE 0112012015 DALLAS TX 75320 TIME 11:24:20 877-275-4933 JOE WEBSTER ext509 091009119 OROERIINVOICE# 0158680136 Alt: I 1 P.O.#S14741 BILL TO N 016166 SHIP TON 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 BNOG-NON-LTX FINGERTIP XLG, 25/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 25/BX (ZEE) •10.50 10,50 N 2645 1 BANDAGE, COMPRESS MULTI FUNCTION LG 10.90 10.90 N 1420 1 IBUTAB 10018X (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 DILOTAB ll, 1001BX 18.35 18.35 N 1420 1 IBUTAB 100/BX (ZEE) 17.85 17.85 N 1417 1 PAIN-AIO 1001BX (ZEE) 15.95 15,95 N 1405 1 PA BACK RELIEF FORMULA- 100IBX 19.15 19.15 N 0203 1 CLEAN WIPES 50/BX (ZEE) 7.40 7.40 N LOCATION# 2 LOCATION DESCRIPTION - COLLECTION OFFI SUBTOTAL: 78.70 0001 1 CABINET CLEANEDIORGANIZED .00 .00 "N LOCATION# 3 LOCATION DESCRIPTION - LAB SUBTOTAL: ,00 5649 1 WATER-JEL BURN DRESS 4AIN STER PAD 13.95 13.95 N 0204 1 ANTISEPTIC WIPES 5018X (ZEE) 7.40 7.40 N 0225 1 TOWELETTE,MOIST CLEANSING,2018X 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 11:24:20 877-275-4933 JOE WEBSTER ext509 091009119 OROERIINVOICE# 0158680136 Alt: I 1 P.O.#S14741 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 ON ACCOUNT SIGNATURE DATE: 01/20/2015 """ SIGNATURE ON FILE PRINT NAME: DWAYNE JARVIS ASK US ABOUT FIRST AID AND AED PROGRAMS THANK YOU FOR YOUR BUSINESSII INVOICE IS CONFIDENTIAL - MAY BE SUBJECT TO LATE FEES VOUCHER # 155028 WARRANT # ALLOWED 343500 IN SUM OF $ ZEE MEDICAL INC P.O. BOX 204683 DALLAS, TX 75320 r - Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR , Board members PO# INV# ACCT# AMOUNT Audit Trail Code i 'I 0158680136 01-7200-01 $78.70 0158680136 01-7202-05 $34.70 I 0158680136 01-7202-06 $95.69 1 t Voucher Total $209.09 Cost distribution ledger classification if 1 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 w ZEE MEDICAL INC Purchase Order No. P.O. BOX 204683 Terms DALLAS, TX 75320 Due Date 2/26/2015 F Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/26/2015 0158680136 $209.09 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 fficer t. ZEE INVOICE ZEE MEDICAL INC. PAGE 1 P.O. BOX 204683 DATE 0212512015 DALLAS TX 75320 TIME 08:58:57 877-275-4933 JOE WEBSTER ext509 091009119 ORDERIINVOICE# 0158680342 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 ------ --- ----------- ------ --------- --- 0001 1 CABINET CLEANED/ORGANIZED ,00 .00 "N LOCATION# 1 LOCATION DESCRIPTION - MAINTENANCE SUBTOTAL: .00 3538 1 DISPOSABLE FORCEP, STERILE 2.75 2.75 N 3537 1 SPLINTER OUT (ZEE), 101PK 4.95 4.95 N 2629 1 EYE WASH,.STERILE 1 OZ, 21UNIT 11.70 11.70 N LOCATION# 2 LOCATION DESCRIPTION - MENS ROOM SUBTOTAL: 19.40 1421 1 IBUTAB 2501BX (ZEE) 35.95 35,95 N 1418 1 PAIN-AID 250/BX (ZEE) 30,60 30.60 N 1487 1 OILOTAB 11, 250/BX 36.95 36.95 N 1453 1 CHERRY COUGH DROPS 5018X (ZEE) 10,40 10.40 N 9900 1 HANDLING 6,95 6.95 N LOCATION# 3 LOCATION DESCRIPTION - OFFICE SUBTOTAL: 120.85 " SAFETY: .00 FIRST AID: 140.25 NONTAXABLE: 140.25 TAXABLE: .00 SUBTOTAL: 140.25 TAX 1: .00 TAX 2: .00 TOTAL 140.25 INVOICE ZEE MEDICAL INC. PAGE 2 P.O. BOX 204683 DATE 0212512015 DALLAS TX 75320 TIME 08:58:57 877-275-4933 JOE WEBSTER ext509 091009119 OROERIINVOICE# 0158680342 Alt: I 1 P.O.# PART # QTY DESCRIPTION $PRICE $EXTENDED TAX - ------ --- ----------- ------ --------- --- ON ACCOUNT SIGNATURE DATE: 0212512015 54 4wa- PRINT NAME: AMY LUNN 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 P.O. BOX 204683 DATE 0212512015 DALLAS TX 75320 TIME 10:49:18 877-275-4933 JOE WEBSTER ext509 09/009119 ORDERIINVOICEN 0158680351 Alt: 1 1 P.O.# BILL TO # M00486 SHIP T0# 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 ------ --- ----------- ------ --------- --- 1492 2 CONGEST AID II, 100/BX 18.60 37,20 N 1421 1 IBUTAB 250/BX (ZEE) 35,95 35,95 N 1486 1 DILOTAB II, 100/BX 18,35 18.35 N 1471 1 NAPROXEN.SODIUM, 501BX (ZEE) 17,99 17.99 N 0740 1 BNOG-NON-LTX ELASTIC STRIP, 501BX 8,50 8.50 N 1417 1 PAIN-AID 10018X (ZEE) 15.95 15,95 N 1446 1 ANTACID, TRIAL 100/BX (ZEE) 14.75 14.75 N 0225 1 TOWELETTE,MOIST CLEANSING,201BX ZEE 6.40 6.40 N 1825 1 FIRST AID CREAM 26/BX 11.55 11.55 N 1817 1 HYORO CREAM 1,0%, 0,9 GM 2518X (ZEE) 11.70 11.70 N 0794 1 QR WOUND SEAL RAPID RESPONSE 20,65 20,65 N 0216 1 ANTISEPTIC SPRAY, NON-AEROSOL, 2 OZ 7.40 7,40 N 0370 1 TAPE, ELASTIC 11N X 5 YO, SPOOL 8,45 8,45 N 0944 1 ELASTIC ROLLER GAUZE-NIS 31N X 4.5 Y 4,05 4,05 N 9900 1 HANDLING 6,95 6,95 N LOCATION# 1 LOCATION DESCRIPTION MAIN SUBTOTAL: 225,84 SAFETY: .00 FIRST AID: 225,84 NONTAXABLE: 225,84 TAXABLE: ,00 SUBTOTAL: 225.84 TAX 1: ,00 TAX 2: .00 TOTAL 225.84 INVOICE ZEE MEDICAL INC. PAGE 2 P.O. BOX 204683 DATE 0212512015 DALLAS TX 75320 TIME 10:49:18 877-275-4933 JOE WEBSTER ext509 091009119 ORDERIINVOICEII 0158680351 Alt: I I P.O.# PART # QTY DESCRIPTION $PRICE $EXTENDED TAX ------ --- ----------- ------ --------- --- ON ACCOUNT SIGNATURE DATE: 0212512015 PRINT NAME: BILL HIGGINBOTHAM ASK US ABOUT FIRST AID AND AED PROGRAMS THANK YOU-FOR YOUR BUSINESS!! INVOICE IS CONFIDENTIAL - MAY BE SUBJECT TO LATE FEES • 1 i VOUCHER NO. WARRANT NO. ALLOWED 20 Zee Medical IN SUM OF$ P.O. Box 204683 Dallas, TX 75320 $366.09 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 0158680342 42-390.12 $140.25 1 hereby certify that the attached invoice(s), or 2201 0158680351 42-390.12 $225.84 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 �dy � 2015 I ,i J nmissloner Street Commissioner Title Cost distribution ledger classification if i claim paid motor vehicle highway fund j j , 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)) 02/25/15 0158680342 $140.25 02/25/15 0158680351 $225.84 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 20 Clerk-Treasurer