243368 03/18/15 %'� �- CITY OF CARMEL, INDIANA VENDOR: 343500
ONE CIVIC SQUARE ZEE MEDICAL, INC. CHECK AMOUNT: $*******384.00*
;y�To„�?�; CARMEL, INDIANA 46032 PO ALBOX LASTX4683 CHECK 75320 CHECK DATE: 3/18/85
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 0158680343 247.45 OTHER EXPENSES
1701 4239099 0158680461 136.55 OTHER MISCELLANOUS
ZE;E
,m
INVOICE
ZEE MEDICAL INC. PAGE 1
P.O. BOX 204683 DATE 0311812015
DALLAS TX 75320 TIME 09:32:53
877-275-4933
JOE WEBSTER ext509 091009119 OROERIINVOICE# 0158680461
Alt: 1 I P.O.#
BILL TO # 000712 SHIP TO# 000712
CITY OF CARMEL CITY OF CARMEL
ONE CIVIC SQUARE ONE CIVIC SQUARE
CLERK TREASURER CLERK TREASURER
Carmel IN 46032 Carmel IN 46032
317-571-2414 317-571-2414
Ann
PART! QTY DESCRIPTION $PRICE $EXTENDED TAX
------ --- ----------- ------ --------- ---
1435 1 E.S. UN-ASPIRIN 100/BX (ZEE) 16.45 16.45 N
1471 1 NAPROXEN SODIUM, 60/BX (ZEE) 18.00 18.00 N
1486 1 DILOTAB II, 100113% 20.20 20.20 N
1453 1 CHERRY COUGH DROPS 500 (ZEE) 10.95 10.95 N
0795 1 QR WOUND SEAL, 2IPK 15.40 15.40 N
0797 1 QR WOUND SEAL WITH APPLICATOR, 21PK 18,80 18.80 N
1468 1 SORE THROAT LZNGS CHERRY 18IBX (ZEE) 10.20 10.20 *N
0206 1 HYDROGEN PEROXIDE, NON-AEROSOL, 20Z 4.95 4.95 N
1457 1 ANTI-DIARRHEAL CAPLETS,2mg,12CT(ZEE) 8.55 8,55 *N
3538 2 DISPOSABLE FORCEP, STERILE 3.05 6,10 N
9900 1 HANDLING 6.95 6.95 N
LOCATION# 1 LOCATION DESCRIPTION - MAIN SUBTOTAL: 136.55
* SAFETY: 18.75
FIRST AID: 117.80
NONTAXABLE: 136,55
TAXABLE: .00
SUBTOTAL: 135.55
TAX 1: .00
TAX 2: ,00
TOTAL 136.55
INVOICE
ZEE MEDICAL INC. PAGE 2
P.O. BOX 204683 DATE 0311812015
DALLAS TX 75320 TIME 09:32:53
877-275-4933
JOE WEBSTER ext509 091009119 ORDERIINVOICE# 0158680461
Alt: I I P.O.#
SIGNATURE : DATE: ! 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 ACCOUNTS PAYABLE VOUCHER City Forth No.201(Rev.199
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
n ,, n
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
Total
I hereby certify that the attached invoice(s), or bill(s), is (are)true and correct and I have audited same in accor-
dance with IC 5-11-10-1.6.
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF $
Dx 0 4(0 S3
ON ACCOUNT OF APPROPRIATION FOR
Board Members
Po#or INVOICE NO. ACCT#/TITLE AMOUNT
ff
DEPT..# I hereby certify that the attached invoice(s),
or 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, r d 20
I "
Signature
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund
ZEES
i .
INVOICE
ZEE MEDICAL INC. PAGE 1
P.O. BOH 204683 DATE 0212512015
DALLAS TX 75320 TIME 09`:15:23
877-275-4933
JOE WEBSTER ext609 091009119 OROERIINVOICE# 0158680343
Alt: I 1 P.O.#
BILL TO N 007748 SHIP TON 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 # OTY DESCRIPTION $PRICEIRTENDEDfTAX`
------ --- -----------
0305 1 TAPE, 21N X 5 YO. 3 CUT SPOOL (ZEE) 6.90 " 6.90 N,
0608 1 EYE & SKIN BUF. FLUSHING SOL. 8 OZ 14.40 14.40 N
2629 1 EYE WASH, STERILE 1 OZ, 2/UNIT 11.70 11.70 N;
LOCATION# 1 LOCATION DESCRIPTION OFFICE SUBTOTAL: 33.00
0921 1 GAUZE PAD-31N K 31N, 251BX (ZEE) 8.20 8.20 N
0305 1 TAPE, 21N X 5 YD. 3 CUT SPOOL (ZEE) 6.90 6.90 N
3537 2 SPLINTER OUT (ZEE), 101PK 4.95 9.90 N
0206 1 HYDROGEN PEROXIDE, NON-AEROSOL, 20Z 4.50 4.50 N
0529 4 MOLDER SPARK PLUG STATION, 260PR 44.50 178.00 "N
9900 1 HANDLING 6.95 6.95 N
LOCATION# 2 LOCATION DESCRIPTION SHOP SUBTOTAL: 214.45
* SAFETY: 178,00
FIRST AID: 69,45
NONTAXABLE: 247.45
TAXABLE: .00
SUBTOTAL: . 247.45
TAX 1: .00
TAX 2: .00
TOTAL 247.45
INVOICE
ZEE MEDICAL INC. PAGE 2
P.O. BOX 204683 DATE 02125!2015
DALLAS TX 75320 i n�� TIME 09:15:23
877-275-4933 VG
JOE WEBSTER. ext509 09/009119- OROERIINVOICE# 0158680343
Alt: r 1 P.0,#
SIGNATURE : _ DATE:
PRINT NAME: _--------- —=--- — TITLE: ---- —
ASK US ABOUT FIRST AID AND AEO PROGRAMS
THANK YOU.FOR YOUR BUSINESS!!
INVOICE IS CONFIDENTIAL MAY BE SUBJECT TO-LATE FEES:
i
1
VOUCHER # 151170 WARRANT# ALLOWED
343500 IN SUM OF'$
ZEE MEDICAL
PO BOX 204683
DALLAS, TX 75320
I
1
Carmel Water Utility
I
ON ACCOUNT OF APPROPRIATION FOR
i
Board members
I I
PO# INV# ACCT# AMOUNT ; Audit Trail Code
�I
0158680343 01-6200-06 $247.45
i
1
I
� I
I
Voucher Total $247.45
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
Aninvoice 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.
PO BOX 204683 Terms
DALLAS, TX 75320 Due Date 3/10/2015
I
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/10/2015 0158680343 $247.45
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
Date O i r