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243604 3 /24/2015 (9, CITY OF CARMEL, INDIANA VENDOR: 343500 ONE CIVIC SQUARE ZEE MEDICAL, INC. CHECK AMOUNT: $*****"134.65• CARMEL, INDIANA 46032 PO BOX 204683 CHECK NUMBER: 243604 DALLAS TX 75320 CHECK DATE: 03/24/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 158680462 37.40 OTHER EXPENSES 651 5023990 158680462 37.40 OTHER EXPENSES 651 5023990 158680463 59.85 OTHER EXPENSES ZE;J ;p INVOICE ZEE MEDICAL INC. PAGE 1 P.O. BOX 204683 DATE 03/18/2015 DALLAS TX 75320 TIME 10:55:04 877-275-4933 JOE WEBSTER ext509 091009119 OROERIINVOICE# 0158680463 Alt: ! ! P.O.# BILL TO # 011801 SHIP TO# 008183 CITY OF CARMEL H.H.W."BILLING CITY OF CARMEL H.H.W. 30 WEST MAIN ST SUITE 220 901 NORTH RANGELINE ROAD Carmel IN 46032 Carmel IN 46032 317-571-2624 317-571-2624 WILLIAM PART # QTY DESCRIPTION $PRICE $EXTENDED TAX ------ --- ----------- ------ --------- --- 1453 1 CHERRY COUGH DROPS 50/BX (ZEE) 10.95 10.95 N 1471 1 NAPROXEN SODIUM, 50/BX-(ZEE)_. - ._ 18.00 . _18,00 N 0614 1 TETRAHYDRO. EVE DROPS, 1/2 OZ. 9.00 9.00 N 3538 1 DISPOSABLE FORCEP, STERILE 3.05 3.05 N 1825 1 FIRST AID-CREAM 25/BX 11.90 11.90 N 9900 1 HANDLING 6.95 6.95 N LOCATION# 1 LOCATION DESCRIPTION MAIN SUBTOTAL: 59.85 SAFETY: .00 FIRST AID: 59.85 NONTAXABLE: 59.85 TAXABLE: .00 SUBTOTAL: 59.85 s TAX 1, .00 TAX 2: .00 TOTAL 59.85 ON ACCOUNT INVOICE .ZEE MEDICAL INC. PAGE 2 P.O. BOX 204683 DATE 03118/2015 DALLAS TX 75320 TIME 10:55:04 877-275-4933 JOE WEBSTER ext509 091009119 ORDER/INVOICE# 0158680463 Alt: 1 1 P.O.# SIGNATURE DATE: 0311812015 v¢IL- Abd PRINT NAME: BILL KELLAM ASK US ABOUT FIRST AID AND AED PROGRAMS THANK YOU FOR YOUR BUSINESS!! INVOICE IS CONFIDENTIAL - MAY BE SUBJECT TO LATE FEES iZEE INVOICE ZEE MEDICAL INC. PAGE 1 P.O. BOX 204683 DATE 0311812015 DALLAS TX 75320 TIME 09:55:57 877-275-4933 JOE WEBSTER ext509 091009119 ORDERIINVOICE# 0158680462 Alt: 1 1 P.O.# BILL TO # 011801 SHIP TO# 001107 CITY OF CARMEL H.H.W.""BILLING CITY OF CARMEL UTILITIES 30 WEST MAIN ST SUITE 220 30 WEST MAIN ST SUITE 220 Carmel IN 46032 Carmel IN 46032 317-571-2624 317-571-2443 LISA KEMPA PART # QTY DESCRIPTION $PRICE $EXTENDED TAX ------ --- ----------- ------ --------- --- 0614 1 TETRAHYDRO. EYE DROPS, 112 OZ. 9.00 9.00 N -1420 1 IBUTAB 100/BX (ZEE) 19.45 19.45 N 1471 1 NAPROXEN SODIUM, 60/BX (ZEE) 18.00 18,00 N 0740 1 BNOG-NON-LTX ELASTIC STRIP, 5018X 9.35 9.35 N 2629 1 EYE WASH, STERILE 1 OZ, 21UNIT 12.05 12.05 N 9900 1 HANDLING 6.95 6.95 N LOCATION# 1 LOCATION DESCRIPTION - BREAKROOM SUBTOTAL: 74.80 " SAFETY: .00 FIRST AID: 74.80 NONTAXABLE: 74.80 TAXABLE: .00 SUBTOTAL: 74.80 TAX 1: .00 TAX 2: .00 TOTAL 74.80 INVOICE ZEE MEDICAL INC, PAGE 2 P.O. BOX 204683 DATE 0311812015 DALLAS TX 75320 TIME 09:55:57 877-275-4933 JOE WEBSTER ext509 091009119 ORDERIINVOICE# 0158680462 Alt: 1 1 P.O.# 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 # 155184 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 158680463 01-720H-08 $59.85 Voucher Total \ Cost distribution ledger classification if claim paid under vehicle highway fund 1 Prescribed by State Board of Accounts City Form No.201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL I 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 DALLAS, TX 75320 Due Date 3/20/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/20/2015 158680463 $59.85 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 5-11-1 -1.6 Date Officer ZEE i ZEE I � kINVOICE I N V O I C E ZEE MEDICAL INC. PAGE 1 ZEE MEDICAL INC. PAGE 1 P.O. BOX 204683 DATE 03118!2015 P.O. BOX 204683 DATE 0311812015 DALLAS TX 75320 TIME 10:55:04 DALLAS TX 75320 TIME 09:65:57 i, 877-276-4933 877-275-4933 JOE WEBSTER ext509 09!009!19 ORDERIINVOICE# 0158680463 JOE WEBSTER ext509 091009119 ORDERIINVOICE# 0158680462 Alt: I I P.O.# Alt: ! 1 P.0.# BILL TO # 011801 SHIP TO# 008183 BILL TO # 011801 SHIP TO# 001107 CITY OF CARMEL H.H.W. `"BILLING CITY OF CARMEL H.H.W. CITY OF CARMEL H.H.W.""BILLING CITY OF CARMEL UTILITIES 30 WEST MAIN ST SUITE 220 901 NORTH RANGELINE ROAD 30 WEST MAIN ST SUITE 220 30 WEST MAIN ST SUITE 220 ! Carmel IN 46032 Carmel IN 46032 Carmel IN 46032 Carmel IN 46032 317-571-2624 317-571-2624 317-571.2624 317-571-2443 WILLIAM LISA KEMPA PART # QTY DESCRIPTION $PRICE $EXTENDED TAX - _- ----------- ------ --------- -- PART # QTY DESCRIPTION PRICE $EXTENDED TAX ------ - - ------ ___ ___________ ______ --------- ___ 1453 1 CHERRY COUGH DROPS 501BX (ZEE) 10.95 10.95 N 0614 1 TETRAHYDRO. EYE DROPS, 112 OZ. 9.00 9.00 N 1471 1 NAPROXEN SODIUM, 501BX (ZEE) 18,00 18.00 N 1420 1 IBUTAB 1001BX (ZEE) 19.45 19,45 N 0514 1 TETRAHYDRO, EYE DROPS, 112 OZ, 9.00 9.00 N 1471 1 NAPROXEN SODIUM, 501BX (ZEE) 18.00 18.00 N 3538 1 DISPOSABLE FORCEP, STERILE 3.05 3.05 N 0740 1 BNDG-NON-LTX ELASTIC STRIP, 501BX 9.35 9.35 N 1825 1 FIRST AID CRE41 25/BX 11.90 11.90 N 2629 1 EYE WASH, STERILE 1 OZ, 21UNIT 12.05 12.05 N 9900 1 HANDLING 6,95 6.95 N 9900 1 HANDLING 6.95 6.95 N LOCATION# 1 LOCATION DESCRIPTION MAIN SUBTOTAL: 59.85 LOCATION# 1 LOCATION DESCRIPTION BREAKROOM SUBTOTAL: 74.80 " SAFETY: .00 " SAFETY: .00 FIRST AID: 59.85 FIRST AID: 74.80 NONTAXABLE: 59.85 NONTAXABLE: 74.80 TAXABLE: .00 TAXABLE: .00 SUBTOTAL:- 59.85 SUBTOTAL: 74.80 TAX 1: ,00 TAX 1: .00 TAX 2: .00 TAX 2: .00 TOTAL 59.85 TOTAL 74.80 ON ACCOUNT ii INVOICE INVOICE ZEE MEDICAL INC. PAGE 2 ZEE MEDICAL INC. PAGE 2 P.O. BOX 204683 DATE 0311812015 P.O. BOX 204683 DATE 0311812015 DALLAS TX 75320 TIME 09:55:57 DALLAS TX 75320 TIME 10:55:04 877-275-4933 { 877-275-4933 - JOE WEBSTER ext509 091009!19 ORDERIINVOICE# 0158680462 JOE WEBSTER ext609 091009/19 ORDERIINVOICE# 0158680463 Alt: 1 ! P.O.# Alt: 1 I P•0,# SIGNATURE : DATE: -!_I, SIGNATURE DATE: 0311812015 PRINT NAME: - .-._..__._....._..._.__.... . ._..___......__ TITLE: -----.... ..._......_._.. f ! `I ASK US ABOUT FIRST AID AND AED PROGRAMS 1 1� -7�d THANK YOU FOR YOUR BUSINESS!! INVOICE IS CONFIDENTIAL - MAY BE SUBJECT TO LATE FEES PRINT NAME: BILL KELLAM � I VOUCHER # 151277 WARRANT # ALLOWED 343500 IN SUM OF $ ZEE MEDICAL PO BOX 204683 DALLAS, TX 75320 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 158680462 01-6200-08 $37.40 Voucher Total $37.40 ' 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. PO BOX 204683 Terms DALLAS, TX 75320 Due Date 3/20/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 3/20/2015 158680462 $37.40 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