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245013 05/05/15 0J`Y'`�" CITY OF CARMEL, INDIANA VENDOR: 343500 ONE CIVIC SQUARE ZEE MEDICAL,, INC. CHECK AMOUNT: $*******520.50* CARMEL, INDIANA 46032 PO BOX 204683 CHECK NUMBER: 245013 .+,;,ETON::0 DALLAS TX 75320 CHECK DATE: 05/06/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4239012 0158680671 188.70 SAFETY SUPPLIES 651 5023990 0158680683 232.30 OTHER EXPENSES 1110 4239012 0158680693 99.50 SAFETY SUPPLIES ZEE INVOICE ZEE MEDICAL INC. PAGE 1 P.O. BOX 204683 DATE 04/2812015 DALLAS TX 75320 TIME 12:48:55 877-275-4933 JOE WEBSTER ext509 091009119 OROERIINVOICE# 0158680671 Alt: 1 1 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 ANY LUNN PART # QTY DESCRIPTION $PRICE $EXTENDED TAX ------ --- ----------- ------ --------- --- 0581 1 HL MAX-LITE EARPLUGS W1CD 100PRIBX 26.65 26.65 "N 1420 . , 1 IBUTAB.1001BX (ZEE) 19.45 19.45 N 0740; - 1 BNDG-NON-LTX ELASTIC STRIP, 500 9,35 9.35 N 1446 1 ANTACID, TRIAL 100/BX (ZEE) 16,15 16.15 N 1405 1 PA BACK RELIEF FORMULA- 100/BX 21.05 21.05 N LOCATION# 1 LOCATION DESCRIPTION - MAINTENANCE SUBTOTAL: 92.65 1801 1 3-ANTIBIOTIC DINT 0.9 GM 251BX (ZEE) 11.55 11.55 N 0740 1 BNDG-NON-LTX ELASTIC STRIP, 60/BX 9.35 9.35 N 0995 1 ZEE FLEX 21N x 5 YOS 6.10 6.10 N 0216 1 ANTISEPTIC SPRAY, NON-AEROSOL, 2 OZ 8.15 8,15 N LOCATION# 2 LOCATION DESCRIPTION - MENS ROOM SUBTOTAL: 35.15 1471 1 NAPROXEN SODIUM, 501BX (ZEE) 18,00 18.00 N 1421 1 IBUTAB 2501BX (ZEE) 35;95 35.95 N 9900 1 HANDLING 6.95 6.95 N LDCATION# 3 LOCATION DESCRIPTION - MAIN OFFICE SUBTOTAL: 60.90 INVOICE ZEE MEDICAL INC, PAGE 2 P.O. BOX 204583 DATE 04128/2015 DALLAS TX 75320 TIME 12:48:55 877-275-4933 JOE WEBSTER ext509 091009119 OROERIINVOICE#.0158680671 Alt: 1 1 P.O.# PART # QTY DESCRIPTION $PRICE $EXTENDED TAX ------ --- ----------- ------ --------- --- SAFETY; 26.65 FIRST AID: 162.05 NONTAXABLE: 188.70 TAXABLE: .00 SUBTOTAL: 188.70 TAX 1: .00 TAX 2: 00 TOTAL 188.70 SIGNATURE : DATE: I 1 PRINT NAME: TITLE: ASK US ABOUT FIRST AID AND AED PROGRAMS THANK YOU FOR YOUR BUSINESS!! INVOICE IS CONFIDENTIAL MAY BE SUBJECT 10 LATE FEES VOUCHER NO. WARRANT NO. ALLOWED 20 Zee Medical IN SUM OF$ P.O. Box 204683 Dallas, TX 75320 $188.70 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#rrlTLE AMOUNT Board Members 2201 1 0158680671 1 42-390.121 $188.70 1 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 r � T r d i 30, 2015 Streex 8?Arqggj8A,spioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund I 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)) 04/28/15 0158680671 $188.70 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 ZEE INVOICE ZEE MEDICAL INC, PAGE 1 P.O. BOX 204683 DATE 0413012015 DALLAS TX 75320 TIME 09:56:32 877-275-4933 JOE WEBSTER ext509 091009119 ORDER/INVOICE# 0158680693 Alt: I I P.O.# BILL TO # 003728 SHIP TO# 003728 CARMEL POLICE CARMEL POLICE 3 CIVIC SQUARE 3 CIVIC SQUARE Carmel IN 46032 Carmel IN 46032 317-571-2500 317-571-2500 TERESA ANDERSON PART # QTY DESCRIPTION $PRICE $EXTENDED TAX ------ --- ----------- ------ --------- --- 2354 1 ICE PACK, DELUXE, SMALL (ZEE) 3.50 3.50 N 0203 1 CLEAN WIPES 50/BX (ZEE) 8.15 8.15 N 0740 2 BNDG-NON-LTX ELASTIC STRIP, 50/BX 9,35 18.70 N 1801 1 3-ANTIBIOTIC DINT 0.9 GM 251BX (ZEE) 11.55 11.55 N 0794 1 QR WOUND SEAL RAPID RESPONSE 21.05 21.05 N 0797 1 QR WOUND SEAL WITH APPLICATOR, 21PK 18.80 18,80 N 0731 1 BNDG- NON-LTX SHEER STRIP 11N, 10018 10.80 10.80 N 9900 1 HANDLING 6.95 6.95 N LOCATION# 1 LOCATION DESCRIPTION MAIN SUBTOTAL: 99.50 " SAFETY: ,00 FIRST AID: 99.50 NONTAXABLE: 99,50 TAXABLE: ,00 SUBTOTAL: 99.50 TAX 1: .00 TAX 2: .00 TOTAL 99.50 INVOICE ZEE MEDICAL INC. PAGE 2 P.O. BOX 204683 DATE 0413012015 DALLAS TX 75320 TIME 09:56:32 877-275-4933 JOE WEBSTER ext509 09/009119 ORDER/INVOICE# 0158680693 Alt: I 1 P.O.# SIGNATURE : DATE: 1 ! PRINT NAME: TITLE: ASK US ABOUT FIRST AID AND AED PROGRAMS THANK YOU FOR YOUR BUSINESS!! INVOICE IS CONFIDENTIAL - MAY BE SUBJECT TO LATE FEES VOUCHER NO. WARRANT NO. Zee Medical, Inc. ALLOWED 20 IN SUM OF$ P.O. Box 204683 Dallas, TX 75320 $99.50 ON ACCOUNT OF APPROPRIATION FOR Carmel Police Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1110 I 0158680693 I 42-390.12 I $99.50 1 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 6 Friday, May ay 01, 2015 Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund i I 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)) 04/30/15 0158680693 safety supplies $99.50 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 I N V O I C E ZEE MEDICAL INC. PAGE 1 P.O. BOX 204683 DATE 04/29/2015 DALLAS TX 75320 TIME 11:28 : 09 877-275-4933 JOE WEBSTER ext509 09/009/19 ORDER/INVOICE# 0158680683 Alt: / / P.O.# S15067 BILL TO # 016166 T 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 ------ --- ----------- ------ --------- --- 1420 1 IBUTAB -100/BX (ZEE) 19.45 19.45 N - - ------- - ----- - -- - - - - -0204 - - � `l ANTISEPTIC WIPES 50/BX- (ZEE)- 7.45 7.45- N 0797 1 QR WOUND SEAL WITH APPLICATOR, 2/PK 18.80 18.80 N 1451 1 PEPT-EEZ 42/BX (ZEE) 14 .45 14.45 N 1492 1 CONGEST AID II, 100/BX 18 .60 18.60 N LOCATION# 1 LOCATION DESCRIPTION - BATHROOM COLLEC SUBTOTAL: 78.75 1486 1 DILOTAB II, 100/BX 20 .20 20.20 N 0797 1 QR WOUND SEAL WITH APPLICATOR, 2/PK 18 .80 18.80 N 2629 2 EYE WASH, STERILE 1 OZ, 2/UNIT 12.05 24.10 N 1420 1 IBUTAB 100/BX (ZEE) 19.45 19.45 N LOCATION# 2 LOCATION DESCRIPTION - COLLECTION SUBTOTAL: 82.55 0001 1 CABINET CLEANED/ORGANIZED .00 . 00 *N LOCATION# 3 LOCATION DESCRIPTION - LAB SUBTOTAL: . 00 0731 1 BNDG- NON-LTX SHEER STRIP 1IN, 100/B 10 .80 10.80 N 0740 1 BNDG-NON-LTX ELASTIC STRIP, 50/BX 9.35 9.35 N 0713 1 BNDG-NON-LTX FINGERTIP XLG, 25/BX 10 .00 10.00 N 0797 1 QR WOUND SEAL WITH APPLICATOR, 2/PK 18.80 18.80 N 0614 1 TETRAHYDRO. EYE DROPS, 1/2 OZ. 9.00 9.00 N 3538 2 DISPOSABLE FORCEP, STERILE 3 .05 6.10 N 9900 1 HANDLING 6.95 6.95 N LOCATION# -4 LOCATION DESCRIPTION - BLD B _ SUBTOTAL: 71. 00 �� I N V O I C E ZEE MEDICAL INC. PAGE 2 P.O. BOX 204683 DATE 04/29/2015 DALLAS TX 75320 TIME 11:28:09 '877-275-4933 JOE WEBSTER ext509 09/009/19 ORDER/INVOICE# 0158680683 Alt: / / P.O.# 515067 PART # QTY DESCRIPTION $PRICE $EXTENDED TAX --- ----------- ------ --------- --- * SAFETY: . 00 FIRST AID: 232.30 NONTAXABLE: 232 .30 TAXABLE: .00 SUBTOTAL: 232.30 - ----- - - TAX-1 -- --.0-0 ---— --- TAX 2: .00 TOTAL 232.30 ON ACCOUNT SIGNATURE DATE: 04/29/2015 r o PRINT NAME: DWAYNE JARVIS ASK US ABOUT FIRST AID AND AED PROGRAMS THANK YOU FOR YOUR BUSINESS! ! INVOICE IS CONFIDENTIAL - MAY BE SUBJECT TO LATE FEES a VOUCHER # 155426 WARRANT# ALLOWED 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 0158680683 01-7200-01 $161.30 0158680683 01-7202-05 $71.00 1 1 Voucher Total $232.30 Cost distribution ledger classification if claim paid under vehicle highway fund f 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 i ZEE MEDICAL INC Purchase Order No. P.O. BOX 204683 Terms DALLAS, TX 75320 Due Date 4/30/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 4/30/2015 0158680683 $232.30 i 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 Date Officer