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246046 06/03/15 %'��F� CITY OF CARMEL, INDIANA VENDOR: 343500 4� 4�, • ONE CIVIC SQUARE ZEE MEDICAL, INC. CHECK AMOUNT: $*******465.45* r.. ?�; CARMEL, INDIANA 46032 PO BOX 204683 CHECK NUMBER: 246046 9''��TON G�` DALLAS TX 75320 CHECK DATE: 06/03/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 601 5023990 0158680815 248.95 OTHER EXPENSES 2201 4356003 0158680816 216.50 SAFETY ACCESSORIES ZEE INVOICE ZEE MEDICAL INC. PAGE 1 P.O. BOX 204683 DATE 0512112015 DALLAS TX 75320 TIME 09:57:50 877-275-4933 JOE WEBSTER ext509 09/009119 ORDER/INVOICE# 0158680816 Alt: 1 f P.O.# BILL TO #M00485 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 $EXTENOED TAX ------ --- ----------- ------ --------- --- 0206 1 HYDROGEN PEROXIDE, NON-AEROSOL, 20Z 4.95 4.95 N 0216 1 ANTISEPTIC SPRAY, NON-AEROSOL, 2 OZ 8.15 8.15 N 1825 1 FIRST AID CREAM 26/BX 11.90 11.90 N 2651 1 WATER-JEL BURN JEL 61BX,WRAPPED 11.55 11.55 N 1420 1 IBUTAB 100/BX (ZEE) 19,45 19.45 N LOCATION# 1 LOCATION DESCRIPTION - MAINTENANCE BLD SUBTOTAL: 56.00 0203 1 CLEAN WIPES 501BX (ZEE) 8.15 8.15 N 1801 1 3-ANTIBIOTIC DINT 0.9 GM 25/BX (ZEE) 11.55 11.55 N 0614 1 TETRAHYDRO. EYE DROPS, 112 OZ. 9.00 9.00 N 0618 1 EYE DROPS - THERA TEARS 4/PK 6.65 6.65 N 2629 1 EYE WASH, STERILE 1 OZ, 2/UNIT 12.05 12.05 N LOCATION# 2 LOCATION DESCRIPTION - MENS ROOM SUBTOTAL: 47.40 1421 1 IBUTAB 250/BX (ZEE) 35.95 35.95 N 1487 1 DILOTAB ll, 250/BX 38.40 38.40 N 1418 1 PAIN-AID 2501BX (ZEE) 31.80 31.80 N 9900 1 HANDLING 6.95 6.95 N LOCATION# 3 LOCATION DESCRIPTION - OFFICE SUBTOTAL: 113.10 INVOICE ZEE MEDICAL INC. PAGE 2 P.O. BOX 204683 DATE 05/2112015 DALLAS TX 75320 TIME 09:57:50 877-275-4933 JOE WEBSTER ext509 091009/19 ORDERIINVOICE# 0158680816 Alt: I 1 P.O.# PART # QTY DESCRIPTION $PRICE $EXTENDED TAX ------ --- ----------- ------ --------- --- SAFETY: .00 FIRST AID: 216.50 NONTAXABLE: 216.50 TAXABLE: .00 SUBTOTAL: 216.50 TAX 1: .00 TAX 2: .00 TOTAL 216.50 SIGNATURE : DATE: 1 1 PRINT NAME: TITLE: ASK US ABOUT FIRST AID AND AED PROGRAMS _ THANK YOU-FOR YOUR BUSINESS!!_ - ----- INVOICE IS CONFIDENTIAL - MAY BE SUBJECT TO LATE FEES VOUCHER NO. WARRANT NO. Zee Medical ALLOWED 20 IN SUM OF$ P.O. Box 204683 Dallas, TX 75320 $216.50 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 0158680816 43-560.03 $216.50 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 41ASm""15 A� 0 - ff mjssloner rimissloner Title Cost distribution ledger classification if claim paid motor 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 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)) 05/21/15 0158680816 $216.50 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 5-11-10-1.6 120 Clerk-Treasurer ZEE'. j , INVOICE ZEE MEDICAL INC, PAGE 1 P.O. BOX 204683 DATE 0512112015 DALLAS TX 75320 TIME 09:26:11 877-275-4933 JOE WEBSTER ext509 09/009119 ORDERIINVOICE# 0158680815 Alt: 1 I P.O.# BILL TO a 007748 SHIP TO# 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 # QTY DESCRIPTION RICE $EXTENDED TAX ------ --- ----------- ------ --------- --- 0206 1 HYDROGEN PEROXIDE, NON-AEROSOL, 20Z 4.95 4.95 N 0216 1 ANTISEPTIC'SPRAY, NON-AEROSOL, 2 OZ 8.15 8.15 N 1805 1 BURN SPRAY, NON-AEROSOL, 2 OZ. 7.85 7.85 N. 0995 1 ZEE FLEX 21N x 5 YDS '6.10 6.10 N " 0794 1 QR WOUND SEAL RAPID RESPONSE 21,05 21.05 IN 1801 1 3-ANTIBIOTIC DINT 0.9 GM 26/BX (ZEE) 11.55, 11.55 'N LOCATION# 1 LOCATION DESCRIPTION - BREAKROOM SUBTOTAL: 59.65 0225 1 TOWELETTE;MOIST CLEANSING,20113X ZEE 7.05 7.05 N 0743 1 BNDG-NON-LTX LG PATCH, 251BX 10,45 10.45, N 0716 1 BNDG-NON-LTX KNUCKLE, 40/BX 10.95 10.95 N 0714 1 BNDG-NON-LTX FINGERTIP, 40/BX 10.95 10.95 N- 0740 2 BNDG-NON-LTX ELASTIC STRIP, 501BX 9.35 18.70 N . 0206 1 HYDROGEN PEROXIDE, NON-AEROSOL, 20Z 4,95 4.95 -N 0001 1 CABINET CLEANEDIORGANIZED .00 .00 "N 5649 1 WATER-JEL BURN DRESS 4x41N STER PAD 15,35 15.35 N 5641 1 MUSCLE JEL 3.5gm, 24 CT. 20,90 20.90 N LOCATION# 2 LOCATION DESCRIPTION - CENTER SHOP SUBTOTAL: 99.30 0740 1 BNDG-NON-LTX ELASTIC STRIP, 50/BX 9,35', 9.35 N _ 1801 1.3-ANTIBIOTIC OINT-0.9 GM 26/BX (ZEE) ?1 55--,11.55- N--- 0618 2 EYE DROPS - THERA TEARS 41PK "6.651" 13.30 N 0001 1 CABINET CLEANEDIORGANIZED `:00` 00 "N 0794 1 QR WOUND SEAL RAPID RESPONSE 21:05 21.05 ,N 9900 1 HANDLING 6.95 6:95 T 0614 1 TETRAHYORO. EYE DROPS, 112 OZ: 9.00 9.00 N 0797 1 OR WOUND SEAL WITH APPLICATOR,"21PK 18.80 18.80 .,N LOCATION# 3 LOCATION DESCRIPTION - MECHANIC SHOP SUBTOTAL: 90.00 INVOICE ZEE MEDICAL INC, PAGE 2 P.O. BOX 204683 DATE 0512112015 DALLAS TX 75320 TIME 09:26:11 877-275-4933 JOE WEBSTER ext609 091009119 OROERIINVOICE# 0158680815 Alt: I I P.O.# PART # QTY DESCRIPTION RICE $EXTENDED TAX ------ --- ----------- ------ --------- --- SAFETY: .00 FIRST AID: 248.95 NONTAXABLE:' 242.00 TAXABLE: 6.95 SUBTOTAL: 248.95 TAX 1: .00 TAX 2: .00 TOTAL 248.95 SIGNATURE : DATE: I ! 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 # 151998 WARRANT# ALLOWED 343500 IN SUM OF $ ZEE MEDICAL PO BOX 204683 DALLAS, TX 75320 �I Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR j ' Board members PO# INV# ACCT# AMOUNT j Audit Trail Code 0158680815 01-6200-06 $248.95 ! 7 1 `t • I I ;i d 'i t Voucher Total $248.95 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 5/27/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 5/27/2015 0158680815 $248.95 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