247050 06/30/15 (9,
CITY OF CARMEL, INDIANA VENDOR: 343500
ONE CIVIC SQUARE ZEE MEDICAL, INC. CHECK AMOUNT: S'"* -397.95'CARMEL, INDIANA 46032 PO BOX 204683 CHECK NUMBER: 247050
DALLAS TX 75320 CHECK DATE: 06/30/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 0158680888 145.60 OTHER EXPENSES
1110 4239012 0158680955 150.35 SAFETY SUPPLIES
2201 4239012 0158680978 102.00 SAFETY SUPPLIES
Subtotal: 102 .00
Total: 102 .00
INVOICE
ZEE MEDICAL, INC. Page:l
P.O. BOX 204683 Date:06/23/2015
DALLAS TX 75320 Time:04 :48 :37
877-275-4933
JOE WEBSTER 19/009/09 ORDER/INVOICE # 0158680978
EXT509
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
AMY LUNN
PART # QTY DESCRIPTION $PRICE $EXTENDED TAX
9900 1 HANDLING 6 . 95 6 . 95 N
LOCATION# 1 - Main SUBTOTAL: 6. 95
PART # QTY DESCRIPTION $PRICE $EXTENDED TAX
0001 1 CABINET CLEANED/ORGANIZED 0.00 0.00 N*
LOCATION# 2 - Maintenance SUBTOTAL: 0.00
PART # QTY DESCRIPTION $PRICE $EXTENDED TAX
0501 1 COTTON TIP APPLICATOR 3IN, NS, 5.00 5.00 N
100/V
0743 1 BNDG-NON-LTX LG PATCH, 25/BX 10.45 10.45 N
1801 1 3-ANTI2IOTIC OINT 0.9 GM 25/BX 11.55 11.55 N
(ZEE)
0216 1 ANTISEPTIC SPRAY, NON-AEROSOL, 2 8.15 8.15 N
OZ
5641 1 MUSCLE JEL 3 .5GM, 24 CT. 20. 90 20. 90 N
3538 1 DISPOSABLE FORCEP, STERILE 3 .05 3 .05 N
LOCATION# 3 - Mens room SUBTOTAL: 59.10
PART # QTY DESCRIPTION $PRICE $EXTENDED TAX
1421 1 IBUTAB 250/BX (ZEE) 35.95 35.95 N
LOCATION# 4 - Front break roo SUBTOTAL: 35.95
Subtotal: 102 .00
Total: 102 .00
INVOICE
ZEE MEDICAL, INC. Page:2
P.O. BOX 204683 Date:06/23/2015
DALLAS TX 75320 Time:04 :48 :37
877-275-4933
JOE WEBSTER 19/009/09 ORDER/INVOICE # 0158680978
EXT509
P.O.#
*SAFETY: 0.00
FIRST AID: 102.00
NONTAXABLE: 102.00
TAXABLE: 0.00
SUBTOTAL: 102 .00
FREIGHT: 0.00
TAX 1: 0.00
TAX 2 : 0.00
TOTAL: 102.00
I
Payment Type: ON ACCOUNT
SIGNATURE DATE: 06/23/2015
PRINT NAME: Evie Anderson
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 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))
06/23/15 0158680978 $102.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Zee Medical
IN SUM OF $
P.O. Box 204683
Dallas, TX 75320
$102.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 I 0158680978 I 42-390.121 $102.00 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
U"— a June 25, 65
Street Commissioner
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Subtotal: 150.35
Total: 150.35
INVOICE
ZEE MEDICAL, INC. Pagel
P.O. BOX 204683 Date:06/17/2015
DALLAS TX 75320 Time:10:36:37
877-275-4933
JOE WEBSTER 19/009/09 ORDER/INVOICE # 0158680955
EXT509
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
TERESA ANDERSON
PART # QTY DESCRIPTION $PRICE $EXTENDED TAX
0740 2 BNDG-NON-LTX ELASTIC STRIP, 50/BX 9.35 18.70 N
2629 2 EYE WASH, STERILE 1 OZ, 2/UNIT 12 .05 24.10 N
9900 1 HANDLING 6.95 6 .95 N
LOCATION# 1 - Main SUBTOTAL: 49.75
PART # QTY DESCRIPTION $PRICE $EXTENDED TAX
0370 1 TAPE, ELASTIC 1IN X 5 YD. SPOOL 8 .80 8.80 N
0794 1 QR WOUND SEAL RAPID RESPONSE 21.05 21.05 N
0797 1 QR WOUND SEAL WITH APPLICATOR, 18. 80 18 .80 N
2/PK
2651 1 WATER-JEL BURN JEL 6/BX,WRAPPED 11.55 11.55 N
1817 1 HYDRO CREAM 1.0%, 0. 9 GM 25/BX 11.90 11.90 N
(ZEE)
0744 1 BNDG-NON-LTX SMALL STRIP 5/8IN, 7.60 7.60 N
50/B
5641 1 MUSCLE JEL 3 .5GM, 24 CT. 20.90 20 .90 N
LOCATION# 2 - Break room SUBTOTAL: 100.60
*SAFETY: 0.00
FIRST AID: 150.35
NONTAXABLE: 150.35
TAXABLE: 0.00
SUBTOTAL: 150.35
FREIGHT: 0.00
TAX 1: 0.00
TAX 2 : --..0-.-00-
TOTAL:
.0-.:0 0
TOTAL: 150.35
Subtotal: 150.35
Total: 150.35
INVOICE
ZEE MEDICAL, INC. Page:2
P.O. BOX 204683 Date:06/17/2015
DALLAS TX 75320 Time:10:36 :37
877-275-4933
JOE WEBSTER 19/009/09 ORDER/INVOICE # 0158680955
EXT509
P.O.#
Payment Type: ON ACCOUNT
SIGNATURE DATE: 06/17/2015
PRINT NAME: Pat jable
ASK US ABOUT FIRST AID AND AED PROGRAMS
THANK YOU FOR YOUR BUSINESS! !
INVOICE IS CONFIDENTIAL - MAY BE SUBJECT TO LATE FEES
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))
06/17/15 0158680955 medical supplies $150.35
1 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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Zee Medical, Inc.
IN SUM OF $
P.O. Box 204683
Dallas, TX 75320
$150.35
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 I 0158680955 I 42-390.12 I $150.35 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
Wednesday, June 24, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Subtotal: 145.60
Total: 145.60
INVOICE
ZEE MEDICAL, INC. Page: l
P.O. BOX 204683 Date:06/03/2015
DALLAS TX 75320 Time:08:26:59
877-275-4933
JOE WEBSTER 19/009/09 ORDER/INVOICE # 0158680888
EXT509
P.O.# s15169
BILL TO # 016166 SHIP TO # 016166
CITY OF CARMEL UTILITIES CITY OF CARMEL UTILITIES
9609 HAZEL DELL PARKWAY 9609 HAZEL DELL PARKWAY
INDIANAPOLIS, IN 46280 INDIANAPOLISIIN 46280
317-571-2634 317-571-2634
JEFF COOPER
PART # QTY DESCRIPTION $PRICE $EXTENDED TAX
3538 1 DISPOSABLE FORCEP, STERILE 3.05 3.05 N
1468 1 SORE THROAT LZNGS CHERRY 18/BX 10.20 10.20 N*
(ZEE)
0740 1 BNDG-NON-LTX ELASTIC STRIP, 50/BX 9.35 9.35 N
1420 1 IBUTAB 100/BX (ZEE) 19.45 19.45 N
LOCATION# 2 - Collections Men SUBTOTAL: 42.05
PART # QTY DESCRIPTION $PRICE $EXTENDED TAX
1801 1 3-ANTIBIOTIC OINT 0. 9 GM 25/BX 11.55 11.55 N
(ZEE)
0740 1 BNDG-NON-LTX ELASTIC STRIP, 50/BX 9.35 9.35 N
1486 1 DILOTAB II, 100/BX 20.20 20.20 N
1420 1 IBUTAB 100/BX (ZEE) 19.45 19.45 N
1446 1 ANTACID, TRIAL 100/BX (ZEE) 16.15 16.15 N
LOCATION# 3 - Collections off SUBTOTAL: 76.70
PART # QTY DESCRIPTION $PRICE $EXTENDED TAX
1805 1 BURN SPRAY, NON-AEROSOL, 2 OZ. 7 .85 7.85 N
2629 1 EYE WASH, STERILE 1 OZ, 2/UNIT 12.05 12.05 N
9900 1 HANDLING 6. 95 6.95 N
LOCATION# 4 - Lab SUBTOTAL: 26.85
*SAFETY: 10.20
FIRST AID: 135.40
Subtotal: 145. 60
Total: 145. 60
INVOICE
ZEE MEDICAL, INC. Page:2
P.O. BOX 204683 Date:06/03/2015
DALLAS TX 75320 Time:08:26:59
877-275-4933
JOE WEBSTER 19/009/09 ORDER/INVOICE # 0158680888
EXT509
P.O.# s15169
NONTAXABLE: 145. 60
TAXABLE: 0.00
SUBTOTAL: 145. 60
FREIGHT: 0.00
TAX 1: 0.00
TAX 2: 0.00
TOTAL: 145.60
Payment Type: ON ACCOUNT
SIGNATURE DATE: 06/03/2015
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
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 INC Purchase Order No.
P.O. BOX 204683 Terms
DALLAS, TX 75320 Due Date 6/24/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/24/2015 0158680888 $145.60
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
N
Date Officer
VOUCHER # 155788 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
0158680888 01-7200-01 $76.70
0158680888 01-7202-05 $68.90
Voucher Total $145.60
Cost distribution ledger classification if
claim paid under vehicle highway fund