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248094 07/28/15 r coq yF CITY OF CARMEL, INDIANA VENDOR: 343500 r; r ® ij ONE CIVIC SQUARE ZEE MEDICAL, INC. CHECK AMOUNT: $*******822.00* :, i4 CARMEL, INDIANA 46032 PO BOX 204683 CHECK NUMBER: 248094 +, ..._...- DALLAS TX 75320 CHECK DATE: 07/28/15 �>ON� DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 0158680876 40.85 OTHER EXPENSES 651 5023990 0158698055 230.65 OTHER EXPENSES 2201 4239012 0158698092 550.50 SAFETY SUPPLIES Subtotal: 550.50 Total: 550.50 INVOICE ZEE MEDICAL, INC. Page:l P.O. BOX 204683 Date:07/22/2015 DALLAS TX 75320 Time:05:21:43 877-275-4933 JOE WEBSTER 19/009/09 ORDER/INVOICE # 0158698092 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 2208 2 IVY X CLEANSER TOWELETTE 25/BX 27.05 54.10 N* LOCATION# 2 - Maintenance SUBTOTAL: 54.10 PART # QTY DESCRIPTION $PRICE $EXTENDED TAX 0501 1 COTTON TIP APPLICATOR 3IN, NS, 5. 00 5.00 N 100/V 0743 2 BNDG-NON-LTX LG PATCH, 25/BX 10.45 20.90 N 0740 2 BNDG-NON-LTX ELASTIC STRIP, 50/BX 9.35 18.70 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 2629 2 EYE WASH, STERILE 1 OZ, 2/UNIT 12 . 05 24.10 N 2207 2 IVY X PRE-CONTACT TOWELETTE, 41. 95 83 . 90 N* 25/BX 2208 2 IVY X CLEANSER TOWELETTE 25/BX 27.05 54.10 N* 2211 2 INSECT REPELLENT-BUG X TOWEL, 46.30 92.60 N* 25/BX LOCATION# 3 - Mens room SUBTOTAL: 321.20 PART # QTY DESCRIPTION $PRICE $EXTENDED TAX 1421 1 IBUTAB 250/BX (ZEE) 35. 95 35. 95 N 1418 1 PAIN-AID 250/BX (ZEE) 31.80 31.80 N Subtotal : 550.50 Total: 550.50 INVOICE ZEE MEDICAL, INC. Page:2 P.O. BOX 204683 Date:07/22/2015 DALLAS TX 75320 Time:05:21:43 877-275-4933 JOE WEBSTER 19/009/09 ORDER/INVOICE # 0158698092 EXT509 P.O.# 0737 1 BNDG-NON-LTX DURA-STRIP 1IN, 10.70 10.70 N 100/BX 0743 1 BNDG-NON-LTX LG PATCH, 25/BX 10.45 10.45 N 0744 1 BNDG-NON-LTX SMALL STRIP 5/8IN, 7.60 7.60 N 50/B 3538 1 DISPOSABLE FORCEP, STERILE 3 .05 3 .05 N 0794 1 QR WOUND SEAL RAPID RESPONSE 21.05 21.05 N 0921 1 GAUZE PAD-3IN X 3IN, 25/BX (ZEE) 8.65 8.65 N 2629 2 EYE WASH, STERILE 1 OZ, 2/UNIT 12 .05 24 . 10 N 0995 1 ZEE FLEX 2IN X 5 YDS 6.10 6.10 N 0370 1 TAPE, ELASTIC 1IN X 5 YD. SPOOL 8.80 8.80 N LOCATION# 4 - Front break roo SUBTOTAL: 168.25 *SAFETY: 284.70 FIRST AID: 265.80 NONTAXABLE: 550.50 TAXABLE: 0.00 SUBTOTAL: 550.50 FREIGHT: 0.00 TAX 1: 0.00 TAX 2 : 0.00 TOTAL: 550.50 Payment Type: ON ACCOUNT SIGNATURE DATE: 07/22/2015 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)) 07/22/15 0158698092 $550.50 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Zee Medical IN SUM OF $ P.O. Box 204683 Dallas, TX 75320 $550.50 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members 2201 I 0158698092 I 42-390.121 $550.50 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 Thum y, omml,��c�rt�Y Stree ommissioner Title Cost distribution ledger classification if claim paid motor vehicle highway fund �LSI� FACCOUNT NUMBER TERMS PERIOD ENDING PAGE 83 N15 07/06/15 1 To expedite payment, please reference the invoice number(s) .on your check. FOR QUESTIONS REGARDING THIS STATEMENT,CALL: Invoices may be subject to late fees. ACCOUNTS RECEIVABLE (877) 275-4933 CUSTSVC@ZEEMEDICALINC.COM STATEMENT INVOICE DATE, INVOICE NUMBER DUE DATE SERVICE ADDRESS ORIGINAL AMOUNT BALANCE DUE 06/02/15 158-680876 06/17/15 Carmel IN 40.85 40.85 TOTAL BALANCE DUE , 40 . 85 RECENT CASH/CREDIT PAYMENTS MAY NOT BE POSTED AS OF THE STATEMENT DUE CURRENT s' - -- ,.,. Y. 16-30 DAYS 31=60 DAYS' '61-90 DAYS. 099,1=,120>DQYSJ", ° 0.00 0-00 40:85' p;:pp _I IALC_A_ap,Q,C.f`.I,A„T.C_.V.fJI L�_G.Q�.B�.®T�/l�1LT_c.61T1.Ael TG1 3177222209 Zee Collections 10:42:20 a.m. 07-23-2015 1 /2 Subtotal: 40.85 Total: 40.85 INVOICE ZEE MEDICAL, INC. Page:l P.O. BOX 204683 Date:06/02/2015 DALLAS TX 75320 Time:08:32:34 877-275-4933 JOE WEBSTER 19/009/09 ORDER/INVOICE # 0158680876 EXT509 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 WILLIAM PART # QTY DESCRIPTION $PRICE $EXTENDED TAX 1451 1 PEPT-EEZ 42/BX (ZEE) 14.45 14.45 N 0206 1 HYDROGEN PEROXIDE, NON-AEROSOL, 4.95 4.95 N 2OZ 1805 1 BURN SPRAY, NON-AEROSOL, 2 OZ. 7.85 7.85 N 0618 1 EYE DROPS - THERA TEARS 4/PK 6.65 6.65 N 9900 1 HANDLING 6.95 6.95 N LOCATION# 2 - Shop SUBTOTAL: 40.85 *SAFETY: 0.00 FIRST AID: 40.85 NONTAXABLE: 40.85 TAXABLE: 0.00 SUBTOTAL: 40.85 FREIGHT: 0.00 TAX 1: 0.00 TAX 2: 0.00 TOTAL: 40.85 Payment Type: ON ACCOUNT SIGNATURE DATE: 06/02/2015 3177222209 Zee Collectlons 10:42:31 a.m. 07-23-2015 212 Subtotal: 40.85 Total: 40.85 INVOICE ZEE MEDICAL, INC. Page:2 P.O. BOX 204683 Date:06/02/2015 DALLAS TX 75320 Time:08:32:34 877-275-4933 JOE WEBSTER 19/009/09 ORDER/INVOICE # 0158680876 EXT509 P.O.# PRINT NAME: Wehner 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 7/23/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/23/2015 158680876 $40.85 i hereby certify that the attached invoice(s), or bill(s) is (are) true and :orrect and I have audited same in accordance with IC 5-11-10-1.6 7 zI/f Date Officer r VOUCHER # 155980 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 158680876 01-720H-08 $40.85 Voucher Total $40.85 Cost distribution ledger classification if claim paid under vehicle highway fund i Subtotal: 230.65 Total: 230.65 INVOICE ZEE MEDICAL, INC. Page:l P.O. BOX 204683 Date:07/13/2015 DALLAS TX 75320 Time:11:31:11 877-275-4933 JOE WEBSTER 19/009/09 ORDER/INVOICE # 0158698055 EXT509 P.O.# 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 INDIANAPOLIS, IN 46280 317-571-2634 317-571-2634 JEFF COOPER 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 1420 1 IBUTAB 100/BX (ZEE) 19.45 19.45 N 0797 1 QR WOUND SEAL WITH APPLICATOR, 18 . 80 18.80 N 2/PK 1471 1 NAPROXEN SODIUM, 50/BX (ZEE) 18 . 00 18 . 00 N LOCATION# 2 - Collections Men SUBTOTAL: 56.25 PART # QTY DESCRIPTION $PRICE $EXTENDED TAX 1420 1 IBUTAB 100/BX (ZEE) 19.45 19.45 N 0204 1 ANTISEPTIC WIPES 50/BX (ZEE) 7.45 7.45 N 1417 1 PAIN-AID 100/BX (ZEE) 17 .60 17.60 N 0713 1 BNDG-NON-LTX FINGERTIP XLG, 25/BX 10.00 10.00 N 0714 1 BNDG-NON-LTX FINGERTIP, 40/BX 10.95 10. 95 N 0737 1 BNDG-NON-LTX DURA-STRIP 1IN, 10.70 10.70 N 100/BX LOCATION# 3 - Collections off SUBTOTAL: 76 .15 PART # QTY DESCRIPTION $PRICE $EXTENDED TAX 1495 1 HISTENOL FORTE II, 100/BX 24 .45 24 .45 N 1486 1 DILOTAB II, 100/BX 20.20 20.20 N Subtotal: 230.65 Total : 230.65 INVOICE ZEE MEDICAL, INC. Page:2 P.O. BOX 204683 Date:07/13/2015 DALLAS TX 75320 Time:11 :31:11 877-275-4933 JOE WEBSTER 19/009/09 ORDER/INVOICE # 0158698055 EXT509 P.O.# LOCATION# 4 - Lab SUBTOTAL: 44.65 PART # QTY DESCRIPTION $PRICE $EXTENDED TAX 2629 2 EYE WASH, STERILE 1 OZ, 2/UNIT 12 . 05 24 . 10 N 0601 1 EYE CUPS, PLASTIC 6/VIAL 6.55 6 .55 N 0614 1 TETRAHYDRO. EYE DROPS, 1/2 OZ. 9.00 9.00 N 2354 2 ICE PACK, DELUXE, SMALL (ZEE) 3 .50 7 .00 N LOCATION# 5 - Maintenance SUBTOTAL: 46. 65 *SAFETY: 0.00 FIRST AID: 230.65 NONTAXABLE: 230.65 TAXABLE: 0.00 SUBTOTAL: 230.65 FREIGHT: 0.00 TAX 1: 0.00 TAX 2 : 0.00 TOTAL: 230.65 Payment Type: ON ACCOUNT SIGNATURE DATE: 07/13/2015 w Asp PRINT NAME: cooper 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 7/21/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 7/21/2015 0158698055 $230.65 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 7 -//>- c t'. _ a ( v" _•tel 1,.- — Date Officer VOUCHER # 155943 WARRANT # ALLOWED 343500 IN SUM OF $ ZEE MEDICAL INC P.O. BOX 204683 DALLAS, TX 75320 Carmel Wastewater Utility i ON ACCOUNT OF APPROPRIATION FOR Board members PO# INV# ACCT# AMOUNT Audit Trail Code 0158698055 01-7200-01 $80.78 0158698055 01-7202-05 $100.90 0158698055 01-7202-06 $48.97 1 Voucher Total $230.65 Cost distribution ledger classification if claim paid under vehicle highway fund