249468 09/09/15 *R CITY OF CARMEL, INDIANA VENDOR: 343500
® $1 ONE CIVIC SQUARE ZEE MEDICAL, INC. CHECK AMOUNT: $***''**599.35'
r4 CARMEL, INDIANA 46032 PO BOX 204683 CHECK NUMBER: 249468
MoN � DALLAS TX 75320 CHECK DATE: 09/09/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 0158698238 569.55 OTHER EXPENSES
651 5023990 0158698273 29.80 OTHER EXPENSES
Subtotal : 29 .80
Total: 29. 80
INVOICE
ZEE MEDICAL, INC. Pagel
P.O. BOX 204683 Date:08/26/2015
DALLAS TX 75320 Time:07:25 :22
877-275-4933
JOE WEBSTER 19/009/09 ORDER/INVOICE # 0158698273
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
9900 1 HANDLING 6 . 95 6 .95 N
LOCATION# 1 - Main SUBTOTAL: 6 . 95
PART # QTY DESCRIPTION $PRICE $EXTENDED TAX
1817 1 HYDRO CREAM 1.O96, 0. 9 GM 25/BX 11. 90 11.90 N
(ZEE)
0716 1 BNDG-NON-LTX KNUCKLE, 40/BX 10 .95 10. 95 N
LOCATION# 2 - Shop SUBTOTAL: 22 .85
*SAFETY: 0 .00
FIRST AID: 29.80
NONTAXABLE: 29. 80
TAXABLE: 0.00
SUBTOTAL: 29.80
FREIGHT: 0 . 00
TAX 1: 0. 00
TAX 2 : 0 .00
TOTAL: 29.80
Payment Type: ON ACCOUNT
SIGNATURE DATE: 08/26/2015
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 9/3/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/3/2015 158698273 $29.80
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
Subtotal : 569.55
Total: 569.55
INVOICE
ZEE MEDICAL, INC. Page:l
P.O. BOX 204683 Date:08/20/2015
DALLAS TX 75320 Time:07 :39:47
877-275-4933
JOE WEBSTER 19/009/09 ORDER/INVOICE # 0158698238
EXT509
P.O.# s15386
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
3538 2 DISPOSABLE FORCEP, STERILE 3 .05 6 .10 N
1420 1 IBUTAB 100/BX (ZEE) 19.45 19.45 N
1801 1 3-ANTIBIOTIC OINT 0. 9 GM 25/BX 11.55 11.55 N
(ZEE)
1471 1 NAPROXEN SODIUM, 50/BX (ZEE) 18 .00 18. 00 N �p O
1825 1 FIRST AID CREAM 25/BX 11. 90 11. 90 N
0216 1 ANTISEPTIC SPRAY, NON-AEROSOL, 2 8.15 8 .15 N
OZ
0743 1 BNDG-NON-LTX LG PATCH, 25/BX 10.45 10.45 N
1451 1 PEPT-EEZ 42/'BX (ZEE) 14 .45 14.45 N
LOCATION# 2 - Collections Men SUBTOTAL: 100.05
PART # QTY DESCRIPTION $PRICE $EXTENDED TAX
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
1417 1 PAIN-AID 100/BX (ZEE) 17 . 60 17 .60 N
2211 3 INSECT REPELLENT-BUG X TOWEL, 46.30 138 .90 N*
25/BX
0242 2 SUNSCREEN, 30 SPF, 25/BX 34 . 80 69.60 N*
2208 3 IVY X CLEANSER TOWELETTE 25/BX 27 . 05 81. 15 N*
1451 1 PEPT-EEZ 42/BX (ZEE) 14 .45 14.45 N
1817 1 HYDRO CREAM 1.0o, 0. 9 GM 25/BX 11. 90 11. 90 N
(ZEE)
Subtotal: 569.55
Total: 569.55
INVOICE
ZEE MEDICAL, INC. Page:2
P.O. BOX 204683 Date:08/20/2015
DALLAS TX 75320 Time:07 :39:47
877-275-4933
JOE WEBSTER 19/009/09 ORDER/INVOICE # 0158698238
EXT509
P.O.# s15386
LOCATION# 3 - Collections off SUBTOTAL: 382 .60
PART # QTY DESCRIPTION $PRICE $EXTENDED TAX
0501 1 COTTON TIP APPLICATOR 3IN, NS, 5.00 5.00 N fl�
100/V
1420 1 IBUTAB 100/BX (ZEE) 19.45 19.45 N
1446 1 ANTACID, TRIAL 100/BX (ZEE) 16.15 16 . 15 N 0\,
LOCATION# 4 - Lab SUBTOTAL: 40.60
PART # QTY DESCRIPTION O�
_ $PRICE $EXTENDED TAX r�
0614 1 TETRAHYDRO. EYE DROPS, 1/2 OZ. 9.00 9.00 N ��O
0370 1 TAPE, ELASTIC 1IN X 5 YD. SPOOL 8.80 8.80 N
0995 2 ZEE FLEX 2IN X 5 YDS 6.10 12 .20 N �\
0740 1 BNDG-NON-LTX ELASTIC STRIP, 50/BX 9.35 9.35 N
LOCATION# 5 - Maintenance SUBTOTAL: 39.35
*SAFETY: 289.65
FIRST AID: 279.90
NONTAXABLE: 569 .55
TAXABLE: 0.00
SUBTOTAL: 569 .55
FREIGHT: 0.00
TAX 1: 0.00
TAX 2 : 0.00
TOTAL: 569 .55
Payment Type: ON ACCOUNT
SIGNATURE DATE: 08/20/2015
Subtotal: 569.55
Total: 569.55
INVOICE
ZEE MEDICAL, INC. Page:3
P.O. BOX 204683 Date:08/20/2015
DALLAS TX 75320 Time:07 :39:47
877-275-4933
JOE WEBSTER 19/009/09 ORDER/INVOICE # 0158698238
EXT509
P.O.# s15386
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 8/27/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/27/2015 0158698238 $569.55
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
VOUCHER # 156182 WARRANT # ( ALLOWED
343500
IN SUM OF $
ZEE MEDICAL INC
P.O. BOX 204683
DALLAS, TX 75320
i
I
Carmel Wastewater Utility ,
ON ACCOUNT OF APPROPRIATION FOR a
I
Board members
s
PO# INV# ACCT# AMOUNT Audit Trail Code
0158698238 01-7200-01 $384.92
0158698238 01-7202-05 $142.97
0158698238 01-7202-06 $41.66
i
{
Voucher Total $569.55
Cost distribution ledger classification if
claim paid under vehicle highway fund
I