251792 11/18/15 CITY OF CARMEL, INDIANA VENDOR: 343500
® `I ONE CIVIC SQUARE ZEE MEDICAL, INC. CHECK AMOUNT: $"`"""182.70"
:.. _� CARMEL, INDIANA 46032 PO BOX 204683 CHECK NUMBER: 251792
�M�roN�` DALLAS TX 75320 CHECK DATE: 11/18/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 0158715150 182:70 OTHER EXPENSES
I
ZEE
INVOICE
ZEE?MEDICAL INC. PAGE 1
P.O. BOX"204683 DATE 1012912015
DALLAS ` -TX 75320 TIME 07:54,25
877-275-4933
' JOE WEBSTER ext509 091009119 ORDERIINVOICE# 0158715150
Alt: ! ! 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 # CITY DESCRIPTION $PRICE $EXTENDED TAX
------ --- ----------- ------ --------- ---
0601 1 EVE CUPS, PLASTIC 6/VIAL 6.55 6.55 N
0203 1 CLEAN WIPES 501BX (ZEE) 8,15 - • 8.15 N-
1420 1 .IBUTAB 100/BX (ZEE) 19.45 19,45 N
1486 1 DILOTAB II, 1001BX 20,20 20.20 N
1495 1 HISTENOL FORTE 11, 1000 24.45 24.45 N
1492 1 LONGEST AID 11, 10018X 18.:60 18.60 N
LOCATION# 1 LOCATION DESCRIPTION - COLLECTION MENS SUBTOTAL: 97.40
2629 2 EVE WASH, STERILE 1 OZ, 2/UNIT 12.05 24.10 N
1417 1 PAIN-AID 1001BX (ZEE) 17.60 17.60 N
1486 1 DILOTAB Il, 1001BX 20.20 20.20 N
1435 1 E.S, UN-ASPIRIN 1001BX (ZEE) 16.45 16.45 N
LOCATION# 2 LOCATION DESCRIPTION - COLLECTION OFFI SUBTOTAL: 78.35
0001 1 CABINET CLEANEDIORGANIZEO .00 .00 "N
LOCATION# 3 LOCATION DESCRIPTION - LAB SUBTOTAL: .00
0001 1 CABINET CLEANED/ORGANIZED .00 .00 "N
9900 1 HANDLING 6.95 6.95 N
LOCATION# 4 LOCATION DESCRIPTION - MAINTENANCE SUBTOTAL: 6.95
INVOICE
ZEE MEDICAL INC. PAGE 2
P.O. BOX 204683 DATE 10129!2015
DALLAS TX 75320 TIME 07:54:25
877-276.4933
JOE WEBSTER ext509 091009119 ORDERIINVOICE# 0158715150
Alt: 1 ! P.O.#
PART # CITY DESCRIPTION $PRICE $EXTENDED TAX
------ --- ----------- ------ --------- ---
SAFETY: .00
FIRST AID: 182.70
NONTAXABLE: 182.70
TAXABLE: .00
SUBTOTAL: 182.70
TAX 1: .00
TAX 2: .00
TOTAL 182.70
SIGNATURE : -- DATE:
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
--- ------ wd
-
VOUCHER # 156604 WARRANT# ` ALLOWED
343500 IN SUM OF $
ZEE MEDICAL INC
r
P.O. BOX 204683
DALLAS, TX 75320
i
Carmel Wastewater Utility
V
ON ACCOUNT OF APPROPRIATION FOR
9
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
0158715150 01-7200-01 $85.30
0158715150 01-7202-05 $97.40
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l�
a
1 JI
1
Voucher Total $182.70
Cost distribution ledger classification if
claim paid under 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 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 11/5/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/5/2015 0158715150 $182.70
I hereby certify that the attached invoice(s), or bill(s) is (are)true and
correct and I have audited same in accordance with IOC 5-11-10-1.6
Date Officer