252175 12/02/15 CITY OF CARMEL, INDIANA VENDOR: 343500
A r ONE CIVIC SQUARE ZEE MEDICAL, INC. CHECK AMOUNT: $ .... `476.50'
�. =a CARMEL, INDIANA 46032 PO BOX 204683 CHECK NUMBER: 252175
DALLAS TX 75320 CHECK DATE: 12/02/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 0158715253 184.94 OTHER EXPENSES
2201 4239012 0158715254 58.96 SAFETY SUPPLIES
651 5023990 0158715264 232.60 OTHER EXPENSES
I
ZEE
INVOICE
ZEE MEDICAL INC. PAGE 1
P.O. BOX 204683 DATE 11/19/2015
DALLAS TX 75320 TIME 11:05:00
877-275-4933
JOE WEBSTER ext5O9 091009119 ORDERIINVOICE# 0158715254
Alt: I 1 P.O.»
BILL TO # M00486 SHIP TO# 000486
CARMEL STREET DEPT CARMEL STREET DEPT
3400 WEST 131ST STREET 3400 WEST 131ST STREEI
Westfield IN 46074 Westfield IN 46074
317-733-2001 317-733-2001
AMY LUNN
PART u OfY DESCRIPTION $PRICE $EXTENDED TAX
------ --- ----------- ------ --------- ---
0001 1 CABINET CLEANEDIORGANIZED .00 .00 "N
LOCATION# .1 LOCATION DESCRIPTION - MAINIENANCE BLU SUBTOTAL: .00
0740 1 BNDG-NON-LTX ELASTIC STRIP, 50/BX 9.35 9.35 N
0797 1 WOUNDSEAL WITH APPLICATOR, 2/PK 18.80 18.80 N
0795 1 WOUND SEAL, 2/PK 15.40 15.40 N
0739 1 BNDG, NON-LTX ADVANCED HEALING 101BX 8.46 8.46 N
9900 1 HANDLING 6.95 6.95 N
LOCATION# 2 LOCATIUN UESCRIPTION - MAIN BLU MENS R SUBTOIAL: 58.96
" SAFETY: .00
FIRST AID: 58.96
NONTAXABLE: 58.96
TAXABLE: .00
SUBTOTAL: 58.96
TAX 1: .00
TAX 2: .00
TOTAL 58.96
INVOICE
ZEE MEDICAL INC. PAGE 2
P.O. BOX 204683 DATE 11/19/2015
DALLAS TX 75320 TIME 11:05:00
877-275-4933
JOE WEBSIER ext509 09/009/19 ORDERIINVOICE# 0156715254
Alt: ! I P.O.#
SIGNATURE DATE: / 1
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))
11/19/15 0158715254 $58.96
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
$58.96
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE I AMOUNT Board Members
2201 1 0158715254 1 42-390.121 $58.96 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
��/ �� Friday 'Novemb 20$ 015
V v� 7L
Street Commissloner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
INVOICE
ZEE MEDICAL INC. PAGE 1
P.O. BOX 204683 DATE 1112312015
DALLAS TX 75320 TIME 11:27:37
877-275-4933
JOE WEBSTER ext509 091009/19 ORDERIINVOICE# 0158715264
Alt: I I P.0.# 11232015
BILL TO # 016166 SHIP TO# 016166
CITY OF CARMEL UTILITIES CITY OF CARMEL UTILIIIES
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 $EXIENDED TAX
------ --- ----------- ------ --------- ---
1457 1 ANTI-DIARRHEAL CAPLETS,2mg,12CT(ZEE) 8.55 8.55 "N
0203 1 CLEAN WIPES 501BX (ZEE) 8.15 8.15 N
1486 1 DILOTAB II, 1001BX 20.20 20.20 N
1495 1 HISTENOL FORTE 11, 10018X 24.45 24.45 N
0738 1 BNDG, NON-LTX TAPERED FOAM, 3018X 10.95 10.95 N
LOCATION# 1 LOCAIION DESCRIPTION - COLLECTION MENS SUBIOIAL: 72.30
0738 1 BNDG, NON-LTX TAPEREU FOAM, 301BX 10.95 10.95 N
1471 1 NAPROXEN SODIUM, 50IBX (ZEE) 18.00 18.00 N
3537 1 SPLINTER OUT (ZEE), 101PK 5.45 5.45 N
0743 1 BNDG-NON-LTX LG PATCH, 251BX 10.45 10.45 N
LOCATION# 2 LOCATION UESCRIPIION - COLLECT OFFICE SUBIOIAL: 44.85
1478 1 ZEE ALLERGY RELIEF TABLET, 101BX 10.50 10.50 N
0794 1 QR WOUND SEAL RAPID RESPONSE 21.05 21.05 N
2605 1 BANDAGE, TRIANGULAR 401N NIS 1/UN 5.10 5.10 N
0731 1 BNDG- NON-LTX SHEER STRIP 11N, 100/8 10.80 10.80 N
LOCATION# 3 LOCATION DESCRIPTION - LAB SUBTOTAL: 47.45
2629 2 EYE WASH, STERILE 1 OZ, 2/UNIT 12.05 24.10 N
0738 1 BNDG, NON-LTX TAPERED FOAM, 30/BX 10.95 10.95 N
3538 2 DISPOSABLE FORCEP, STERILE 3.05 6.10 N
3521 1 KIT SCISSOR, 4-112IN WIRE LOOP HANDL 3.60 3.60 N
2645 1 BANDAGE, COMPRESS MULTI FUNCTION LG 11.20 11.20 N
2605 1 BANDAGE, TRIANGULAR 40IN NIS 1/UN 5.10 5.10 N
9900 1 HANDLING 6.95 6.95 N
LOCATION# 4 LOCATION DESCRIPTION - MAINTENANCE SUBIOIAL: 68.00
INVOICE
ZEE MEDICAL INC, PAGE 2
P.O. BOX 204683 DATE 11/23/2015
DALLAS TX 75320 TIME 11:27:37
877-275-4933
JOE WEBSTER ext509 09/009119 ORDERIINVOICEM 0156715264
Alt: f 1 P.O.N 11232015
PART # QTY DESCRIPTION $PRICE $EXIENOED IAX
----- --- ----------- ------ --------- ---
SAFETY: 8.55
FIRST AID: 224.05
NONTAXABLE: 232.60
TAXABLE: .00
SUBTOTAL: 232.60
TAX 1: .00
TAX 2: .00
TOTAL 232,60
SIGNATURE : -- ---- - — --- ---- DATE:
PRINT NAME: TITLE:
ASK US ABOUT FIRST AID AND AED PROGRAMS
THANK YOU FOR YOUR BUSINESS!!
INVOICE IS CONFIDENTIAL - MAY BE SUBJECI 10 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 11/24/2015.
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/24/201! 0158715264 $232.60
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
Date Officer
VOUCHER # 156749 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
0158715264 01-7200-01 $44.85
0158715264 01-7202-05 $122.07
0158715264 01-7202-06 $65.68
Voucher Total $232.60
Cost distribution ledger classification if
claim paid under vehicle highway fund
ZEE
a
INVOICE
ZEE MEDICAL INC. PAGE 1
P.O. BOX 204683 DATE 11/1912015
DALLAS TX 75320 TIME 10:34:04
877-275-4933
JOE WEBSTER ext509 091009/19 ORDER/INVOICE# 0158715253
Alt: ! I P.O.#
BILL TO # 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 $PRICE $EXTENDED TAX
------ --- ----------- ------ --------- ---
0714 1 BNDG-NON-LTX FINGERTIP, 40/BX 10.95 10.95 N
3538 1 DISPOSABLE FORCEP, STERILE 3.05 3.05 N
LOCATION# 1 LOCATION OESCHIPTION - KITCHEN SUBTOTAL: 14.00
0206 1 HYDROGEN PEROXIDE, NON-AEROSOL, 20Z 4.95 4.95 N
0739 2 BNDG, NON-LTX ADVANCED HEALING 10/BX 8.46 16.92 N
0738 1 BNDG, NON-LTX TAPERED FOAM, 30/BX 10.95 10.95 N
0797 1 WOUNDSEAL WITH APPLICATOR, 2/PK 18.80 18.80 N,
2618 1 EYE PADS W1ADH STRIPS, 4/UN 12.75 12.75 N
6625 1 INFECTION CONTROL KIT 58.60 58,60 "P
0203 1 CLEAN WIPES 50/BX (ZEE) 8.15 8.15 I
LOCATION# 2 LOCATION DESCRIPTION - SHOP CENTER SUBTOTAL: 131.12
0501 1 COTTON TIP APPLICATOR 31N, NS, 100/V 5.00 5.00 N
0739 2 BNDG, NON-LTX ADVANCED HEALING 101BX 8.46 16.92 N
0738 1 BNDG, NON-LTX TAPERED FOAM, 30/BX 10.95 10.95 N
9900 1 HANDLING 6.95 6.95 N
LOCATION# 3 LOCATION DESCRIPTION - MECHANIC SHOP SUBTOTAL: 39.82
INVOICE
ZEE MEDICAL INC. PAGE 2
P.O. BOX 204683 DATE 1111912015
DALLAS TX 75320 TIME 10:34:04
877-275-4933
JOE WEBSTER ext509 091009/19 ORDERIINVOICE# 0158715253
Alt: / 1 P.O.# --
PART
PART # QTY DESCRIPTION $PRICE $EXTENDED TAX
------ --- ----------- ------ ---------
" SAFETY: 58.60
FIRST AID: 126.34
NONTAXABLE: 184.94
TAXABLE: .00
SUBTOTAL: 184.94
TAX 1: .00 1
TAX 2: 00 I
TOTAL 184.94 �
SIGNATURE DATE: ! 1
PRINT NAME: TITLE:
ASK US ABOUT FIRST AID AND AEO 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 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 11/20/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/20/201,' 0158715253 $184.94
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 # 153627 WARRANT # ALLOWED
343500 IN SUM OF $
ZEE MEDICAL
PO BOX 204683
DALLAS, TX 75320
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
0158715253 01-6200-06 $184.94
r
Voucher Total $184.94
Cost distribution ledger classification if
claim paid under vehicle highway fund