181010 12/30/2009 e X4:7 CITY OF CARMEL, INDIANA VENDOR: 343500 Page 1 of 1
"4 k ONE CIVIC SQUARE ZEE MEDICAL, INC.
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CARMEL, INDIANA 46032 PO BOX 781554 CHECK AMOUNT: $90.37
_1:. _oN, INDIANAPOLIS IN 48278 -8554 CHECK NUMBER: 181010
CHECK DATE: 12/3012009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4239012 0158374494 90.37 SAFETY SUPPLIES
r ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
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FIFTY YEARS OFSERVICE
INVOICE
ZEE MEDICAL INC. PAGE 1
PO BOX 781554 DATE 12/15/2009
INDIANAPOLIS IN 46278-8554 TIME 14:44:37
317-872-2492
JOE WEBSTER 09/009/19 QRDER/INVOICE# 0158374494
Alt: P.O.#
BILL TO M03609 SHIP TO# 003609
CARMEL CLAY COMMUNICATIONS CARMEL-CLAY COMMUNICATIONS
31 1ST. AVE' N.J. 31 1ST AVE N. W.
CARMEL IN 46032 CARMEL IN 46032
317-571-5780 317-571-5780
DIANE
PART QTY DESCRIPTION $PRICE $EXTENDED TAX
1421 1 ZEE IBUTAB 250/BX 27.99 27.99 N
1418 1 ZEE PAIN-AID 250/BX 23.99 23.99 N
1454 1 CHERRY COUGH DROPS 125/BX (ZEE) 16.29 16.29 N
1801 1 3-ANTIBIOTIC DINT, 0.9BM, 25/BX(ZEE) 8.10 8.10 N
1451 1 PEPT-EEZ 42/BX (ZEE) 10.75 10.75 N
0206 1 HYDROGEN PEROXIDE, NON-AEROSOL, 20Z. 3.25 3.25 *N
LOCATION# 1*LOCATION DESCRIPTION A SUBTOTAL: 90.37
SAFETY: 3.25
FIRST AID: 87.12
SUBTOTAL: 90.37
TAX 1: .00
TAX 2: .00
TOTAL 90.37
SIGNATURE DATE:
PRINT NAME: TITLE:
ASK US- ABOUT FIRST AID TRAINING AND AED PROGRAMS.
THANK YOU FOR YOUR BUSINESS
INVOICE IS CONFIDENTIAL MAY BE SUBJECT TO LATE FEES
P&Y0i@ET Egg UPON
North Americas #1 provider of first aid, aafe�� and training
PLEASE G�%�FROK8lD��}U���U�E
CUSTOMER �L��(��S� ���ica\zom
VOUCHER NO... WARRANT NO.
ALLOWED 20
Zee Medical, Inc.
IN SUM OF
P.O. Box 781554
Indianapolis, IN 46278 -8554
$90.37
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT #TTlTLE AMOUNT
Board Members
1115 0158374494 42- 390.12 $90.37 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
Thursday, December 17, 2009
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
12/15/09 0158374494 I 1 $90.37
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