182144 02/03/2010 7f CITY OF CARMEL, INDIANA VENDOR: 343500 Page 1 of 1
ONE CIVIC SQUARE ZEE MEDICAL, INC.
c CARMEL, INDIANA 46032 PO BOX 781554 CHECK AMOUNT: $110.71
3 :44 2.. INDIANAPOLIS IN 46278 8554 CHECK NUMBER: 182144
CHECK DATE: 2/3 /2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239012 158374632 110.71 SAFETY SUPPLIES
f
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
.7-
gig 8
�nv�,
INVOICE
ZEE MEDICAL INC. PAGE 1
PO BOX 781554 DATE 01/25/2010
INDIANAPOLIS IN 46278-8554 TIME 15:12:47
317-872-2492
JOE WEBSTER 09/009/19 ORDER/ INVOICE* 0158374632
Alt: P.O.#
BILL TO 003728 SHIP TO# 003728
CARMEL POLICE CARMEL POLICE
3 CIVIC SQUARE 3 CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
317-571-2500 317-571-2500
TERESA ANDERSON
PART QTY DESCRIPTION $PRICE $EXTENDED TAX
0740 2 BNDG, NON-LTX ELASTIC STRIP, 50/BX 5.99 11.98 N
0716 2 BNDG, NON-LTX KNUCKLE, 40/B 7.95 15.90 N
0225 1 ANTI-BACTERIAL TOWELETTE 20/BOX 5.65 5.65 N
0797 1 QR WOUND SEAL WITH APPLICATOR, 2/PK 14.99 14.99 N
0794 1 QR WOUND SEAL RAPID RESPONSE 17.95 17.95 *N
1801 1 3-ANTIBIOTIC OINT, 0.9GM, 25/BX(3EE) 8.10 8.10 N
0501 2 COTTON TIP APPLICATOR 3",N8,100/VIAL 3.65 7.30 N
2629 1 EyE WASH, STERILE 1-OZ., 2/UNIT 9.95 9.95 N
0744 1 BNDG NON-LTX SMALL STRIP 5/8" 50/BX 4.99 4.99 N
0714 1 BNDG, NON-LTX FINGERTIP, 40/BX 7.95 7.95 N
9900 1 HANDLING 5.95 5.95 N
LOCATION* 1 LOCATION DESCRIPTION A SUBTOTAL.: 110.71
SAFETY: 17.95
FIRST AID: 92.76
GUBTOTAL: 110.71
TAX 1: .00
TAX 2: .00
TOTAL 110.71
U�D0&gD�r�Ug UpQNN�E0�Fr
North America's #1 c�f���d.xafe��ond
PLEASE PO? FR@0&3���gUNVO|<�E safety, training
CUSTOMER COPY 888 CALL ZEE (225-5933) znomedicaicom
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
;,Zee Medical Inc. Purchase Order No.
Box 781554 Terms
Indianapolis, IN 46278 -8554 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1/25/10 158374632 payment for medical supplies 110.71 11
Total
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
Zef Mdical, inc. IN SUM OF
P.O. Box 781554
Indianapolis, IN 46278 -8554
110.71
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
Po #or INVOICE NO. ACC AMOUNT hereby certify invoice( s), DEPT. I hereb certif that the attached invoices or
1110 158374632 390 -12 110.71 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
January 27 20 10
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund