183518 03/16/2010 CITY OF CARMEL, INDIANA VENDOR: 343500 Page 1 of 1
ONE CIVIC SQUARE ZEE MEDICAL, INC.
L CHECK AMOUNT: $51.72
s CARMEL, INDIANA 46032 PO BOX 781554
4,, INDIANAPOLIS IN 46278 -8554 CHECK NUMBER: 183518
CHECK DATE: 3/1612010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239012 0158374829 51.72 SAFETY SUPPLIES
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
r.°
FIFTY YEARS OF SERVICE
I N V 0 I C E
ZEE MEDICAL INC. PAGE 1
PO BOX 781554 DATE 02 /22 /2010
INDIANAPOLIS IN 46278- -8554 TIME 14:48:39
317 872 -2492
r
JOE WEBSTER 09/009/19 ORDER /INVOICE# 0158374829
Alt: P.O.#
DILL TO 000486 SHIP TO# 011420
CARMEL STREET DEFT CARMEL STREET DEPARTMENT
3400 WEST 131ST STREET 2'CIVIC SQUARE
WESTFIELD IN 46074 CARMEL IN 460:2
317 -733 -2001 317-
PARKS FIFER
PART QTY DESCRIPTION $PRICE $EXTENDED TAX
1417 1 ZEE FAIN- -AID 100/BX 11.95 11.95 T
1420 1 ZEE IBUTAB 100/BX 13.15 13.15 T
0740 2 BNDG, NON --LTX ELASTIC STRIP, 50/BX 5.99 11.98 T
1453 1 CHERRY COUGH DROPS 50/BX (ZEE) 8.69 8.69 T
9900 1 HANDLING 5.95 5.95 T
LOCATION# 1 LOCATION DESCRIPTION A SUBTOTAL: 51.72
SAFETY: .00
FIRST AID: 51.72
SUBTOTAL: 51.72
TAX I;
TAX 2: .00
TOTAL 55.35
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
pQ Egg upa North America's #1 provider of first aid, safety, and training
P PL•J�l G CUSTOMER COPY 888 CALL ZEE (225 -5933) zeemedical.com
VOUCHER NO. WARRANT N
ALLOWED 20
Zee Medical
IN SUM OF
P. O. Box 781554
Indianapolis, IN 46278 -8554
$51.72
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
2201 0158374829 42- 390.12 $51.72 1 hereby certify that the attached invoice(s), or
bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
I
Thu rs day c 01 C
y
r
SS C n q
I be 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))
02/22/10 0158374829 $51.72
1 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