186571 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 343500 Page 1 of 1
ONE CIVIC SQUARE ZEE MEDICAL, INC.
CARMEL, INDIANA 46032 PO BOX 781554 CHECK AMOUNT: $56.43
INDIANAPOLIS IN 46278 -8554
CHECK NUMBER: 186571
CHECK DATE: 6/9/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239012 158375344 56.43 SAFETY SUPPLIES
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
9
Q
1
hM M U SERtlICE
I N V 0 I C
L EE MED I CAL INC. PAGE 1.
PO BOX 73 DATE 06/02/
INDI IN 46273 TI 10u 09s13
877 275- 4933
JOE WEBSTER 09/009/19 ORDER/ INVOICE# 0158375344
Alt; l P. O.
BILL TO 003728 SHIP T'O# 003723
CARMEL_ POLICE CARMEL_ POLICE
3 CIVIC SQUARE 3 CIVIC SQUARE
CARMEL IN 46032 CARMEL IN 46032
317-5
TERESA ANDERSON
FART QTY DESCRIPTION $PRICE $EXTENDED TAX
:i BOI 1 3,— ANTIBIOTIC DINT, 0. 9SM, 25/3X (ZEE) 8.10 8.10 N
2354 2 ICE PACK, DELUXE., SMALL (ZEE) 2.7 5. 50 N
0744 1 SNDG, NON SM ALL STRIP S /S 50 /BX 4.99 4. N
0740 1 BNDG, NON 'LTX ELASTIC ST RIP, 50 /BX 5. 99 5. N
0001 1 CABINET CLEANED AND ORGANIZED I,.�0 .00 *N
0774 1 Q R WOUND SEAL._ RAPID RE=SPONSE 17. 17.95 N
071E 1 BNDG, NUN —LTX KNUCKLE, 40/ BX 7.95 5 7. J5 N
9900 1 HANDL 5.95 5. 95 N
LOCATION# 1 LOCATION DESCRIPTION A SUBTOTAL: 56.
SAf=ETYr .00
FIRST AID: 56.43
NONTAXABLE 5G. k.,
TAXABLE: .00
SUBTOTAL w 56.43
TAX 1w .00
TAX 2w .00
TOTAL 56.43
5110291 TIV TWO PGJ Egu—j@ grow, North America's #1 provider of first aid, safety, and training
T'm CUSTOMER COPY 888 CALL ZEE (225 -5933) zeemedical.com
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.
P.O. Box 781554 Terms
Indianapolis, IN 46278 -8554 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
6/3/10 158375344 payment for medical supplies 56.43
a
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
7_.eeMedical_, Inc- IN SUM OF
P.O. Box 781554
Indianapolis, IN 46278 -8554
56.43
ON ACCOUNT OF APPROPRIATION FOR
police genera lfund
Board Members
DO I NVOICE NO. ACCT /TITLE AMOUNT I hereby certify that the attached invoice(s), or
1110 158375344 390 -12 56.43 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
June 3 20 10
Signature
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund