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187104 06/23/2010 CITY OF CARMEL, INDIANA VENDOR: 343500 Page 1 of 1 ONE CIVIC SQUARE ZEE MEDICAL, INC. CARMEL, INDIANA 46032 PO BOX 781554 CHECK AMOUNT: $365.03 INDIANAPOLIS IN 46278 -8554 CHECK NUMBER: 187104 CHECK DATE: 6/23/2010 DEPARTMENT A PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4239012 0158375343 39.63 SAFETY SUPPLIES 2201 4239012 0158375393 105.69 SAFETY SUPPLIES 601 5023990 0158375394 112.22 OTHER EXPENSES 651 5023990 158375396 107.49 OTHER EXPENSES ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL Firryruns OFv�� INVOICE ZEE MEDICAL INC. AGE 1 PO BOX 781554 DATE 06/10/2010 INDIANAPOLIS IN 46278-8554 TIME 10:04:28 877-275-4933 JOE WEBSTER 09/009/19 ORDER/INVOICE# 0158375396 Alt: P.O.# BILL TO 001107 SHIP TO# 003747 CITY OF CARMEL UTILITIES CARMEL SEWER DEPT 760 3RD AVE SW SUITE 110 901 NORTH RANGELINE ROAD CARMEL IN 46032 CARMEL IN 46032 317-571-2443 317-571-2645 PAUL ARNONE PART QTY DESCRIPTION $PRICE $EXTENDED TAX 0216 1 ANTISEPTIC SPRAY, NON—AEROSOL, 2 OZ 5.96 5.96 N 0501 1 COTTON TIP APPLICATOR 3 3 65 3 65 N 2629 2 EYE WASH, STERILE 1—OZ., 2/UNIT 9.95 19.90 N 0370 1 TAPE, ELASTIC 1" X 5 YD. SPOOL 6.50 6.50 N 1428 1 ZEE ANTI—DIARRHEAL CAPLETS,2mg,12/BX 5.75 5.75 N 1421 1 ZEE IBUTAB 250/BX 27.99 27.99 N 9900 1 HANDLING 5.95 5.95 T 1817 1 HYDROCORTIZONE CREAM 1%, 0.9GM 25/PV, 9.40 9.40 N 0614 1 TETRAHYDROZOLINE HCL DROPS 1/2 OZ., 7.40 7.40 N 0797 1 OR WOUND SEAL WITH APPLICATOR, 2/PK 14.99 14.99 N LOCATION# 1 LOCATION DESCRIPTION A SUBTOTAL: 107 49 SAFETY: .00 FIRST AID: 107.49 NONTAXABLE: 101.54 TAXABLE: 5.95 SUBTOTAL: 107.49 TAX 1: .00 TAX 2: .00 TOTAL 107.49 North America's #1 provider of first aid, uufety, and training CUSTOMER COPY 888 CALL ZEE (225-5933) zeemedical.com VOUCHER 105679 WARRANT ALLOWED 343500 IN SUM OF ZEE MEDICAL INC P.O. BOX 4398 CHESTERFIELD, MO 63006 Carmel Wastewater Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 158375396 01- 7200 -01 $107.49 Voucher Total $107.49 Cost distribution ledger classification if claim paid under vehicle highway fund Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) ACCOUNTS PAYABLE VOUCHER d 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 4398 Terms CHESTERFIELD, MO 63006 Due Date 6/15/2010 Invoice Invoice Description Date Number (or note attached- invoice(s) or bill(s)) Amount 6/15/2010 158375396 $107.49 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 ZEE MEDICAL P� Op��T AND CONFIDENTIAL mnWESmxMm INVOICE ZEE MEDICAL INC. PAGE 1 PO BOX 781554 DATE 06/10/2010 INDIANAPOLIS IN 46278-8554 TIME 08:38:49 877-275-4933 JOE WEBSTER ORDER/INVOICE# 0158375394 P. O.# BILL TO 007748 SHIP TO# 007748 CARMFL 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 0740 2 BNDG, NON-LTX ELASTIC STRIP, 50/BX 5.99 11.98 N 0737 1 BNDG, NON-LTX DURA-STRIP 1", 100/BX 8.75 8.75 N 0501 1 COTTON TIP APPLICATOR 3",NS,100/VIAL 3.65 3.65 N 2219 1 DERMAFLEUR PACKETS, 25/BX 7.25 7.25 N 3538 1 DISPOSABLE FORCEP, STERILE 1.85 1.85 N 0618 1 EYE DROPS THERA TEARS 4/PK 5.15 5.15 N 2645 1 BANDAGE, COMPRESS MULTI FUNCTION LG 8.35 8.35 N 0001 1 CABINET CLEANED AND ORGANIZED .00 .00 *N 0794 1 DR WOUND SEAL RAPID RESPONSE 17.95 17.95 N 0797 1 DR WOUND SEAL WITH APPLICATOR, 2/Pk 14.99 14.99 N 9900 1 HANDLING 5.95 5.95 T LOCATION# 1 LOCATION DESCRIPTION A SUBTOTAL: 85.87 0206 1 HYDROGEN PEROXIDE, NON-AEROSOL, 2OZ. 3.35 3.35 N 2219 1 DERMAFLEUR PACKETS, 25/BX 7.25 7.25 N 0614 1 TETRAHYDROZOLINE HCL DROPS 1/2 OZ. 7.40 7.40 N 2645 1 BANDAGE, COMPRESS MULTI FUNCTION LO 8.35 8.35 N LOCATION# 2 LOCATION DESCRIPTION B SUBTOTAL: 26.35 tn North America's #1 provider of first aid. safety, and traini .PlAys; paw W CUSTOMER COPY 880 CALL ZEE (225-5933) zeemedicaLconm ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL �ryv�,OFvmwm INVOICE ZEE MEDICAL INC. PAGE 2 PO BOX 781554 DATE 06/10/2010 INDIANAPOLIS IN 46278-8554 TIME 08:38:49 877-275-4933 JOE WEBSTER 09/009/19 ORDER/INVOICE# 0158375394 Alt: P.O.# PART QTY DESCRIPTION $PRICE $EXTENDED TAX SAFETY: .00 FIRST AID: 112.22 NONTAXABLE: 106.27 TAXABLE: 5.95 SUBTOTAL: 112.2 TAX 1: .00 TAX 2: .Q0 TOTAL 112.22 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. North America's #1 provider of first aid, unfety, and training CUSTOMER COPY 808' CALL ZEE (225-5933) zeemedicaioom VOUCHER 101858 WARRANT ALLOWED 34?.500 IN SUM OF ZEE MEDICAL P.Q. BOX 781554 INDIANAPOLIS, IN 46278 -8554 0 56 0 Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 0158375394 01- 6200 -06 $112.22 Voucher Total $112.22 Cost distribution ledger classification if claim ,paid under 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 of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 343500 ZEE MEDICAL Purchase Order No. P.O. BOX 781 554 Terms INDIANAPOLIS, IN 46278 -8554 Due Date 6/15/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 6/15/2010 0158375394 $112.22 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 ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL 0 0 Fim YEARS OF SERVICE Z E:E MEDI :A INN* H 1 aG E 1 I N D I AINr•iI•-iOL I S I N t•! 6E 7 S 6 ,'j T I 1AE 09 �a 877 2`715--Zi-933 JOE WEE E- 3TE_.R 09 /009 /1' DilDER /I1 VIDICE4 ilil °_;E B IL L. TO it 0121 046E C.; 1...11 T iJ'E'1' 01142D CARMEL S REL'T DE•I' 1 cj jpjy11_l._ r I:ITI ?I _Pi =1 RT!'1i::1_1 1 3 4 Qi 0 WEST 131 s "C a rRF E r 2 CIVIC:: AR'E WE S TE= I ELD IN 4-507.4 IuAF IN Z 1 6 32 317 PART 01 "Y D1WSCRIPTI01*i $PIRICE E ITENDED TAX 14aG 1 DILOTArB I'l 100/M 1. 15. :9`D 1I3n 99 T 14;�'ES '1 ZEE ANTI— DIARRHEAL CAPLETS, ra>� 1 a =a 5e 7.` 1' 0740 1 EANDIS, I \ION_..i "r y: ELASTIC ST is I'- q 5 0/13-1; 9 t" 0 1 BNDG NON-1— I 'A 1;h.IlJr {:L "E Z ,-0:'I: X 7. 9,:5 7. 95 T LOCATION# 1 LOCATION SUBTOTAL o 39. 6"3 F" I REi T A I I 2;9 G 1; SUBTOTAL.:: 2 9 is 3 Ti ='-'1 1 2n 7C; PQi ©M� North America's #1 provider of first aid, safety, and training PLQ�I CUSTOMER COPY 888 -CALL ZEE (225 -5933) zeemedicaLcom ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL Fim YEAR5 OF SERVICE 1 \1 V (3 1 C ZE M EDICAL I NC. PO BOX 781554 DATE 0 10 f201Q1 I ND I ANAP. I S IN 4,'-_, 27r.---8554 T l Mr 08z26 .JOE: WEBSTE.R 09/009/1.9 ORDE R/INVOICE:# Alta f f P 0. B TO IA00486 SH IP TO# 000486 CARMEL S TREET DEPT CARMEL_ ;_.TREET DEPT 3 400 WEST 131ST STREET 2'400 WE: sT` 1,11 S "F STREET WESTF=IELD IN 46074 WESTFIELD IN 43074 BO 1. E. PART OTY 1 CRI f1 7 PIRICE `.�E ^TE14.I�,r FAX !L' f 1 f DEX S�`1' PL��L �yA/ly�rS T I ON, 300-PR R 1 n t 71.25 *N 0995 1 ZE FLEX 2 X 5 YDS 4. 55 '4 55 N 0754 1 OR WOUND SEAL RAP RESEUNSE 17.95 1.?., 95 N 9900 1 HANDL. I NG L; W 35 5.95 N 0740 1 TEANDG, i --L'TX STRIP, 50/0X 99 1 15. S 9 N LOCATION# 1 LOCATION DESCRIPTION SHOP) SUBTOTAL a 105. i AF=E r Y 1. 25 F AID: 340 1\10 N" FAXABLE.' 105. E9 TAX A3I._E. 4 o(? SUBT0TAL. 105w 69 _I 1. o a 0A TA X e 012) l °U°E'AE._ 1 North America's #1 provider of first aid, safety, and training pp CUSTOMER COPY 888 CALL ZEE (225 -5933) zeemedical.com VOUCHER NO. WARR AN T NO. ALLOWED 20 Zee Medical IN SUM OF P. O. Box 781554 Indianapolis, IN 46278 -8554 $145.32 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members 2201 0158375343 42- 390.12 $39.63 1 hereby certify that the attached invoice(s), or 2201 0158375393 42- 390.12 $105.69 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, June 17, 2010 s Street Commis loner Title Cost distribution ledger classification if claim paid motor vehicle highway fund Proscribed by State Board of Accounts City Form No. 261 (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)) 06/02/10 0158375343 $39.63 06/10/10 0158375393 $105.69 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