188129 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 343500 Page 1 of 1
ONE CIVIC SQUARE ZEE MEDICAL, INC. CHECK AMOUNT: $142.20
CARMEL, INDIANA 46032 PO BOX 781554
INDIANAPOLIS IN 46278 -8554 CHECK NUMBER: 188129
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4239012 0158375538 80.09 SAFETY SUPPLIES
1701 4239099 0158375539 62.11 OTHER MISCELLANOUS
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
Finrwumnmnm
INVOICE
ZEE MEDICAL INC. PAGE 1
PO BOX 781554 DATE 07/12/2010
INDIANAPOLIS IN 46278-8554 TIME 13:41:45
877-275-4933
JOE WEBSTER 09/009/19 ORDER/INVOICE# 0158375538
Alt: P.O.#
BILL TO M1213609 SHIP TO# 003609
CARMEL CLAY COMMUNICATIONS CARMEL—CLAY COMMUNICATIONS
31 1ST. AVE. N. W. 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
0743 1 BNDG, NON—LTX LG PATCH, 25/BX 7.35 7.35 N
1451 1 PE 42/BX (ZEE) 10.75 10. 75 N
1817 1 HYDROCORTI ZONE CREAM 1%, 0.9GM 25/PK 9.40 9.40 N
2651 1 WATER—JEL BURN JEL 6/BX 8.75 8.75 N
0921 1 GAUZE PADS 3" X 3", (ZEE) 6 25 6 25 N
0501 1 COTTON TIP APPLICATOR 3" NS 100/VIAL 3 65 3 65 N
9900 1 HANDLING 5.95 5.95 N
LOCATION# 1 LOCATION DESCRIPTION A SUBTOTAL: 80.09
SAFETY: .00
FIRST AID: 80.09
NONTAXABLE: 80.09
TAXABLE: .00
SUBTOTAL: 80.09
TAX 1: .00
TAX 2: .00
TOTAL 80.09
North America's #1 provider of first aid, oafety, and training
CUSTOMER COPY 888' CALL ZEE (225-5933) zeemedicaicom
VOUC NO. WARRANT NO.
ALLOWED 20
Zde Medical, Inc.
IN SUM OF
P.O. Box 781554
Indianapolis, IN 46278 -8554
$80.09
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1115 0158375538 1 42- 390.12 $80.09 1 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
Wednesday, July 14, 2010
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))
07/12/10 0158375538 $80.09
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
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
o
Fmvmn UnMm
INVOICE
ZEE MEDICAL INC. PAGE 1
PO BOX 781554 DATE 07/12/2010
INDIANAPOLIS IN 46278-8554 TIME 14:11:04
877-275-4933
JOE WEBSTER 09/009/19 ORDER/INVOICE# 0158375539
Alt; P.O.#
BILL TO 000712 SHIP TO# 000712
CITY OF CARMEL CITY OF CARMEL
ONE CIVIC SQUARE ONE CIVIC SQUARE
CLERK TREASURER CLERK TREASURER
CARMEL IN 46032 CARMEL IN 46032
317-571-2414 317-571-2414
Ann
PART QTY DESCRIPTION $PRICE $EXTENDED TAX
1417 2 ZEE PAIN—AID 100/BX 11.95 23.90 N
1420 2 ZEE IBUTAB 100/DX 13.15 26.30 N
1805 1 BURN SPRAY, NON—AEROSOL, 2 OZ. 5.96 5.96 N
9900 1 HANDLING 5.95 5.95 N
LOCATION# 1 LOCATION DESCRIPTION A SUBTOTAL: 62.11
SAFETY: .00
FIRST AID: 62.11
NONTAXABLE: 62.11
TAXABLE: .00
SUBTOTAL: 62.11
TAX 1: .00
TAX 2: .00
TOTAL 62.11
1WRAws gig Rusiv TM 109901
North America's #1 provider of first aid, safety, and training
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, nurni hours, rate per hour, number of units, price per unit, etc.
Payee
2 t r �it Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
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.
�ee t ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT# /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice 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
0
Signature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund