190527 09/29/2010 CITY OF CARMEL, INDIANA VENDOR: 343500 Page 1 of 1
ONE CIVIC SQUARE ZEE MEDICAL, INC.
CARMEL, INDIANA 46032 PO BOX 781554 CHECK AMOUNT: $140.16
INDIANAPOLIS IN 46278 -8554 CHECK NUMBER: 190527
CHECK DATE: 9/29/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1115 4239012 0158375908 140.16 SAFETY SUPPLIES
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
r Tn
,;a
Flay YEARS OF SERVICE
I N V O I C E
ZEE MEDICAL INC. WAGE 1
910 PDX 781554 DATE 09/15
INDIANAPOLIS IN 46:78 -8554 TIME 14:20 :05
877-2 75-4933
JOE WEBSTER ext509 09/009/19 ORDER /INVOICE# 0158375908
Alt: P.O.
BILL TO M03609 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
3 1 7-5 71 5780 317
DIANE
PART QTY DESCRIPTION $PRICE $EXTENDED TAX
0924 1 GAUZE PADS 4" X 4 25/BX (ZEE) 8.20 8.20 N
0921 1 GAUZE FADS 3" X 3 25 /RX (ZEE) 6.40 6.40 N
0740 1 BNDG, NON -LTX ELASTIC STRIP, 50 /BX. 5.99 5.99 N
1817 1 HYDROCORT I ZONE CREAM 1%, 0. 9GM 25 /PK 9.40 9.40 N
1801 1 3- ANTIBIOTIC OINT, 0. 9GM, 25/BX (ZEE) 8.10 8.10 N
0995 3 ZEE FLEX 2" X 5 YDS 4.55 13.65 N
1486 1 DILOTAB II, 100 /BX 13.99 13.99 N
1421 1 ZEE IBUTAB 250 /BX 27.99 27.99 N
2629 2 EYE WASH, STERILE 1 -OZ., 2 /UNIT 9.95 19.90 N
0601 1 EYE CUES, PLASTIC 6 /VIAL 3.85 3.85 N
0204 1 ANTISEPTIC SWAPS, 50 /BX (ZEE) 5.75 5.75 N
0795 1 OR WOUND SEAL, 2 /PK 10.99 10.99 N
9900 1 HANDLING 5.95 5.95 T
LOCATION# 1 LOCATION DESCRIPTION A SUBTOTAL: 140.16
SAFETY: .00
FIRST AID: 140.16
NONTAXABLE: 134.21
TAXABLE: 5.95
SUBTOTAL: 140.16
TAX 1: .00
TAX 2: .00
TOTAL 140.16
North America's #1 provider of first aid, safety, and training
PQCI CUSTOMER COPY 888 CALL ZEE (225 -5933) zeemedicai.com
VO NO. WARRANT NO.
ALLOWED 20
Zee Medical, Inc.
IN SUM OF
P.O. Box 781554
Indianapolis, IN 46278 -8554
$140.16
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. I ACCT #!TITLE AMOUNT Board Members
1115 0158375908 42- 390.12 $140.16 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, September 22, 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. 1,995)
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))
09/15/10 I 0158375908 I I $140.16
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