191019 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 343500 Page 1 of 1
ONE CIVIC SQUARE ZEE MEDICAL, INC. CHECK AMOUNT: $82.28
s'o CARMEL, INDIANA 46032 PO BOX 781554
INDIANAPOLIS IN 46278 -8554 CHECK NUMBER: 191019
CHECK DATE: 10/13/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 158375953 82.28 MATERIALS SUPPLIES
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
l
FiFFY YEARS OF SERVICE
I N V O I C E
ZEE MEDICAL INC. PAGE 1
PO PDX 781504 DATE 09/23/2010
INDIANAPOLIS IN 46278 -8554 TIME 10:17:33
877 -275 -4933
JOE WEBSTER ext509 09/009/19 ORDER /INVOICE# 0158375953
Alt: P. 0.
PILL TO 001107 SHIFT TO# 003747
CITY OF CARMEL UTILITIES CARMEL SEWER DEFT
780 3RD AVE SW SUITE 110 901 NORTH RANGELINE ROAD
Carmel IN 46032 Carmel IN 46032
317- 571 -2443 317- 571 -2645
PAUL ARNONE
FART QTY DESCRIPTION $PRICE $EXTENDED TAX
1436 1 E. S. UN— ASPIRIN 2 50 /HX (ZEE) 22.99 22.99 N
1817 1 HYDROCORTIZONE CREAM 1%, 0.9GM 25 /PK 9.40 9.40 N
0203 1 CLEAN WIPES, 50 /BX (ZEE) 5,75 5.75 N
0204 .1 ANTISEPTIC SWABS, 50! P X (ZEE) 5.75 5.75 N
0225 1 ANTI- BACTERIAL TOWELETTE 20 /PDX 5.80 5.80 N
1453 1 CHERRY COUGH DROPS 50 /BX ZEE) 8.69 8.69 N
0794 1 OR WOUND SEAL RAPID RESPONSE 17.95 17.95 N
9900 1 HANDLING 5.95 5.95 T
LOCATION# 1 LOCATION DESCRIPTION A SUBTOTAL: 82.28
SAFETY; .00
FIRST AID: 82.28
NONTAXABLE: 76.33
TAXABLE: 5.95
SUBTOTAL: 82.2'8
TAX 1: .00
TAX 2: .00
TOTAL 82.28
1
North America's #1 provider of first aid safety, and training
pQ CUSTOMER COPY 888 CALL ZEE (225 -5933) zeemedicaLcom
VOUCHER 106284 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
158375953 01- 7200 -01 $82.28
Voucher Total $82.28
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 INC Purchase Order No.
P.O. BOX 4398 Terms
CHESTERFIELD, MO 63006 Due Date 10/5/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1015/2010 158375953 $82.28
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
V 711f
Date Off r