191414 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 343500 Page 1 of 1
s ONE CIVIC SQUARE ZEE MEDICAL, INC. CHECK AMOUNT: $122.39
CARMEL, INDIANA 46032 PO sox 781554
INDIANAPOLIS IN 46278 -8554
CHECK NUMBER: 191414
CHECK DATE: 10/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239012 158376055 122.39 SAFETY SUPPLIES
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
a
0 0
Finn Yws of SERVICE
I N V O I C E
ZEE MEDICAL INC. PAGE 1
PO PDX 781554 DATE 10/19/2010
INDIANAPOLIS IN 46278 -8554 TIME 10:09:09
877 275 -4933
JOE WEBSTER ext509 09/009/19 ORDER /INVOICE# 0158376055
Alt: 1 P.O.#
BILL TO 003728 SHIP TO# 003728
CARMEL POLICE CARMEL POLICE
3 CIVIC SQUARE 3 CIVIC SQUARE
Carmel IN 46032 Carmel IN 46032
317- 571 -2500 317- 571 -2500
TERESA ANDERSON
PART QTY DESCRIPTION $PRICE $EXTENDED TAX
0740 1 BNDG, NON -LTX ELASTIC STRIP, 50 /BX 5.99 5.99 N
0743 1 BNDG, NON -LTX LG PATCH, 25 /BX 7.35 7.35 N
2629 2 EYE WASH, STERILE 1-OZ., 2 /UNIT 9.95 19.90 N
3538 1 DISPOSABLE FO RCEP, STERILE 1.85 1.85 N
0700 1 BUTTERFLY BANDAGES, MEDIUM, 20CT. 3.40 3.40 N
0370 1 TAPE, ELASTIC I" X 5 YD. SPOOL 6.50 6.50 N
0995 1 ZEE FLEX 2" X 5 YDS 4.55 4.55 N
2354 1 ICE PACT',, DELUXE, SMALL (ZEE) 2.75 2.75 N
0204 1 ANTISEPTIC SWABS, 50 /BX ZEE) 5.75 5.75 N
0203 1 CLEAN WIPES, 50 /BX (ZEE) 5.75 5.75 N
2645 1 BANDAGE, COMPRESS MULTI FUNCTION LG 8.35 8.35 N
0918 1 GAUZE FADS 2" X 2 25 /BX (ZEE) 4.75 4.75 N
1817 1 HYDROCORTIZONE 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
2605 1 BNDG, TRIANGULAR 40" N/S 1 /UN 4.10 4.10 N
0001 1 CABINET CLEANED AND ORGANIZED .00 .00 *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: 122.39
POSVw@397 Egg QP@M North America's #1 provider of first aid, safety, and training
CUSTOMER COPY
888 -CALL ZEE (225 -5933) zeemetlical.com
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
FimYmRsmSERVICE
INVOICE
ZEE MEDICAL INC. PAGE 2
PO BOX 781554 DATE 10/19/2010
INDIANAPOLIS IN 46278-8554 TIME 10:09:09
877-275-4933
JOE WEBSTER ext509 09/009/19 ORDER/INVOICE# 0158376055
Alt: P.O.#
PART QTY DESCRIPTION $PRICE $EXTENDED TAX
SAFETY: .00
FIRST AID: 122.39
NONTAXABLE: 116.44
TAXABLE: 5.95
SUBTOTAL: 122.39
TAX 1: .00
TAX 2: .00
TOTAL 122.39
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 nf first aid, safety, and training
CUSTOMER COPY 888' CALL ZEE aoemadicaioom
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
1 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 781.554 Terms
Indianapolis, IN 46278 -8554 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/19/10 158376055 pa ent for medical supplies 122.398
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
VOtJCHER NO. WARRANT NO.
ALLOWED 20
Zee Medical, Inc. IN SUM OF
P.O. Box 781554
Indianapolis, IN 46278 -8554
122.39
ON ACCOUNT OF APPROPRIATION FOR
police ge nera lfund
Board Members
PO# or INVOICE NO. ACCT /TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 158376055 390 -12 122.39 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
October 19 20 10
Signature
Assistant Chief of Poli
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund