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192297 11/23/2010 CITY OF CARMEL, INDIANA VENDOR: 343500 Page 1 of 1 ONE CIVIC SQUARE ZEE MEDICAL, INC. CARMEL, INDIANA 46032 PO BOX 781554 CHECK AMOUNT: $349.42 INDIANAPOLIS IN 46278 -8554 CHECK NUMBER: 192297 CHECK DATE: 11/2312010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 0158376159 137.06 7200.0 1115 4239012 0158376200 80.96 SAFETY SUPPLIES 1701 4239099 0158376239 131.40 OTHER MISCELLANOUS ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL FIRM YFms OF SERVICE I N V O I C E ZEE MEDICAL INC. WAGE 1 PO BOX 781554 DATE 11/19/2010 INDIANAPOLIS IN 46278 --8554 TIME 14:44:59 877 275 4933 JOE WEBSTER ext509 09/009/19 ORDER /INVOICE# 0158376239 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 FART OTY DESCRIPTION $PRICE $EXTENDED TAX 0700 1 BUTTERFLY BANDAGES, MEDIUM, 2OCT. 3.35 3.35 N 2354 1 ICE PACK, DELUXE, SMALL (ZEE) 2.75 2.75 N 0203 1 CLEAN WIVES, 50 /BX (ZEE) 5.60 5.60 N 0225 1 ANTI BACTERIAL TOWELETTE 20 /BOX 5.60 5.60 N 1487 1 DILOTAB II, 250/BX 28.50 28.50 N 0936 1 NON- ADHERENT PADS 2 "X3 12 /BX 3.90 3.90 N 2629 1 EYE WASH, STERILE 1 -OZ. 2 /UNIT 9.95 9.95 N 2651 1 WATER °JEL BURN JEL 6 /BX 6.75 8.75 N 0797 1 OR WOUND SEAL WITH APPLICATOR, 2 /PK 15.35 15.35 N 0920 1 GAUZE FADS 3" X 3 10 /BX (ZEE) 4.10 4.10 N 0995 1 ZEE FLEX 2" X 5 YDS 4.55 4,55 N 2219 1 DERMAFLEUR PACKETS, 25 /BX 7.25 7.25 N 1435 1 E. S. UN- ASPIRIN 1OO /BX (ZEE) 11.55 11.55 N 1428 1 ZEE ANTI- DIARRHEAL CAPLETS, 2mg, 12 /BX 5.75 5.75 N 0730 1 BNDG, NON -LTX SHEER STRIP 3/4 ",100 /BX 8.50 8.50 N 9900 1 HANDLING 5.95 5.95 N LOCATION# 1 LOCATION DESCRIPTION A SUBTOTAL. 131.40 pG'J C a North America's #1 provider of first aid, safety, and training p�� CUSTOMER COPY 888 CALL ZEE (225 -5933) zeemedical.com T '17 F. 8 C I C C) 0 0 L F, S; "E. N -0 1/11 o li f "i At .01 .-.3 it E:9 C`4 I Y..'.+ I JU y 'j"; till I pp 4. It c :171 Gil 7C.-IfT ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL S FIFry YEARS OF SERVICE I N V O I C E ZEE MEDICAL INC. PAGE 2 PO BOX 781554 DATE 11/19/2010 INDIANAPOLIS IN 45278 -8554 TIME 14:44:59 877 275- -4933 JOE WEBSTER ext509 09/009/19 ORDER /INVOICE# 0158,3752 39 Alt-. P. 0. PART QTY DESCRIPTION $PRICE $EXTENDED TAX SAFETY: .00 FIRST AID: 131.40 NONTAXABLE: 131.40 TAXABLE: .00 SUBTOTAL: 131.40 TAX 1-. .00 TAX 2-. .00 TOTAL 131.40 ON ACCOUNT SIGNATURE SIGNATURE ON FILE DATE: 11/19/2010 PRINT NAME: DAVIS ASK US ABOUT FIRST AID TRAINING AND AED PROGRAMS. THANK YOU FOR YOUR BUSINESS!! INVOICE IS CONFIDENTIAL MAY BE SUBJECT TO LATE FEES. pGJ�?t CMC North America's #1 provider of first aid, safety, and training paw. wvrqm CUSTOMER COPY 888 CALL ZEE (225 -5933) zeemedicai.com I e q 1A A I cl 1/1 3C) 1 1 1 7 T 00 8t I TE U J OJO"" "I'l Lifli AOArl'T i T TI- .44 I 1 6 Lj Q 0 0 J J ;_r'' 0 Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995 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. Ze e M_ Payee CC—� Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or biN(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. ALLOWED 20 1 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(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 A�k 20 Signature Title Cost distribution ledger classification if claim paid motor vehicle highway fund ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL a FIFTY YEARS OF SERVICE I N V O I C E ZEE MEDICAL INC. PAGE 1 PO PDX 781554 DATE 11/04/2010 INDIANAPOLIS IN 46278- -8554 TIME 14:52:37 877 275 -4933 JOE WEBSTER ext509 09/009/19 ORDER /INVOICE# 0158376159 Alt: P.O. PILL TO 001107 SHIP TO# 003747 CITY OF CARMEL UTILITIES CARMEL SEWER DEPT 760 3RD AVE SW SUITE 110 901 NORTH RA_NGEL.INE ROAD Carmel IN 46032 Carmel IN 46032 317- 571 -2443 317 -571 2645 PAUL. ARNONE PART OTY DESCRIPTION $PRICE $EXTENDED TAX 1421 1 ZEE IBUTAB 250 /BX 27.99 27.99 N 1418 1 ZEE FAIN —AID 250 /BX 23.99 23.99 N 1446 1 ANTACID, TRIAL 100 /BX (ZEE) 10.99 10.99 N 1801 1 3— ANTIBIOTIC DINT, 0. 9GM, 25 /BX (ZEE) 8.10 8.10 N 1451 1 PEPT —EEZ 42 /BX (ZEE) 10.75 10.75 N 0501 1 COTTON TIP APPLICATOR 3" NS, 100 /VIAL 3.75 3.75 N 1486 1 DILOTAB II, 100 /BX 13.99 13.99 N 0794 1 OR WOUND SEAL RAPID RESPONSE 18.40 18.40 N 9900 1 HANDLING 5.95 5.95 N 1420 1 ZEE IBUTAB 100 /BX 13.15 13.15 N LOCATION## 1 LOCATION DESCRIPTION A SUBTOTAL: 137.06 SAFETY: .00 FIRST AID: 137.06 NONTAXABLE: 137.06 TAXABLE: .00 SUBTOTAL: 137.06 TAX 1: ,00 TAX 2: 00 TOTAL 137.06 P&Vmw Egg MR_ North America's #1 provider of first aid, safety, and training PCI CUSTOMER COPY 888 CALL ZEE (225 -5933) zeemedical.com t fit i ,11. ?'r 1, 1 .s 1 .r i ..li i� .t�Et -.i .l. :':'•d LA 1. 1 i� i 1 ,1i 1 1.1 :f ..II-•T.., 41'.'E +:j jl- 1!:,r .t I e. I�.i'i•; i' NI;�� t,... :.�i, ''x.1,1 �'�:..li! f. 1.J�.:.! 1. c 1? if t!,1 art VOUCHER 106544 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 158376159 01- 72.00 -01 $137.06 Voucher Total $137.06 Cost distribution ledger classification if claim paid under vehicle highway fund i 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 11/15/2010 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 111151201( 158376159 $137.06 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 000 Fim YEARS OF SENVICE I N V O I C E ZEE MEDICAL INC. WAGE 1 PO PDX 781554 DATE 11/11/2010 INDIANAPOLIS IN 46 278 8554 TIME 13:37:15 877 -275 -4933 JOE WEBSTER ext509 09/009/19 ORDER /INVOICE# 0158376200 Alt: P.O. RILL 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 317 571 -5780 317 -571 -5780 DIANE PART QTY DESCRIPTION $PRICE $EXTENDED TAX 0740 1 BNDG, NON —LTX ELASTIC STRIP, 50 /BX 5.99 5.99 N 1418 1 ZEE PAIN —AID 250/BX 23.99 23.99 N 1421 1 ZEE IBUTAB 250/BX 27.99 27.99 N 1410 1 TRIPLE BUFFERED ASPIRIN 100/BX (ZEE) 7.45 7.45 N 0203 1 CLEAN WIPES, 50/ BX ZEE) 5.60 5.60 N 3537 1 SPLINTER OUT (ZEE), 10 /PK 3.99 3.99 N 9900 1 HANDLING 5.95 5.95 N LOCATION# 1 LOCATION DESCRIPTION A SUBTOTAL: 80.96 SAFETY: .00 FIRST AID: 80.96 NONTAXABLE: 80.96 TAXABLE: .00 SUBTOTAL: 80.96 TAX 1: .00 TAX 2: TOTAL 80.96 .i. D� North America's #1 provider of first aid, safety, and training CUSTOMER COPY 888 CALL ZEE (225 -5933) zeemedical.com AM JA31KIM A L OMM vil q PUDWOOTT. VO A ir.mdusyl I KY W 4z%vNm\c? WAS: A MwEek V OT &ATWINd- i K, QGTK_ we-TrE DHA 1 Q MOITMR2210 7 1 111TE! Z11 r,A g N" _..-i/IOM WMA I GAY PC A %W09 U11 au t I I A..: c An e v 7'; hiMeS 6AT1 hl 311 t KA A .7 i' I MAY WMAI MAMA MAJUM wAqf9T 5141. I c (33n A vp Paqlw opmw I WWI Nq= MV) MG WTW_ q? i. A 'I'l i—It.-GAPH t to VE: vownn)Lj._i 14. U 90. AVAS wmA MMAYM00 ON. niss A AT W&V jATU 180-'. W, VOUCHER NO. WARRANT NO. ALLOWED 20 Zee Medical, Inc. IN SUM OF P.O. Box 781554 Indianapolis, IN 46278 -8554 $80.96 ON ACCOUNT OF APPROPRIATION FOR Carmel Clay Communications PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members 1115 I 0158376200 I 42- 390.12 I $80.96 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, November 17, 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)) 11/11/10 I 0158376200 I I $80.96 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