167209 12/17/2008 CITY OF CARMEL, INDIANA VENDOR: 343500 Page 1 of 1
ONE CIVIC SQUARE ZEE MEDICAL, INC.
PO Box 781554 CHECK AMOUNT: $185.81
CARMEL, INDIANA 46032
INDIANAPOLIS IN 46278 -8554 CHECK NUMBER: 167209
CHECK DATE: 12/17/2008
DEPARTMENT ACCOUNT PO NUMBER INV OICE NUMBER AMOUNT DESCRIPTION
651 5023990 15827328 50.69 OTHER EXPENSES
1110 4239012 158273323 135.12 SAFETY SUPPLIES
I
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
u
/7
INVOICE
ZEE MEDICAL INC. PAGE 1
PO BOX 781554 DATE 12/10/2008
INDIANAPOLIS IN 46278-8554 TIME 11:30:49
317-872-2492
JOE WEBSTER 09/009/19 ORDER/INVOICE# 0158273323
Alt: 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
PART QTY DESCRIPTION $PRICE $EXTENDED TAX
1464 1 SOOTHE-AID LOZENGES, 25/BX (ZEE) 6.95 6.95 N
1421 1 ZEE IDUTAB 25{`/BX 27. 99 27. 99 N
1487 1 DILOTAB II, 250/BX 28.50 28.50 N
1492 1 CONGEST AID II, 100/BX 13.95 13.95 N
1428 1 ZEE ANTI -DIARRHEAL CAPLETS,2mg,12/BX 5.75 5.75 N
1417 1 ZEE PAIN-AID 100/BX 11.95 11.95 N
0744 1 BNDG,NON-LTX SMALL STRIP 5/8", 50/BX 4.99 4.99 N
0743 1 BNDG, NON-LTX LG PATCH, 25/BX 7.35 7.35 N
0714 1 BNDG, NON-LTX �INGERTIP, 40/BX 7.95 7.95 N
0740 1 BNDG, NON-LTX ELASTIC STRIP, 50/BX 5.99 5.99 N
0601 1 EYE CUPS, PLASTIC 6/VIAL 3.85 3.85 N
0602 1 EYE WASH, STERILE 1-OZ (ZEE) 4.95 4.95 N
FUEL 1 FUEL SURCHARGE 4.95 4.95 *N
LOCATION# 1 LOCATION DESCRIPTION BREAKRM SUBTOTAL: 135.12
SAFETY: 4.95
FIRST AID: 130.17
SUBTOTAL: 135.12
TAX 1: .00
TAX 2: .00
TOTAL 135.12
North America's #1 provider Offirst aid. safety, and training
CUSTOMER COPY 888 CALL ZEE 3> zeamadicmiCOm
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
Zee Medical, Inc. Purchase Order No.
P.O. Box 781554 Terms
Indianapolis, IN 46278 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/10/08 158273323 payment for medical supplies 135.12
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
Zee Medical, Inc. IN SUM OF
P.O. Box 781554
Indianapolis, IN 46278
135.12
ON ACCOUNT OF APPROPRIATION FOR
police general__fdnd
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
110 158273323 390 -12 135.12 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
December 10 20 08
Signature
Chief of Police'
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
n r7
yY \L,/ U
INVOICE
ZEE MEDICAL INC. PAGE 1
PO BOX 781554 DATE 12/03/2008
INDIANAPOLIS IN 46278-8554 TIME 11:58:40
317-872-2492
JOE WEBSTEA 09/009/19 ORDER/INVOICE# 0158273284
Alt: P.O.#
BILL TO 008183 SHIP TO# 008183
CITY OF CARMEL H.H.W. CITY OF CARMEL H.H.W.
901 B NORTH RANGELINE ROAD 901 B NORTH RANGELINE ROAD
CARMEL IN 46032 CARMEL IN 46032
317-571-2624 317-571-2624
WILLIAM
PART QTY DESCRIPTION $PRICE $EXTENDED TAX
'__._�420 1 ZEE IBUTAB 100/BX 13. 15 13. 15 N
1435 1 E.S. UN—ASPIRIN 1001BX (ZEE) 11.55 11.55 N
1464 1 SOOTHE—AID LOZENGES, 25/BX (ZEE) 6.95 6.95 N
1801 1 3—ANTIBIOTIC OINT, 0.9GM, 25/BX(ZEE) 8.10 8.10 N
0740 1 BNDG, NON—LTX ELASTIC STRIP, 50/BX 5.99 5.99 N
FUEL 1 FUEL SURCHARGE 4.95 4.95 *N
LOCATION# 1 LOCATION DESCRIPTION A SUBTOTAL: 50.69
SAFETY: 4.95
FIRST AID: 45.74
SUBTOTAL: 50.69
TAX 1: .0@
TAX 2: .Q0
TOTAL 50.69
SIGNATURE DATE:
PRINT NAME: TITLE:
THANK YOU FOR YOUR BUSINESS
INVOICE IS ZEE CONFIDENTIAL
North America's #1 provider offirst aid, safety, and training
CUSTOMER COPY zeemedicaicom
Prescribed by State tSoara of HCCOunts %afty rut iit ivu. cu i kiNvv iav:q n
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 12/13/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/13/20M 15827328 $50.69
hereby certify that the attached invoice(s), or bill(s) is (are) true and
orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date O er
✓UUCHER 086905 WARRANT ALLOWED
343500 IN SUM OF
?EE MEDICAL INC
'.O. BOX 4398
CHESTERFIELD, MO 63006
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
'O INV ACCT AMOUNT Audit Trail Code
15827328 01- 720H -08 $50.69
w"7
Voucher Total $50.69
,ost distribution ledger classification if
-laim paid under vehicle highway fund