166438 11/24/2008 CITY OF CARMEL, INDIANA VENDOR: 343500 Page 1 of 1
ONE CIVIC SQUARE ZEE MEDICAL, INC. CHECK AMOUNT: $201.21
CARMEL, INDIANA 46032 PO BOX 781554
INDIANAPOLIS IN 46278 -8554 CHECK NUMBER: 166438
CHECK DATE: 11/24/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239012 158273202 201.21 SAFETY SUPPLIES
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
INVOICE
ZEE MEDICAL INC. PAGE 1
PO BOX 781554 DATE 11/14/2008
INDIANAPOLIS IN 46278-8554 TIME 12:33:28
317-872-2492
JOE WEBSTER 09/009/19 ORDER/INVOICE# 0158273202
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 3,17-571-2500
PART QTY DESCRIPTION $PRICE $EXTENDED TAX
1487 1 DILOTAB II, 250/BX 28.50 28.50 N
1418 1 ZEE PAIN-AID 250/BX 23.99 23.99 N
1421 1 ZEE IBUTAB 250/BX 27.99 27.99 N
1436 1 E.S. UN-ASPIRIN 250/BX (ZEE) 22.99 22.99 N
1447 1 ANTACID, TRIAL 2501BX (ZEE) 19.95 19.95 N
1454 1 CHERRY COUGH DROPS 125/BX (ZEE) 12.95 12.95 N
1492 1 CONGEST AID II, 100/BX 13.95 13.95 N
1441 1 PA PREMENSTRUAL FORMULA, 100/BX 14.50 14.50 N
0716 1 BNDG, NON-LTX KNUCKLE, 40/BX 7.95 7.95 N
0740 1 BNDG, NON-LTX ELASTIC STRIP, 50/BX 5.99 5.99 N
1817 1 HYDROCORTIZONE CREAM 1%, 0.9GM 25/PK 9.40 9.40 N
FUEL 1 FUEL SURCHARGE 4.95 4.95 *N
1801 1 3-ANTIBIOTIC DINT, 0.9GM, 25/BX(ZEE) 8.10 8.10 N
LOCATION# 1 LOCATION DESCRIPTION A SUBTOTAL: 201.21
SAFETY: 4.95
FIRST AID: 196.26
SUBTOTAL: 201.21
TAX 1: .00
TAX 2: .00
TOTAL 201.21
North America's #1 provider of first 8id, sofety, and training
CUSTOMER COPY 888' CALL ZEE zeemedivaiu0m
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
E.
t- 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 =8554 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/14/08 158273202 e for medical supplies 2
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.
F ALLOWED 20
Z ee Medical Inc.
IN SUM OF
P.O. Box 781554
Indianapolis, IN 46278 -8554
201.21
ON ACCOUNT OF APPROPRIATION FOR
police genera lfund
Board Members
Po# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 158273202 390 -12 201.21 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
November 18 2008
Signature
Chief of Police
Cost distribution ledger classification if
Title
claim paid motor vehicle highway fund