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165486 10/29/2008 CITY OF CARMEL, INDIANA VENDOR: 343500 Page 1 of 1 ONE CIVIC SQUARE ZEE MEDICAL, INC. CHECK AMOUNT: $392.23 CARMEL, INDIANA 46032 PO BOX 781554 INDIANAPOLIS IN 46278 -8554 CHECK NUMBER: 165486 CHECK DATE: 10/2912008 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4239012 0158273051 ..161.75 SAFETY SUPPLIES 1115 4239012 0158273078 82.37 SAFETY SUPPLIES 651 5023990 158273070 66.68 MATERIALS SUPPLIES 601 5023990 9158273077 81.43 MATERIALS SUPPLIES ;i ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL INVOICE ZEE MEDICAL INC. PAGE 1 PO BOX 781.554 DATE 10/16/2008 INDIANAPOLIS IN 46278-8554 TIME 11:02:35 m~ 317-872-2492 JOE WEBSTER 09/009/19 ORDER/INVOICE# 0158273051 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 1421 1 ZEE IBUTAB 250/BX 27.99 27.99 N 1418 1 ZEE PAIN-AID 250/BX 23.99 23.99 N 1447 1 ANTACID, TRIAL 250/BX (ZEE) 19.95 19.95 N 1486 1 DILOTAB II, 100/BX 13.99 13.99 N 1435 1 E.S. UN-ASPIRIN 100/BX (ZEE) 11.55 11.55 N 1428 1 ZEE ANTI-DIARRHEAL CAPLETS,2mg,12/BX 5.75 5.75 N 1451 1 PEPT-EEZ 42/BX (ZEE) 10.75 10.75 N 0602 2 EYE WASH, STERILE 1-OZ (ZEE) 4.95 9.90 N 1453 1 CHERRY COUGH DROPS 50/BX (ZEE) 6.95 6.95 N 0795 1 URGENT OR, INDUSTRIAL FORMULA, 2/PK 10.99 10.99 N 0797 1 OR WITH APPLICATOR, INDUSTRIAL, 1/PK 14.99 14.99 N FUEL 1 FUEL SURCHARGE 4.95 4.95 *N LOCATION# 1 LOCATION DESCRIPTION A SUBTOTAL: 161.75 SAFETY: 4.95 FIRST AID: 156.80 SUBTOTAL: 161.75 TAX 1: .00 TAX 2: .00 TOTAL 161.75 NUrth A08k8'S #1 provider of first aid. safety, and training CUSTOMER COPY 888 CALL ZEE Q25-5033 zeamadicaioum 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 46268 -8554 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 10/16/0Q 158273051 a ent for medical supplies 161':75 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 Z ee Medical, Inc. IN SUM OF P.0 Box 781554 Indianapolis, IN 46278 -8554 161.75 ON ACCOUNT OF APPROPRIATION FOR p olice genreal fund Board Members PO# or INVOICE NO. ACCT #!TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1110 158273051 390 -12 161.75 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 Octaber 21 20 Signature Assist an Chief of Poilce Cost distribution ledger classification if Title claim paid motor vehicle highway fund j! MEDICAL PROPRIETARY AND CONFIDENTIAL I N V O I C E ZEE MEDICAL INC. PAGE 1 PO BOX 781554 DATE 10/21/2008 INDIANAPOLIS IN 46278-8554 TIME 11:23:41 317-872-2492 JOE WEBSTER 09/009/19 ORDER/INVOICE# 0158273078 Alt: P.O.# BILL TO M00486 SHIP TO# 000486 CARMEL STREET DEPT CARMEL STREET DEPT 3400 WEST 131ST STREET 3400 WEST 131ST STREET WEGTFIELD IN 46074 WESTFIELD IN 46074 317-733-2001 317-733-2001 BONNIE PART QTY DESCRIPTION $PRICE $EXTENDED TAX 1487 1 DILOTAB II, 250/BX 28.50 28.50 N LOCATION# 1 LOCATION DESCRIPTION OFFICE SUBTOTAL: 28.50 0716 1 BNDG, NON-LTX KNUCKLE, 40/BX 7.95 7.95 N 0209 1 HYDROGEN PEROXIDE, NON-AEROSOL, 40Z 3.95 3.95 N 0305 1 TAPE, 2" X 5 YD. 3 CUT SPOOL (ZEE) 5.60 5.60 N 0920 1 GAUZE PADS 3" X 3 10/BX (ZEE) 3.99 3.99 N LOCATION# 2 LOCATION DESCRIPTION BATHROOM SUBTOTAL: 21.49 0740 2 BNDG, NON-LTX ELASTIC STRIP, 50/BX 5.99 11.98 N 0743 1 BNDG, NON-LTX LG PATCH, 25/BX 7.35 7.35 N 1801 1 3-ANTJBIOTIC OINT, 0.9GM, 25/BX(ZEE) 8.10 8.10 N FUEL 1 FUEL SURCHARGE 4.95 4.95 *N LOCATION# 3 LOCATION DESCRIPTION MAINT SUBTOTAL: 32.38 SAFETY: 4.95 FIRST AID: 77.42 SUBTOTAL: 82.37 TAX 1: .00 TAX 2: .00 TOTAL 82.37 North America's #1 provider of first 8id, xofety, and training CUSTOMER COPY 888 CALL ZEE (225-5933) zeemedical.com VOUCHER NO. WARRANT NO. ALLOWED 20 Zee Medical IN SUM OF P. O. Box 781554 Indianapolis, IN 46278 -8554 $82.37 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Member 2201 0158273078 42- 390.12 $82.37 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 Th rsiay, ber 23, 2008 .r Street Commi tr er Meet COF111 %sioner 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)) 10/21/08 0158273078 $82.37 1 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 ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL INVOICE ZEE MEDICAL INC. PAGE 1 PO BOX 781554 DATE 10/20/2008 INDIANAPOLIS IN 46278-8554 TIME 11:11:26 317-872-2492 JOE WEBSTER 09/009/19 ORDER/INVQICE# 0158273070 Alt: P.O.# BILL TO 001107 SHIP TO# 003747 CITY OF CARMEL UTILITIES CARMEL SEWER DEPT 760 3RD AVE SW SUITE 110 901 NORTH RANGELINE ROAD CARMEL IN 46032 CARMEL IN 46032 317-571-2443 317-571-2645 PAUL ARNONE PART QTY DESCRIPTION $PRICE $EXTENDED TAX 1418 1 ZEE PAIN—AID 250/BX 23.99 23.99 N 1801 1 3—ANTIBIOTIC OINT, 0.9GM, 25/BX(ZEE) 8.10 8.10 N 1421 1 ZEE IBUTAB 250/BX 27.99 27.99 N 3538 1 DISPOSABLE FORCEP, STERILE 1.65 1.65 N FUEL 1 FUEL SURCHARGE 4.95 4.95 *N LOCATION# 1 LOCATION DESCRIPTION A SUBTOTAL: 66.68 SAFETY: 4.95 FIRST AID: 61.73 SUBTOTAL: 66.68 TAX 1: .00 TAX 2: .00 TOTAL 66.68 SIGNATURE DATE: PRINT NAME: TITLE: THANK YOU FOR YOUR BUSINESS INVOICE IS ZEE CONFIDENTIAL North America's #1 provider [f first aid, safety, and t CUSTOMER COPY 88O' CALL ZEE zeomadiooiuom Prescribed by State Board of Accounts City Form No. 201 (Rev 1995) a ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL �t 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 10/21/2008' Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/21/20M 158273070 $66.68 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 /o 1 Date Officer VOUCHER 086525 WARRANT ALLOWED 3,43500 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 158273070 01- 7200 -01 $66.68 Voucher Total $66.68 Cost distribution ledger classification if claim paid under vehicle highway fund ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL I N V O I C E ZEE MEDICAL INC. PAGE 1 PO BOX 781554 DATE 10/21/2008 INDIANAPOLIS IN 46278-8554 TIME 11:01:17 317-872-2492 JOE WEBSTER 09/009/19 ORDER/INVOICE# 0158273077 Alt: P.O.# BILL TO 007748 SHIP TO# 007748 CARMEL WATER UTILITIES CARMEL WATER UTILITIES 3450 W 131ST STREET 3450 W 131ST STREET WESTFIELD IN 46074 WESTFIELD IN 46074 317-733-2855 317-733-2855 JACK SPEARS PART QTY DESCRIPTION $PRICE $EXTENDED TAX 1420 1 ZEE IBUTAB 100/BX 13.15 13.15 N 0797 1 OR WITH APPLICATOR, INDUSTRIAL, 1/PK 14.99 14.99 N LOCATION# 1 LOCATION DESCRIPTION A SUBTOTAL: 28.14 1451 1 PEPT—EEZ 42/BX (ZEE) 10.75 10.75 N 1435 1 E.S. UN—ASPIRIN 100/BX (ZEE) 11.55 11.55 N 1817 1 HYDROCORTIZONE CREAM 1%, 0.9GM 25/PK 9.40 9.40 N 3538 1 DISPOSABLE FORCEP, STERILE 1.65 1.65 N 0797 1 OR WITH APPLICATOR, INDUSTRIAL, 1/PK 14.99 14.99 N FUEL 1 FUEL SURCHARGE 4.95 4.95 *N LOCATION# 2 LOCATION DESCRIPTION B SUBTOTAL: 53.29 SAFETY: 4.95 FIRST AID: 76.48 SUBTOTAL: 81.43 TAX 1: .00 TAX 2: .00 TOTAL 81.43 UPS MAN North America's #1 provider of first aid, s afet« and training CUSTOMER COPY 888 CALL ZEE (225-5933) zeem. icaioom 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 1 performed, dates of service rendered, by whom, rates per day, number of units, price per unit, etc. Payee 343500 ZEE MEDICAL Purchase Order No. P.O. BOX 781554 Terms INDIANAPOLIS, IN 46278 -8554 Due Date 10/21/2008 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/21/2001 0158273077 $81.43 a 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 JVOUCHER 083449 WARRANT ALLOWED 343500 IN SUM OF ZEE MEDICAL 7 P.O. BOX 781554 ®.O INDIANAPOLIS, IN 46278- 8554RA� Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 0158273077 01- 6200 -06 $81.43 Voucher Total $81.43 Cost distribution ledger classification if claim paid under vehicle highway fund