164499 09/30/2008 CITY OF CARMEL, INDIANA VENDOR: 343500 Page 1 of 1
f ONE CIVIC SQUARE ZEE MEDICAL, INC. CHECK AMOUNT: $66.62
CARMEL, INDIANA 46032 PO BOX 781554
INDIANAPOLIS IN 46278 -8554 CHECK NUMBER: 164499
CHECK DATE: 9/30/2008
DEPARTMENT ACCOUNT P O NUMBER INVOICE NUMB A D
,`1115 4239012 0158255947 66.62 SAFETY SUPPLIES
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
o
I N V O I C E
ZEE MEDICAL INC. PAGE 1
PO BOX 781554 DATE 09/19/2008
INDIANAPOLIS IN 46278-8554 TIME 09:36:12
317-872-2492
JOE WEBSTER 09/009/19 ORDER/INVQICE# 0158255947
Alt: P.O.#
BILL 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
2641 1 PROVIDONE IODINE, 10/UNIT 6.99 6.99 N
1420 1 ZEE IBUTAB 100/BX 13.15 13.15 N
1 OR WITH APPLICATOR, INDUSTRIAL, 1/PK 14.99 14.99 N
1 URGENT OR, INDUSTRIAL FORMULA, 2/PK 10.99 10.99 N
1410 1 TRIPLE BUFFERED ASPIRIN 100/BX (ZEE) 7.45 7.45 N
1801 1 3—ANTIBIOTIC OINT, 0.9GM, 25/BX(ZEE) 8.10 8.10 N
FUEL 1 FUEL SURCHARGE 4.95 4.95 *N
LOCATION# 1 LOCATION DESCRIPTION A SUBTOTAL: 66.62
SAFETY: 4.95
FIRST AID: 61.67
SUBTOTAL: 66.62
TAX 1: .00
TAX 2: .00
TOTAL 66.62
SIGNATURE DATE:
PRINT NAME: TITLE:
THANK YOU FOR YOUR BUSINESS
INVOICE IS ZEE CONFIDENTIAL
North Amahoo'u #1 provider offirst aid. safety, and training
CUSTOMER COPY 808' CALL ZEE zeamedical.com
c
VOUCHER NO. WARRANT N
Zde Medical, Inc. ALLOWED 20
IN SUM OF
P.O. Box 781554
Indianapolis, IN 46278 -8554
$66.62
ON ACCOUNT OF APPROPRIATION FOR
Carmel Clay Communications
PO# Dept. INVOICE NO. I ACCT #/TITLE AMOUNT Board Members
1115 0158255947 42- 390.12 $66.62 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
Thursday, September 25, 2008
4*e
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))
09/19/08 I 0158255947 I I $66.62
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