163458 09/03/2008 CITY OF CARMEL, INDIANA VENDOR: 343500 Page 1 of 1
i ONE CIVIC SQUARE ZEE MEDICAL, INC.
.�ro CARMEL, INDIANA 46032 PO BOX 781554 CHECK AMOUNT: $27.19
INDIANAPOLIS IN 46278 -8554 CHECK NUMBER: 163458
CHECK DATE: 9/3/2008
nEPARTMENT ACCOUNT PO N UMBE R INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 0158255723 27.19 OTHER EXPENSES
I
i
c� ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
L/
r INVOICE
ZEE MEDICAL INC. PAGE 1
PO BOX 781554 DATE 08/14/2008
INDIANAPOLIS IN 46278-8554 TIME 09:17:23
317-872-2492
JOE WEBSTER 09/009/19 ORDER/INVOICE# 0158255723
Alt: P.O.#
BILL TO 007748 SHIP TO# 007748
CARMEL WATER UTILITIES CARMEL WATER UTILITIES
3450W 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
0740 1 BNDG, NON—LTX ELASTIC STRIP, 50/BX 5.99 5.99 N
2353 2 ICE PACK, ECONOMY, SMALL (ZEE) 2.15 4.30 N
1417 1 ZEE PAIN—AID 100/BX 11.95 11.95 N
FUEL 1 FUEL SURCHARGE 4.95 4.95 *N
LOCATION# 1 LOCATION DESCRIPTION A SUBTOTAL: 27.19
SAFETY: 4.95
FIRST AID: 22.24
SUBTOTAL: 27.19
TAX 1: .00
TAX 2: .00
TOTAL 27.19
SIGNATURE DATE:
PRINT NAME: TITLE:
THANK YOU FOR YOUR BUSINESS
INVOICE IS ZEE CONFIDENTIAL
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER c�
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, i
price per unit, etc.
Payee'"
343500
ZEE MEDICAL Purchase Order No.
P.O. BOX 4398 Terms
CHESTERFIELD, MO 63006 Due Date 8/25/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/25/2008 0158255723 $27.19
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
VOUCHER 082715 WARRANT ALLOWED
7 IN SUM OF
343500
ZEE MEDICAL
y
P.O. BOX��� 70 �L
G E- S TEFtftE MG- 6 -349fl60 O kc-IR P,�
In •Gs /A/ 140n 0
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
0158255723 01- 6200 -06 $27.19
i
claim paid under vehicle highway fund