163060 08/20/2008 1
CITY OF CARMEL, INDIANA VENDOR: 343500 Page 1 of 1
t ONE CIVIC SQUARE ZEE MEDICAL, INC. CHECK AMOUNT: $63.89
CARMEL, INDIANA 46032 PO BOX 781554
INDIANAPOLIS IN 46278 -8554 CHECK NUMBER: 163060
CHECK DATE: 8/20/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 158255640 63.89 OTHER EXPENSES
i
I
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
L]
INVOICE
ZEE MEDICAL INC. PAGE 1
PO BOX 781554 DATE 07/29/2008
INDIANAPOLIS IN 46278-8554 TIME 15:03:25
317-872-2492
JOE WEBSTER 09/009/19 ORDER/INVOICE# 0158255640
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
1436 1 E.S. UN—ASPIRIN 250/BX (ZEE) 22.99 22.99 N
1417 1 ZEE PAIN—AID 100/BX 11.95 11.95 N
15 N 15 13
1420 1 ZEE IBUTAB 100/BX 13
0743 1 BNDG, NON—LTX LG PATCH, 25/BX 7.35 7.35 N
FUEL 1 FUEL SURCHARGE 4.95 4.95 *N
0501 1 COTTON TIP APPLICATOR 3 3.50 3.50 N
LOCATION# 1 LOCATION DESCRIPTION A SUBTOTAL: 63.89
SAFETY: 4.95
FIRST AID: 58.94
SUBTOTAL: 63.89
TAX 1: .0@
TAX 2: .00
TOTAL 63.89
SIGNATURE DATE:
PRINT NAME: TITLE:
THANK YOU FOR YOUR BUSINESS
INVOICE IS ZEE CONFIDENTIAL
North America's #1 provider of first aid, safety, and training
COPY 888' CALL ZEE zeemedioaioom
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 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 8/6/2008
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
`8/6/2008 158255640 $63.89
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 Officer
VOUCHER 086054 WARRANT ALLOWED
.843500 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
158255640 01- 7200 -01 $63.89
Voucher Total $63.89
':.Cost distribution ledger classification if
-claim paid under vehicle highway fund