161146 06/25/2008 CITY OF CARMEL, INDIANA VENDOR: 343500 Page 1 of 1
ONE CIVIC SQUARE ZEE MEDICAL, INC.
CHECK AMOUNT: $146.94
CARMEL INDIANA 46032
r PO BOX 781554
INDIANAPOLIS IN 46278 -8554 CHECK NUMBER: 161146
CHECK DATE: 6/25/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239012 0158255473 146.94 SAFETY SUPPLIES
ZEE .,.MEDICAL PROPRIETARY AND CONFIDENTIAL
I N V a I c
ZEE MEDICAL INC. RAGE 1
PO BOX 781554 DATE 06/20/2008
INDIANAPOLIS IN 46 278 8554 TIME 14 :4*7 :41
17- 872 -2492
CHIP' WILKERSON 09/009/09 ORDER /INVOICE# 0158555473
Alt: 08/ /18 PI. O.
BILL TO M00486 SHIP TO# 000486
CARMEL STREET DEPT CARMEL STREET DEPT
3400 WEST 131ST STREET 3400 WEST 131ST STREET
WESTFIELD IN 46074 WESTFIELD IN 46074
317 733 3 2001 317
BONNIE
PART OTY DESCRIPTION $PRICE $EXTENDED TAX
1418 1 ZEE PAIN -AID 250/BX 23.99 23.99 N
1421 1 ZEE IBUTAB 250/BX 27.99 27.99 N
LOCATION# 1 LOCATION DESCRIPTION OFFICE SUBTOTAL: 51.98
0219 1 ANTISEPTIC SPRAY, NON AEROSOL, 4.OZ. 7.95 7.95 N
2629 1 EYE WASH, STERILE 1 -OZ., 2 /UNIT 9.95 9.95 N
0920 1 GAUZE PADS 3" X 3 10 /BX ZEE) 3. 99 3.99 N
3537 1 SPLINTER OUT (ZEE), 10 /PK 3.99 3.99 N
1817 1 HYDROCORTIZONE CREAM 1 0.9GM 25 /PK 9.40 9.40 N
0795 1 URGENT OR, INDUSTRIAL FORMULA, 2 /PK 10.99 10.99 N
3044 1 NITRILE GLOVES, 2PR 2.65 2.65 N
0944 1 ELASTIC ROLLER GAUZE N/S 3 "X4.5 YD 3.25 3.25 N
2331 1 EMERGENCY FIRST AID POCKET GUIDE 4.50 4.50 N
5649 1 WATER -JEL BURN DRS 4 11 X4" STER PAD 9.95 9.95 N
LOCATION# 2 LOCATION DESCRIPTION MAINT SUBTOTAL: 66.62
0740 1 BNDG, NON -LTX ELASTIC STRIP, 50 /BX 5.99 5.99 N
0714 1 BNDG, NON -LTX FINGERTIP, 40 /BX 7.95 7.95 N
2651 1 WATER -JEL BURN JEL 6 /BX 8.75 8.75 N
3538 1 DISPOSABLE FORCER, STERILE 1.65 1.65 N
FUEL 1 FUEL SURCHARGE 4.00 4.00 *N
LOCATION# 3 LOCATION DESCRIPTION MENS ROOM SUBTOTAL: 28.34
North America's #1 provider of first aid, safety, and training L
888 CALL ZEE (225 -5933) zeemedical.com CUSTOMER COPY
ZEE ..MEDICAL PROPRIETARY AND CONFIDENTIAL
I N V 0 I "C E
ZEE MEDICAL INC. PAGE
PO BOX 781554 DATE 06/20/2008
INDIANAPOLIS IN 46278 -8554 TIME 14:47:41
317 -872 -2492
CHIP WILK.ERSON 09/009/09 ORDER /INVOICE# 0158255473
Alt: 08/ /18 P.O.#
PART OTY DESCRIPTION $PRICE $EXTENDED TAX
SAFETY: 4.00
FIRST AID: 142.94
SUBTOTAL: 146.94
TAX 1: .00
TAX 2: .00
TOTAL 146.94
SIGNATURE DATE:
PRINT NAME: TITLE:
THANK, YOU FOR YOUR BUSINESS!
PLEASE PAY FROM THIS INVOICE
INVOICE IS ZEE CONFIDENTIAL.
VWOPW
North America's #1 provider of first aid, safety, and training C
888 CALL ZEE (225 -5933) zeemedical.com CUSTOMER COPY
VOUCHER NO. F WARRANT NO.
ALLOWED 20
Zee Medical
IN SUM OF
P. O Box 781554
Indianapolis, IN 46278 -8554
$146.9
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
2201 0158255473 42- 390.12 $146.94 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
Friday, June 20, 2008
r
Stree ommissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Firm 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))
06/20/08 0158255473 $146.94
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