206506 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 343500 Page 1 of 1
ONE CIVIC SQUARE ZEE MEDICAL, INC.
CARMEL, INDIANA 46032 PO BOX 781554 CHECK AMOUNT: $175.60
INDIANAPOLIS IN 46278 -8554
CHECK NUMBER: 206506
CHECK DATE: 2/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 158378564 122.50 OTHER EXPENSES
651 5023990 158378565 53.10 OTHER EXPENSES
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
u
Fry YEARS SERVICE
INVOICE
ZEE MEDICAL INC. PAGE 1
PO BOX 781554 DATE 01/27/2012
INDIANAPOLIS IN 46278-8554 TIME 09:10:11
877-275-4933
JOE WEBSTER ext509 09/009/19 ORDER/INVOICE# 0158378564
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
0744 1 BNDG NON—LTX SMALL STRIP 5/8" 50/BX 5 95 5.95 N
0501 1 COTTON TIP APPLICATOR 3", NS 100/VL 3.85 3.85 N
1492 1 CONGEST AID II, 100/BX 14.95 14.95 N
1468 1 SORE THROAT LZNGS CHERRY 18/BX (ZEE) 8.95 8.95 N
1405 1 PA BACK RELIEF FORMULA, 100/BX 17.10 17.10 N
0794 1 OR WOUND SEAL RAPID RESPONSE 19.75 19.75 N
1421 1 IBUTAB 250/BX (ZEE) 30.00 30.00 N
1486 1 DILOTAB II, 100/BX 15.00 15.00 N
9900 1 HANDLING CHARGE 6.95 6.95 N
LOCATION# 1 LOCATION DESCRIPTION MAIN SUBTOTAL: 122.50
SAFETY: .00
FIRST AID: 122.50
NONTAXABLE: 122.50
TAXABLE: .00
SUBTOTAL: 122.50
TAX 1: .00
TAX 2: .00
TOTAL 122.50
X 4L North America's #1 provider of first aid yofety, and training
WO
CUSTOMER COPY 888' CALL ZEE Z880adic8iCO0
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
00
FIFTY YEARS OF SERVICE \i
I N V O I C E
ZEE MEDICAL_ INC. PACE 1
PO PDX 781554 DATE 01/27/2012
INDIANAPOLIS IN 46478 -8554 TIME 09:54:18
817 -275 --4933
JOE WEBSTER ext509 09/009/19 ORDER /INVOICE# 0158378565
Alt: P. O.
BILL TO 008183 SHIP TO# 008183
CITY OF CARMEL H.H.W. CITY OF C:ARMEL H.H.W.
901 NORTH RANGELINE ROAD 901 NORTH RANGELINE ROAD
Carmel IN 46032 Carmel IN 46032
317 -571- 2624 317- 571 -2624
WILLIAM
PART OT'Y DESCRIPTION $PRICE $EXTENDED TAX
0206 1 HYDROGEN PEROXIDE, NON AEROSOL, 20Z. 3.65 3.65 N
0216 1 ANTISEPTIC SPRAY, NON AEROSOL, 2 OZ 6.30 6.30 N
9900 1 HANDLING CHARGE 6.95 6.95 N
0794 1 OR WOUND SEAL RAPID RESPONSE 19.75 1 9. 75 N
0797 1 OR WOUND SEAL WITH APPLICATOR, 2 PK 16.45 16.45 N
LOCATION# 1 LOCATION DESCRIPTION MAIN SUBTOTAL: 53.10
SAFETY: .00
FIRST AID: 53.10
NONTAXABLE: 53.10
TAXABLE: .00
SUBTOTAL: 53.10
TAX 1: .00
TAX 2: .00
TOTAL 53.10
Awas North America's #1 provider of first aid, safety, and training
only Gib`tom CUSTOMER COPY
888 CALL ZEE (225 -5933) zeemedical.com
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 2/6/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/6/2012 158378564 $122.50
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
'r
Date Officer
VOUCHER 116683 WARRANT ALLOWED
343500 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
158378564 01- 7200 -01 $122.50
15 8 3 78565 0 1.�?►at/o8' S3.fo
Voucher Total Sri 22_50�
Cost distribution ledger classification if
claim paid under vehicle highway fund