180328 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 343500 Page 1 of 1
ONE CIVIC SQUARE ZEE MEDICAL, INC.
CARMEL, INDIANA 46032 PO Box 781554 CHECK AMOUNT: $57.53
INDIANAPOLIS IN 46278 -8554
CHECK NUMBER: 180328
CHECK DATE: 12/8/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMB AMOUNT DESCRIPTION
1701 4239099 0158374424 37.88 OTHER MISCELLANOUS
651 5023990 158374386 19.65 OTHER EXPENSES
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
INVOICE
ZEE MEDICAL INC. PAGE 1
PO BOX 781554 DATE 12/07/2009
INDIANAPOLIS IN 46278-8554 TIME 10:56:03
317-872-2492
JOE WEBSTER 09/009/19 ORDER/INVOICE# 0158374424
Alt: P.O.#
BILL TO 000712 SHIP TO# 000712
CITY OF CARMEL CITY OF CARMEL
ONE CIVIC SQUARE ONE CIVIC SQUARE
CLERK TREASURER CLERK TREASURER
CARMEL IN 46032 CARMEL IN 46032
317-571-2414 317-571-2414
Ann
PART QTY DESCRIPTION $PRICE $EXTENDED TAX
1486 1 DILOTAB II, 100/BX 13.99 13.99 N
1417 1 ZEE PAIN—AID 100/BX 11.95 i1.95 N
9900 1 HANDLING 5.95 5.95 N
0740 1 BNDG, NON—LTX ELASTIC STRIP, 50/BX 5.99 5.99 N
LOCATION# 1 LOCATION DESCRIPTION A SUBTOTAL: 37.88
SAFETY: .00
FIRST AID: 37.88
SUBTOTAL: 37.88
TAX 1: .00
TAX 2: .00
TOTAL 37.88
SIGNATURE DATE:
PRINT NAME: TITLE:
ASK US ABOUT FIRST AID TRAINING AND AED PROGRAMS.
THANK YOU FOR YOUR BUSINESS!!
INVOICE IS CONFIDENTIAL MAY BE SUBJECT TO LATE FEES
North America's #1 provider offirst aid, safety, and training
CUSTOMER COPY 888 CALL ZEE (225-5933) zeemedical.com
Prescribed by State Board of Accounts ACCO UNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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
f Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
S 3�. 8
Total
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
VOUrHER NO. WARRANT NO.
ALLOWED 20
IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
0���aq0qq
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. 1 hereby certify that the attached invoice(s), or
n158
qpgPi 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
w 20
Signa e
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
INVOICE
ZEE MEDICAL INC. PAGE 1
PO BOX 781554 DATE 12/02/2009
INDIANAPOLIS IN 46273-8S54 TIME 09:33:54
317-872-2492
JOE WEBSTER 091009119 ORDER/INVOICE# 0156374386
Alt: P.O.#
DILL 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
1,435 1 E.S. UN—ASPIRIN 100/BX (ZEE) 11.55 11.55 N
0618 1 EYE DROPS THERA TEARS 4/PK 5.15 5.15 N
9900 1 HANDLING 2.95 2.95 N
LOCATION# 1 LOCATION DESCRIPTION A SUBTOTAL: 19.65
SAFETY: .00
FIRST AID: 19.65
8UBTOTAL: 19.65
TAX 1: .00
TAX 2: .00
TOTAL 19.65
Your preferred customer s,4vings: 3.00
SIGNATURE DATE:
PRINT NAME: TITLE:
ASK US ABOUT FIRST AID TRAINING AND AED PROGRAMS.
THANK YOU FOR YOUR BUSINESS!!
INVOICE IS CONFIDENTIAL MAY BE SUBJECT TO LATE FEES
North America's #1 provider of first aid, safety, and training
CUSTOMER COPY 888' CALL ZEE (225-5933) zeemedical.com
01.
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 12/2/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/2/2009 158374386 $19.65
4
I hereby certlfy 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 096856 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
158374386 01- 7200 -01 $19.65
a:
Voucher Total $19.65
Cost distribution ledger classification if
claim paid under vehicle highway fund