177910 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 343500 Page 1 of 1
1 ONE CIVIC SQUARE ZEE MEDICAL, INC. CHECK AMOUNT: $282.17
CARMEL, INDIANA 46032 PO BOX 781554
INDIANAPOLIS IN 46278 -8554 CHECK NUMBER: 177910
CHECK DATE: 9129/2009
DEP ARTMEN T ACCOUNT PO NUMBER INVOICE NUMBER AI }IIOUNT DESCRIPTIO
2201 4239012 0158286918 +13 .95 SAFETY SUPPLIES
651 5023990 158286278 8.99 OTHER EXPENSES
651 5023990 158286756 8.93 OTHER EXPENSES
651 5023990 158286919. 1.75 OTHER EXPENSES
651 5023990 158286920 5.55 OTHER EXPENSES
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
INVOICE
ZEE MEDICAL INC. PAGE 1
PO BOX 781554 DATE 09/17/2009
INDIANAPOLIS IN 46278-8554 TIME 10:55:01
317-872-2492
JOE WEBSTER 09/009/19 ORDER/INVOICE# 0158286920
Alt: P.O.#
BILL TO 008183 SHIP TO# 008183
CITY OF CARMEL H.H.W. CITY OF CARMEL 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 QTY DESCRIPTION $PRICE $EXTENDED TAX
M015991 2 MEDICAINE STING CRUSH SWABS 10/PK 7.70 15.40 N
2353 2 ICE PACK, ECONOMY, SMALL (ZEE) 2.15 4.30 N
0602 2 EYE WASH, STERILE 1—OZ (ZEE) 4.95 9.90 N
9900 1 HANDLING 5.95 5.95 N
LOCATION# 1 LOCATION DESCRIPTION A SUBTOTAL: 35.55
SAFETY: .00
FIRST AID: 35.55
SUBTOTAL: 35.55
TAX In .00
TAX 2: .00
TOTAL 35.55
SIGNATURE DATE:
PRINT NAME: TITLE:
North America's #1 provider offirst aid, yofety, and training
CUSTOMER COPY 8O0- CALL ZEE (225-5933) zoemodica/.00m
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
r
CHESTERFIELD, MO 63006 Due Date 9/25/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/25/2009 158286920 $35.55
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
9 6 c Date Officer Officer
VOUCHER 096489 WARRANT ALLOWED
343500 IN SUM OF
.ZEE MEDICAL INC
P.O. BOX 4398
CHESTERFIELD, MO 63006
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
+x
Board members
PO INV ACCT AMOUNT Audit Trail Code
158286920 01- 720H -08 $35.55
sa
Voucher Total $35.55
Cost distribution ledger classification if
claim paid under vehicle highway fund
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
+eL 4
4 n,,
I N V 0 I C E
ZEE ME'D I CAL .I NC. PAGE 1
PO BOX 781554 DATE 05/=9/2009
INDIANAPOLIS IN 46278 -8554 TIME 15:08:27
317 -872 -2492
.70E WEBSTER 09/009/19 ORDER /INVOICE# 0158E-8E+278
Alt- P.O.
BILL TO 008183 SHIP TO# 008183
CITY OF CARMEL H.H.W. CITY OF CARMEL H.H.W.
901 B NORTH RANGELINE ROAD 901 B NORTH RANGELINE ROAD
CARMEL IN 48032 CARMEL IN 46032
317- 571 -2624 317-- 571 -2624
WILLIAM
FART OTY DESCRIPTION $PRICE $EXTENDED TAX
3538 1 DISPOSABLE FORCED, STERILE 1.85 1.85 N
1420 1 ZEE IBUTAB 100/BX 13.15 13.15 N
537 1 SPLINTER OUT (ZEE 10 /F --K 3.99 3.99 N
LOCATION# 1 LOCATION DESCRIPTION A SUBTOTAL: 18.99
SAFETY: .00
FIRST AID: 18.99
SUBTOTAL: 18.99
TAX 1: .00
TAX 2-. .00
TOTAL 18.99
SIGNATURE DATE:
PRINT NAME: TITLE:
Ask us about First Aid Training and AED Programs.
Thank You for your Business!
Invoice is Conf=idential May be subject to Late Fees.
PQi North America's #1 provider of first aid, safety, and training
CUSTOMER COPY 888 CALL ZEE (225 -5933) zeemedical.com
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
INVOICE
ZEE MEDICAL INC. PAGE 1
PO BOX 781554 DATE 08/19/2009
INDIANAPOLIS IN 46278-8554 TIME 09:21:13
317-872-2492
JOE WEBGTER 09/009/19 ORDER/INVOICE# 0158286756
Alt: P.O.#
BILL TO 008183 SHIP T8# 008183
CITY OF CARMEL H.H.W. CITY OF CARMEL H.H.W.
901 B NORTH RANGELINE ROAD 901 B NORTH RANGELINE ROAD
CARMEL IN 46032 CARMEL IN 46032
317-571-2624 317-571-2624
WILLIAM
PART QTY DESCRIPTION $PRICE $EXTENDED TAX
0795 1 OR WOUND SEAL, 2/PK 10.99 10.99 N
0797 1 DR WOUND SEAL WITH APPLICATOR, 2/PK 14.99 14.99 N
9900 1 HANDLING 2.95 2.95 N
LOCATION# 1 LOCATION DESCRIPTION A SUBTOTAL: 28.93
SAFETY: .00
FIRST AID: 28.93
SUBTOTAL." 28.93
TAX 1: .IDG
TAX 2: .00
TOTAL 28.93
Your preferred customer savings: 3.00
SIGNATURE DATE:
PRINT NAME: TITLE:
North America's #1 provider uf first aid, safety, and training
CUSTOMER COPY 88N' CALL ZEE zeemedioicom
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
I N V O I C E
ZEE MEDICAL INC. PAGE 1
PO BOX 781554 DATE 09/17/2009
INDIANAPOLIS IN 46278-8554 TIME 10:4603
317 -872- -2492
JOE WEBSTER 09/009/19 ORDER /INVOICE# 015828E+919
A I 't F. O.
BILL TO 001 107 SHIP TO## 003747
CITY OF CARMEL UTILITIES CARMEL_ SEWER DEPT
760 3RD AVE SW SUITE. 110 901 NORTH RANGELINE ROAD
CARMEL IN 40:+032 CARMEL IN 46032
317- 571-2443 317-571-2645
PPUL ARNONE
FART OTY DESCRIPTION $PRICE $EXTENDED TAX
0716 1 BNDG NON —LTX KNUCKLE, 40/BV 7.95 7.95 N
1417 1 ZEE FAIN° —AID 100 /AX 11.95 11.95 N
0743 1 BNDG, NON —LTX LS PATCH, E /BX 7.35 7.35 N
1420 1 ZEE IBUTAB 100 /BX 13.15 13.15 N
9900 1 HANDLING 5.95 5.95 1\1
M015991 2 ME D I CA I NE STING CRUSH SWANS 1 O PK 7.70 15.40 N
LOCATION# K LOCAT I ON DESCRIPTION A SUBTOTAL: 61.75
SAi =ETY a 00
FIRST AID-. 61.75
SUBTOTAL: 61.75
TAX It .00
TAX 2-. .00
TOTAL 61.75
SIGNATURE DATE-.
PRINT NAME-. TITLE-.
p p p North America's #9 provider of first aid, safety, and training
0 o CUSTOMER COPY 888 -CALL ZEE (225 -5933) zeemedicai.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 9/21/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
.9/21/2009 158286919 $61.75
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
y1sIg G'4 Y11—
Date Officer
VOUCHER 096429 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
158286919 01- 7200 -01 $61.75 r
15 82 1 66271 00 01 /$•9l
1 SS216 6756 0 (.72oh1.0$ 2513
7
Voucher Total Q
Cost distribution ledger classification if
claim paid under vehicle highway fund
ZEE IVIF[}ICAL PROPRIETARY AND CONFIDENTIAL
INVOICE
ZEE MEDICAL INC. PAGE 1
PO BOX 781554 DATE 09/17/2009
INDIANAPOLIS IN 46278-8554 TIME 10:19:41
317-872-2492
JOE WEBSTER 09/009/19 ORDER/INVOICE# 0158286918
Alt: P.O.#
BILL TO 000486 SHIP TO# 011420
CARMEL STREET DEPT CARMEL STREET DEPARTMENT
3400 WEST 131ST STREET 2 CIVIC SQUARE
WESTFIELD IN 460"74 CARMEL IN 46032
317-733-2001 317-650-8282
PARKS PIFER
PART QTY DESCRIPTION $PRICE $EXTENDED TAX
2207 1 IVY X PRE—CONTACT TOWELETTE, 25/BX 34.15 34.15 *T
MO15991 1 MEDICAINE STING CRUSH SWABS 10/PR 7.70 7.70 T
1817 1 HYDROCORTIZONE CREAM 1%, 0.9GM 25/PK 9.40 9.40 T
1825 1 FIRST AID CREAM 25/9X 8.95 8.95 T
2353 2 ICE PACK, ECONOMY, SMALL (ZEE) 2.15 4.30 T
2629 2 EYE WASH, STERILE 1—OZ., 2/UNIT 9.95 19.90 T
2211 1 INSECT REPELLENT—DUG X TOWEL., 25/BX 46.6O 46.6W *T
9900 1 HANDLING 5.95 5.95 T
LOCATION# 1 LOCATION DESCRIPTION A SUBTOTAL: 136.95
SAFETY: 80. 75
FIRST AID: 56 20
SUBTOTAL: 136.95
TAX 1:
TAX 2: .00
TOTAL 146.54
SIGNATURE DATE,
PRINT~NAME: TITLE:
North America's #1 provider of first aid, safety, and training
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 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))
09/17/09 0158286918 $136.95
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Zee Medical
IN SUM OF
P. O. Box 781554
Indianapolis, IN 46278 -8554
$136.95
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
2201 0158286918 42- 390.12 $136.95 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
Thursday,,Sept�"' er 24, 2009
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund