175966 08/06/2009 CITY OF CARMEL, INDIANA VENDOR: 343500 Page 1 of 1
ONE CIVIC SQUARE ZEE MEDICAL, INC. CHECK AMOUNT: $101.98
CARMEL, INDIANA 46032 PO BOX 781554
INDIANAPOLIS IN 46278 -8554
CHECK NUMBER: 175966
CHECK DATE: 8/6/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 158286599 101.98 OTHER EXPENSES
ii
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
INVOICE
ZEE MEDICAL INC. PAGE 1
PO BOX 781554 DATE 07/21/2009
INDIANAPOLIS IN 46278-8554 TIME 15:19:09
317-872-2492
JOE WEBSTER 09/009/19 ORDER/INVOICE# 0158286599
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
2208 2 IVY X CLEANSER TOWELETTE, 25/BX 22.40 44.80 *N
1418 1 ZEE PAIN—AID 250/BX 23.99 23.99 N
1420 1 ZEE IBUTAB 100/BX 13.15 13.15 N
0740 1 BNDG, NON—LTX ELASTIC STRIP- 50/BX 5.99 5.99 N
1801 1 3—ANTIBIOTIC OINT, 0.9GM, 25/BX(ZEE) 8.10 8.10 N
9900 1 HANDLING 5.95 5.95 N
LOCATION# 1 LOCATION DESCRIPTION A SUBTOTAL: 101.98
SAFETY: 44.80
FIRST AID: 57.18
SUBTOTAL: 101.98
TAX 1: .00
TAX 2: .00
TOTAL 101.98
SIGNATURE DATE:
PRINT NAME: TITLE:
WN111T Egg 41119 QW949F North America's #1 provider offirst aid, yofety, and training
111200 107 Npow isms CUSTOK8ERCQPY O8O' CALL ZEE zoomodioaioom
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, hind 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 7/27/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
7/27/2009 158286599 $101.98
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
ZZ 9
Date Officer
VOUCHER 096059 WARRANT ALLOWED
343500 IN SUM OF
ZEE MEDICAL INC
P.O. BOX 4398
CHESTERFIELD, MO 63006
Carmel Wastewater Utility
LON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
158286599 01- 7200 -01 $101.98
s
r
Voucher Total $101.98
Cost distribution ledger classification if
claim paid under vehicle highway fund