170633 04/01/2009 CITY OF CARMEL, INDIANA VENDOR: 343500 Page 1 of 1
ONE CIVIC SQUARE ZEE MEDICAL, INC.
0 CARMEL, INDIANA 46032 CHECK AMOUNT: $17.40
PO BOX 781554
q INDIANAPOLIS IN 46278 -8554 CHECK NUMBER: 170633
CHECK DATE: 411!2009
DEPARTMEN ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRI
651 5023990 158273888 17.40 OTHER EXPENSES
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„k.
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
INVOICE
ZEE MEDICAL INC. PAGE 1
PO BOX 781554 DATE 03/26/2009
INDIANAPOLIS IN 46278-8554 TIME 10:29:58
317-872-2492
JOE WEBSTER 09/009/19 ORDER/INVOICE# 0158273888
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 46032 CARMEL IN 46032
317-571-2624 317-571-2624
WILLIAM
PART QTY DESCRIPTION $PRICE $EXTENDED TAX
0716 1 BNDG, NON—LTX KNUCKLE, 40/BX 7.95 7.95 N
0370 1 TAPE, ELASTIC 1" X 5 YD. SPOOL 6.50 6.50 N
FUEL 1 FUEL SURCHARGE 2.95 2.95 *N
LOCATION# 1 LOCATION DESCRIPTION A SUBTOTAL: 17.40
SAFETY: 2.95
FIRST AID: 14.45
SUBTOTAL: 17.40
TAX 1: .00
TAX 2: .00
TOTAL 17.40
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 Amohnu'o #1 provider of first oid, safety, and training
CUSTOMER COPY 888' CALL ZEE (225-5933) zeemedicaicom
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 3130/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/30/2009 158273888 $17.40
a
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
Date Officer
VOUCHER 095372 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
A
Pb INV ACCT AMOUNT Audit Trail Code
158273888 01- 720H -08 $17.40
a
Voucher Total $17.40
Cost distribution ledger classification if
claim paid under vehicle highway fund