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169218 02/17/2009 a CITY OF CARMEL, INDIANA VENDOR: 343500 Page 1 of 1 ONE CIVIC SQUARE ZEE MEDICAL, INC. CARMEL, INDIANA 46032 PO BOX 781554 CHECK AMOUNT: $244.06 4? INDIANAPOLIS IN 46278 -8554 CHECK NUMBER: 169218 CHECK DATE: 2/17/2009 DEPARTMENT ACCOUNT PO NUMBER I NUMBER AMOUNT DESCRIPTION 601 5023990 0158273584 X74.16 OTHER EXPENSES 2201 4239012 0158273585 66.64 SAFETY SUPPLIES 1110 4239012 0158273586 /73.38 SAFETY SUPPLIES 1701 4239099 0158273587 .9.88 OTHER MISCELLANOUS j ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL INVOICE ZEE MEDICAL INC. PAGE 1 PO BOX 781554 DATE 02/04/2009 INDIANAPOLIS IN 46278-8554 TIME 10:17:14 317-872-2492 JOE WEBSTER 09/009/19 ORDER/INVOICE# 0158273586 Alt: P.O.# BILL TO 003728 SHIP TO# 003728 CARMEL POLICE CARMEL POLICE 3 CIVIC SQUARE 3 CIVIC SQUARE CARMEL IN 46032 CARMEL IN 46032 317-571-2500 317-571-2500 PART QTY DESCRIPTION $PRICE $EXTENDED TAX 0716 1 BNDG, NON—LTX KNUCKLE, 40/BX 7.95 7.95 N 0740 1 BNDG, NON—LTX� ELASTIC STRIP, 50/BX 5.99 5.99 N 1487 1 DILOTAB II, 250/BX 28'50 28.50 N 1421 1 ZEE IBUTAB 2549/BX 27.99 27.99 N FUEL 1 FUEL SURCHARGE 2.95 2.95 *N LOCATION# 1 LOCATION DESCRIPTION A SUBTOTAL: 73.38 SAFETY: 2.95 FIRST AID: 70.43 SUBTOTAL: 73.38 TAX 1: .00 TAX 2: .00 TOTAL 73.38 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 89B' CALL ZEE (225-5933) cnnmodioainnm i Pr ibe tby 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 Zee Medical Inc. Purchase Order No. PO Box 781554 indpls 1N 46278 -8454 Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 2/4/09 0158273586 payment for medical supplies 73.38 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Zee Me dical Inc. IN SUM OF PU Box 781554 Indpls, IN 46278 -8554 73.38 ON ACCOUNT OF APPROPRIATION FOR Police general fund Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 1110 0158273586 390 -12 73.38 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 February 11, 2009 C ef Police 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 02/04/2009 INDIANAPOLIS IN 46278-8554 TIME 09:45:12 317-872-2492 JOE WEBGTER 09/009/19 ORDER/INVOICE# 0158273585 Alt: P.O.# BILL TO M00486 SHIP TO# 000486 CARMEL STREET DEPT CARMEL STREET DEPT 3400 WEST 131ST STREET 3400 WEST 131ST STREET WESTFIELD IN 46074 WESTFIELD IN 46074 317-733-2001 317-733-2001 BONNIE PART QTY DESCRIPTION $PRICE $EXTENDED TAX 2629 1 EYE WASH, STERILE 1—OZ., 2/UNIT 9.95 9.95 N 0501 1 COTTON TIP APPLICATOR 3" NS 100/VIAL 3 �5 3 65 N 1801 1 3—ANTIBIOTIC OIWT, 69. 9GM, 25/BX ZEE) 8.10 8.10 N 3538 1 DISPOSABLE F ORCEP, STERILE 1.85 1.85 N 2219 t DERMAFLEUR PACKETS, 25/BX 7.25 7.25 N 0602 2 EYE WASH, STERILE 1—OZ (ZEE) 4.95 9.90 N LOCATION# 1 LOCATION DESCRIPTION SHOP SUBTOTAL: 40.70 1436 1 E.S. UN—ASPIRIN 250/BX (ZEE) 22.99 22.99 N FUEL 1 FUEL SURCHARGE 2.95 2.95 *N LOCATION# 2 LOCATION DESCRIPTION OFFICE SUBTOTAL: 25'94 SAFETY: 2.95 FIRST AID: 63.69 SUBTOTAL: 66.64 TAX 1: .00 TAX 2: .00 TOTAL 66.64 North America's #1 provider Vf first aid, safety, and training CUSTOMER COPY 808 CALL ZEE zoemedica.u0m ZEE MEDICAL PROPRIETARY /\Kj[] CONFIDENTIAL s /7 V INVOICE ZEE MEDICAL INC. PAGE 2 PO BOX 781554 DATE 02/04/2009 INDIANAPOLIS IN 46278-8554 TIME 09:45:12 317-872-2492 JOE WEBSTER 09/009/19 ORDER/INVOICE# 0158273585 Alt: P.O.# 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 Uffirst aid, safety, and training CUSTOMER COPY 888' CALL ZEE zeemadicaioom 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)) 02/04/09 0158273585 $66.64 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 VOUCHER NO. WARRANT N ALLOWED 20 Zee Medical IN SUM OF P. O. Box 781554 Indianapolis, IN 46278 -8554 $66.64 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members 2201 0158273585 42- 390.12 $66.64 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 R ridgy, f Aruo�3, 2009 UWVY Street Commissioner (r� ..1 n Title Cost distribution ledger classification if claim paid motor vehicle highway fund ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL v— o INVOICE ZEE MEDICAL INC. PAGE i PO BOX 781554 DATE 02/04/2009 INDIANAPOLIS IN 46278-8554 TIME 09:21:51 317-872-2492 JOE WEBSTER 09/009/19 ORDER/INVOICE# 0158273584 Alt: P.O.# DILL TO 007748 SHIP TO# 007748 CARMEL WATER UTILITIES CARNEL WATER UTILITIES 3450 W 131ST STREET 3450 W 131ST STREET WESTFIELD IN 46074 WESTFIELD IN 46074 317-733-2855 317-733-2855 JACK SPEARS PART QTY DESCRIPTION $PRICE $EXTENDED TAX 3538 1 DISPOSABLE FORCEP STERILE 1.85 1.85 N 2629 1 EYE WASH, STERILE 1—OZ., 2/UNIT 9.95 9.95 N 0716 1 BNDG, NON—LTX KNUCKLE, 40/BX 7.95 7.95 N LOCATION# 1 LOCATION DESCRIPTION A SUBTOTAL: 19.75 0740 2 BNDG, NON—LTX ELASTIC STRIP, 501BX 5.99 11.98 N 1417 1 ZEE PAIN—AID 100/BX 11.95 11.95 N 1486 1 DILOTAB II, 1001BX 13'99 13.99 N 0601 1 EYE CUPS, PLASTIC 6/VIAL 3.85 3.85 N 1464 1 SOOTHE—AID LOZENGES, 25/9X (ZEE) 9'69 9'69 N FUEL 1 FUEL SURCHARGE 2.95 2'95 *N LOCATION# 2 LOCATION DESCRIPTION B SUBTOTAL: 54.41 SAFETY: 2.95 FIRST AID: 71.21 SUBTOTAL: 74.16 TAX 1: .00 TAX 2: .00 TOTAL 74'16 n oil 5=19011 VP@M 09190 North Am8hu8'G #1 provider of first aid xafety, and training CUSTOMER COPY 888- CALL ZEE (225-5933) zeomedica|/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 Purchase Order No. P.O. BOX 781554 Terms INDIANAPOLIS, IN 46278 -8554 Due Date 2/9/2009 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/9/2009 0158273584 $74.16 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 Date Officer VOUCHER 091039 WARRANT ALLOWED 343500 ,DER IN SUM OF ZEE MEDICAL P.O. BOX 781554 �t6` INDIANAPOLIS, IN 46278- 8554� .r' Carmel Water Utility ON ACCOUNT OF APPROPRIATION FOR Board members PO INV ACCT AMOUNT Audit Trail Code 0158273584 01- 6200 -06 $74.16 Voucher Total $74.16 Cost distribution ledger classification if claim paid under vehicle highway fund ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL I N V O I C E ZEE MEDICAL INC. PAGE 1 PO BOX 781554 DATE 02/04/2009 INDIANAPOLIS IN 46278 -8554 TIME 10 :35 :40 317 872 -2492 JOE WEBSTER 09/009/19 ORDER /INVOICE## 0158273587 Alts t P.O. PILL TO 000712 SHIP TO# 00071 I CITY OF CARMEL CITY OF CARMEL ONE CIVIC SQUARE ONE CIVIC SQUARE CLERK TREASURER CLERK TREASURER I CARMEL IN 46032 CARMEL. IN 46032 317 571 -3414 317- 571 -2414 Ann PART OTY DESCRIPTION $PRICE $EXTENDED TAX 0716 1 BNDG, NON -LTX KNUCKLE, 40 /BX 7.95 7.95 N 0744 1 BNDG, NON --LTX SMALL STRIP 5/8 50 /BX 4.99 4.99 N 1486 1 DILOTAB II, 100 /BX 13.99 13.99 N FUEL 1 FUEL SURCHARGE 2.95 2.95 *N LOCATION# 1 LOCATION DESCRIPTION A SUBTOTAL: 29.88 SAFETY: 2.95 FIRST AID: 26.93 SUBTOTAL: 29.88 TAX 1: .00 TAX 2: .00 TOTAL 29.88 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. I I PG1 G North America's #1 provider of first aid, safety, and training Paw G �um uw@M CUSTOMER COPY 888 -CALL ZEE (225 -5933) zeemedical.com Preach bed by State Board of Accounts ACCOUNTS 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 Purchase Order No. V Pn Terms �t 0 /1 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) p 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 VOUCHER NO. WARRANT NO. ALLOWED 20 IN SUM OF K354 ul- 98 ON ACCOUNT OF APPROPRIATION FOR UP�� Oq� 1AIA 4M, Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I 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 20 Signature Cost distribution ledger classification if Title claim paid motor vehicle highway fund