211111 07/17/2012 ��. CITY OF CARMEL, INDIANA VENDOR: 343500 Page 1 of 1
ONE CIVIC SQUARE ZEE MEDICAL, INC.
a CARMEL, INDIANA 46032 PO BOX 781554 CHECK AMOUNT: $38.95
a� INDIANAPOLIS IN 46278-8554 CHECK NUMBER: 211111
CHECK DATE: 7/17/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1701 4239099 0158379480 38 . 95 OTHER MISCELLANOUS
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
o r
FIFTY YEARS OF SERVICE -'-
I N V O I C E
ZEE MEDICAL INC. PAGE i
PO PDX 781554 DATE 07/17/2012
INDIANAPOLIS IN 46278-8554 TIME 09:46:30
877-275-4933
JOE WEBSTER ext509 09/009/19 ORDER/INVOICE# 0158379480
Alt : / / P. O. #
PILL 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
------ --- ----------- ------ --------- ---
1420 1 IBUTAB 100/BX (ZEE) 15. 15 15. 15 N
0740 1 BNDG, NON-LTX ELASTIC STRIP, 50/BX 7. 45 7. 45 N
0714 1 BNDG, NON-LTX FINGERTIP, 40/BX 9. 40 9. 40 N
9900 1 HANDLING CHARGE 6. 95 6. 95 N
LOCATION# 1 LOCATION DESCRIPTION - MAIN SUBTOTAL: 38. 95
* SAFETY: . 00
FIRST AID: 38. 95
NONTAXABLE: 38. 95
TAXABLE: . 00
SUBTOTAL: 38. 95
TAX 1 : . 00
TAX 2-. . 00
TOTAL 38. 95
E
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 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.
Pa
yyee
' Purchase Order No.
.0
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
CC
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 $
TO
( � a�lta 1 �J4�ATS
S�
ON ACCOUNT OF APPROPRIATION FOR
�o PqW 6t4, L
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
g6i 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
6 A 4,2 (�� 2
0 U
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund