213237 09/25/2012 CITY OF CARMEL, INDIANA VENDOR: 343500 Page 1 of 1
ONE CIVIC SQUARE ZEE MEDICAL,INC.
CARMEL, INDIANA 46032 PO BOX 781554 CHECK AMOUNT: $556.55
'a roe io INDIANAPOLIS IN 46278-8554 CHECK NUMBER: 213237
CHECK DATE: 9/25/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239012 0158379818 556 . 55 SAFETY SUPPLIES
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
FFry YEARS of SERVICE )�
\ 1 '
I N V O I C E.
ZEE MEDICAL INC. PAGE 1
PO PDX 781554 DATE 09/17/2012
INDIANAPOLIS IN 46278-8554 TIME 11 :09: 17
877-275-4933
JOE WEBSTER ext509 09/009/19 ORDER/INVOICE# 0158379818
Alt : / / P. O. #
BILL TO # M00486 SHIP TO# 000486
CARMEL STREET DEFT 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 # OTY DESCRIPTION $PRICE $EXTENDED TAX
------ --- ----------- ------ -----•----- ---
1495 1 HISTENOL FORTE II, 100/BX 22. 00 22. 00 N
1492 1 CONGEST AID II, 100/BX 16. 00 16. 00 N
0714 1 BNDG, NON-LTX FINGERTIP, 40/BX 9. 40 9. 40 N
2331 1 EMERGENCY FIRST AID POCKET GUIDE 5. 15 5. 15 N
1468 1 SORE THROAT LZNGS CHERRY, 18/BX (ZEE) 8. 95 8. 95 N
LOCATION# 1 LOCATION DESCRIPTION - SHOP SUBTOTAL: 61. 50
0714 1 BNDG, NON-LTX FINGERTIP, 40/BX 9. 40 9. 40 N
0740 1 BNDG, NON-LTX ELASTIC STRIP', 50/BX 7. 45 7. 45 N
0731 1 BNDG, NON-LTX SHEER S'T'RIP I ", 100/BX 9. 75 9. 75 N
1801 1 3-ANTIBIOTIC OINT 0. 9 GM 25/BX (ZEE) 9. 35 9. 35 N
3538 1 FORCEPS, STERILE DISPOSABLE 2. 10 2. 10 N
1421 1 IBUTAB 250/BX (ZEE) 31. 95 31. 95 N
LOCATION# 2 LOCATION DESCRIPTION - BATHROOM SUBTOTAL: 70. 00
1421 1 IBUTAB 250/BX (ZEE) 31. 95 31 . 95 N
1447 1 ANTACID, TRIAL 250/BX (ZEE) 23. 15 23. 15 N
1436 1 E. S. UN-ASPIRIN 250/BX (ZEE) 26. 30 26. 30 N
2207 5 IVY X PRE-CONTACT TOWELETTE, 25/BX 37.70 188. 50 *N
2208 6 IVY X CLEANSER TOWELETTE. 25/BX 24. 70 148. 20 *N
9900 1 HANDLING CHARGE 6. 95 6. 95 N
LOCATION# 3 LOCATION DESCRIPTION - BREAKROOM SUBTOTAL: 425. 05
PQr 9-j@ WWI North America's #1 provider of first aid, safety, and training
pp� ' CUSTOMER COPY 888 - CALL ZEE (225-5933 zeemedical.com
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
�ryvamOF SERVICE
INVOICE
ZEE MEDICAL INC. PAGE 2
PO BOX 781554 DATE 09/17/2012
INDIANAPOLIS IN 46278-8554 TIME 11 :09: 17
877-275-4933
JOE WEBSTER ext509 09/009/19 ORDER/INVOICE# 0158379818
Alt : / / P. O. #
PART # QTY DESCRIPTION $PRICE $EXTENDED TAX
______ ___ ___________ ______ _________ ___
* SAFETY: 336. 70
FIRST AID: 219. 85
NONTAXABLE: 556. 55
TAXABLE: . 00
SUBTOTAL: 556. 55
TAX 1 : . 00
TAX 2: . 00
TOTAL 556. 55
SIGNATURE : DATE:
PRINT NAME: TITLE:
ASK US ABOUT FIRST AID AND AED PROGRAMS
THANK YOU FOR YOUR BUSINESS ! !
INVOICE IS CONFIDENTIAL — MAY BE SUBJECT TO LATE FEES
- -
North America's#1 provider offirst aid, safety, and training
CUSTOMER COPY 888 - CALL ZEE (225-5933) zeemedical.com
VOUCHER NO. WARRANT NO.
ALLOWED 20
Zee Medical
IN SUM OF $
P. O. Box 781554
Indianapolis, IN 46278-8554
$556.55
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT
Board Members
2201 1 0158379818 1 42-390.121 $556.55 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
J r Friday, September 21, 2012
Street Commissioner
, d
Street unit rn'ss;cner
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
09/17/12 0158379818 $556.55
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