214884 11/20/2012 CITY OF CARMEL, INDIANA VENDOR: 343500 Page 1 of 1
ONE CIVIC SQUARE ZEE MEDICAL, INC.
l CARMEL, INDIANA 46032 PO BOX 781554 CHECK AMOUNT: $236.50
INDIANAPOLIS IN 46278-8554 CHECK NUMBER: 214884
CHECK DATE: 11/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239012 0158379481 104 . 90 SAFETY SUPPLIES
1110 4239012 0158482154 131 . 60 SAFETY SUPPLIES
3172282209 ZEE Collections 03:58:16 a.m. 11-05-2012 213
I N V O I C E
ZEE MEDICAL INC. PAGE 1
PO BOX 781554 DATE 07/17/2012
INDIANAPOLIS IN 46278-8554 TIME 10: 03:39
877-275-4933
JOE WEBSTER ext509 09/009/19 ORDER/INVOICE# 0158379481
Alt: / / -P.O.#
BILL TO # 000486 SHIP TO# 011420
CARMEL STREET DEPT CARMEL STREET DEPARTMENT
3400" WEST 131ST STREET 2 CIVIC SQUARE
Westfield IN 46074 Carmel IN 46032
317-733-2001 317-650-8282
PARKS PIFER
PART # QTY DESCRIPTION $PRICE $EXTENDED TAX
------ --- -----------
------ --------- ---
0608 1 EYE & SKIN BUF. FLUSHING SOL. 8 OZ 12.95 12.95 N
0216 1 ANTISEPTIC SPRAY, NON-AEROSOL, 2 OZ 6 .90 6 .90 N
1451 1 PEPT-EEZ 42/BX (ZEE) 12 .30 12 .30 N
0995 3 ZEE FLEX 2" X 5 YDS 4 .90 14 .70 N
1435 1 E.S. UN-ASPIRIN 100 1BX (ZEE) 13 .40 13 .40 N
9900 1 HANDLING CHARGE 6 .95 6 .95 N
2207 1 IVY X PRE-CONTACT TOWELETTE, 25/BX 37 .70 37 .70 *N
LOCATION# 1 LOCATION DESCRIPTION - CIVIC SQ SUBTOTAL: 104 .90
* SAFETY: 37 .70
FIRST AID: 67 .20
NONTAXABLE: 104 .90
TAXABLE: .00
SUBTOTAL: 104 .90
TAX 1: .00
TAX 2: .00
TOTAL 104 .90
ON ACCOUNT
3172282209 ZEE Collections 03:58:25 a.m. 11-05-2012 3/3
I N V O I C E
ZEE MEDICAL INC. PAGE 2
PO BOX 781554 DATE 07/17/2012
INDIANAPOLIS IN 46278-8554 TIME 10: 03: 39
877-275-4933
JOE WEBSTER ext509 09/009/19 ORDER/INVOICE# 0158379481
Alt : / / P.O.#
SIGNATURE DATE: 07/17/2012
PRINT NAME: PIFER
ASK US ABOUT FIRST AID AND AED PROGRAMS
THANK YOU FOR YOUR BUSINESS! !
INVOICE IS CONFIDENTIAL - MAY BE SUBJECT TO LATE FEES
VOUCHER NO. WARRANT NO.
ALLOWED 20
Zee Medical
IN SUM OF $
P. O. Box 781554
Indianapolis, IN 46278-8554
$104.90
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 0158379481 I 42-390.121 $104.90 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
a ,Thursday, Nove.mb.er 15, 2012
Street Commissioner
Street C',Tjil6n.issioner
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))
07/17/12 0158379481 $104.90
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
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
FIFTY YEARS OF SERVICE
I N V O I C E
ZEE MEDICAL INC. WAGE 1
PO BOX 781554 DATE 11/13/2012
INDIANAPOLIS I N 46278---8554 TIME 1 1 : 12:21
877-275-4933
JOE WEBSTER ext509 09/009/19 ORDER/INVOICE# 0158482154
Alt : / / P. O. #
BILL TO # 003726 SHIP TO# 003728
C.ARMEL POLICE C ARMEL POLICE
3 CIVIC SQUARE 3 CIVIC SQUARE
Carmel IN 46032 Carmel IN 46032
317-571•-2500 317--571-2500
TERESA ANDERSON
PART # OTY DESCRIPTION $P11-RICE :EXTENDED TAX
0921 1 GAUZE PADS 3" X 3", 25/BX (ZEE) 7. 65 7. 65 N
0370 1 TAPE, ELASTIC 1 - X 5 YD. SPOOL 7. 45 7. 45 N
0740 2 BNDG, NON-LTX ELASTIC STRIP, 591/BX 7. 45 14. 94:' N
0743 1 BNDG, NON-LTX LG PATCH, 25/BX 6. 95 8. 95 N
0714 2 BNDG, NON-LTX FINGERTIP, 4QI/BX 9. 40 18. 80 N
0995 2 ZEE FLEX 2" X 5 YDS 4. 90 9. 80 N
5641 1 MUSCLE JEL 3. 5gm, 24 CT. 17. 75 17. 75 N
9900 1 HANDLING CHARGE 6. 95 6. 95 N
1801 1 3--AIVTIBIO.I.IC OIN1- 0. 9 GM 25/BX (ZEE) `x. 35 9. 35 N
2651 1 WATER-JEL BURN JEL 6/BX, WRAPPE:D 9. 70 9. 70 N
0716 1 BNDG„ NON--L'T X KNUCKLE, 40/BX 9. 40 9. 40 N
2629 1 EYE WASH, STERILE 1-OZ. , 2/UNIT 10. 90 10. 90 N
LOC:AT I ON# 1 LOCATION DESCRIPTION - MAIN SUBTOTAL: 131. 60
SAFETY: . 00
FIRST AID: 131. 60
NONTAXABLE: 131. 60
TAXABLE: . 00
SUBTOT AL: 131. 60
TAX 1 : . 00
TAX 2: . V10
TOTAL 131. 60
North America's #1 provider of first aid, safety, and training
CUSTOMER COPY 888 - CALL ZEE (225-5933) zeemedical.com
VOUCHER NO. WARRANT NO.
ALLOWED 20
Zee Medical, Inc.
IN SUM OF $
P.O. Box 781554
Indianapolis, IN 46278-8554
$131.60
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department ;
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT
Board Members
1110 I 158482154 I 42-390.12 I $131.60 : 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
Thursday, November 15, 2012
r
Chief of Police
Title
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))
11/13/12 158482154 medical supplies $131.60
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