216247 01/09/2013 CITY OF CARMEL, INDIANA VENDOR: 343500 Page 1 of 1
0 ONE CIVIC SQUARE ZEE MEDICAL,INC.
CARMEL, INDIANA 46032 PO BOX 781554 CHECK AMOUNT: $205.32
INDIANAPOLIS IN 46278-8554 CHECK NUMBER: 216247
CHECK DATE: 1/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4239012 0158482377 205 . 32 SAFETY SUPPLIES
ZEE MEDICAL PROPRIETARY /\Kj[l CONFIDENTIAL
i
INVOICE
ZEE MEDICAL INC. PAGE 1
PO BOX 781554 DATE 01/02/2013
INDIANAPOLIS IN 46278-8554 TIME 12:44:08
877-275-4933
JOE WEBSTER ext509 09/009/19 ORDER/INVOICE# 0158482377
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
______ ___ ___________ ______ _________ ___
0203 1 CLEAN WIPES 50/BX (ZEE) 6. 40 6. 40 N
1805 1 BURN SPRAY, NON-AEROSOL, 2 OZ. 6. 85 6. 85 N
0713 1 BNDG, NON-LTX FINGERTIP XLG, 25/BX 8. 05 8. 05 N
0944 1 ELASTIC ROLLER GAUZE N/S 3" X 4. 5YDS 3. 75 3. 75 N
1420 1 IBUTAB 100/BX (ZEE) 15. 15 15. 15 N
1417 1 PAIN-AID 100/BX (ZEE) 13. 80 13. 80 N
LOCATION# 1 LOCATION DESCRIPTION - BLD 2 SUBTOTAL: 54. 00
1454 1 CHERRY COUGH DROPS 125/BX (ZEE) 18. 15 18. 15 N
1421 1 IBUTAB 250/BX (ZEE) 31. 95 31. 95 N
1420 1 IBUTAB 100/BX (ZEE) 15. 15 15. 15 N
LOCATION# 2 LOCATION DESCRIPTION - BREAKROOM SUBTOTAL: 65. 25
0716 1 BNDG, NON-LTX KNUCKLE, 40/BX 9. 40 9. 40 N
1817 1 HYDRO CREAM 1. 0%, 0. 9 GM 25/BX (ZEE) 10. 65 10. 65 N |
1-OZ. , 2/UNIT 10. 90 21. 80 N
2629 2 EYE WASH, STERILE
9900 1 HANDLING CHARGE 6. 95 6. 95 N
0794 1 OR WOUND SEAL RAPID RESPONSE 19. 75 19. 75 N
0797 1 OR WOUND SEAL WITH APPLICATOR, 2/PK 17. 52 17. 52 N
LOCATION# 3 LOCATION DESCRIPTION - RESTROOM SUBTOTAL: 86. 07
|
/
North America's #1 provider of first aid. safety, and training
CUSTOMER COPY 880 ' CALL ZEE zeemedicmioom
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
I N V O I C E
ZEE MEDICAL INC. PAGE 2
PO BOX 781554 DATE 01/02/2013
INDIANAPOLIS IN 46278-8554 TIME 12:44:08
877-275-4933
JOE WEBSTER ext509 09/009/19 ORDER/INVOICE# 0158482377
Alta ! / P. D. #
PART # QTY DESCRIPTION $PRICE $EXTENDED TAX
------ --- ----------- ------ ---------- ---
SAFETY: . 00
FIRST AID: 205. 12
NONTAXABLE: 205. 32
TAXABLE: . 00
SUBTOTAL: 205. 32
TAX 1 : . 00
TAX 2: . 00
TOTAL 205. 32
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
PQ Cam' ,
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
IN SUM OF $
P. O. Box 781554
Indianapolis, IN 46278-8554
$205.32
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members
2201 I 0158482377 I 42-390.121 $205.32 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
Friday, January 042013
Street Commissioner
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))
01/02/13 0158482377 $205.32
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