216518 01/15/2013 CITY OF CARMEL, INDIANA VENDOR: 343500 Page 1 of 1
ONE CIVIC SQUARE ZEE MEDICAL,INC.
CHECK AMOUNT: $113.35
CARMEL, INDIANA 46032 PO BOX 781554
ti aM INDIANAPOLIS IN 46278-8554 CHECK NUMBER: 216518
CHECK DATE: 1/1512013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 158482317 113 .35 OTHER EXPENSES
ZEE MEDICAL PROPRIETARY AND CONFIDENTIAL
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INVOICE
ZEE MEDICAL INC. PAGE 1
PO BOX 781554 DATE 12/14/2012
INDIANAPOLIS IN 46278-8554 TIME 09:44: 15
877-275-4933
JOE WEBSTER ext509 09/009/19 ORDER/INVOICE# 0158482317
Alt : / / P. O. #
BILL TO # 008183 SHIP TO# 008183
CITY OF CARMEL H. H. W. CITY OF CARMEL H. H. W.
901 NORTH RANGELINE ROAD 901 NORTH RANGELINE ROAD
Carmel IN 46032 Carmel IN 46032
317-571-2624 317-571-2624
WILLIAM
PART # QTY DESCRIPTION $PRICE $EXTENDED TAX
______ ___ ___________ ______ _________ ___
0740 1 BNDG, NON—LTX ELASTIC STRIP, 50/BX 7. 45 7. 45 N
2354 2 ICE PACK, DELUXE, SMALL (ZEE) 2. 95 5. 90 N
0370 1 TAPE, ELASTIC 1 " X 5 YD. SPOOL 7. 45 7. 45 N
0737 1 BNDG, NON—LTX DURA—STRIP 111, 100/BX 10. 20 10. 20 N
1420 1 IBUTAB 100/BX (ZEE) 15. 15 15. 15 N
1468 1 SORE THROAT LZNGS CHERRY 18/BX (ZEE) 8. 95 8. 95 N
9900 1 HANDLING CHARGE 6. 95 6. 95 N
1417 1 PAIN—AID 100/BX (ZEE) 13. 80 13. 80 N
0794 1 OR WOUND SEAL RAPID RESPONSE 19. 75 19. 75 N
5641 1 MUSCLE JEL 3. 5gm, 24 CT. 17. 75 17. 75 N
DESCRIPTION — MAIN SUBTOTAL: 113. 35
* SAFETY: . 00
FIRST AID: 113. 35
NONTAXABLE: 113. 35
TAXABLE: . 00
SUBTOTAL: 113. 35
TAX 1 : . 00
TAX 2: . 00
TOTAL 113. 35
.
North America's #1 provider cf first aid, safety, and training
CUSTOMER COPY 888 - CALL ZEE (225-5933) zeemedical.com
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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 INC Purchase Order No.
P.O. BOX 4398 Terms
CHESTERFIELD, MO 63006 Due Date 12/28/2012
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/28/201; 158482317 $113.35
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 71.6
1111 Ili /k.--/Yl P
Date Officer
VOUCHER # 126474 WARRANT # ALLOWED
343500 IN SUM OF $
ZEE MEDICAL INC
P.O. BOX 4398
CHESTERFIELD, MO 63006
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
158482317 01-720H-08 $113.35
Voucher Total $113.35
Cost distribution ledger classification if
claim paid under vehicle highway fund