217413 02/13/2013 CITY OF CARMEL, INDIANA VENDOR: 343500 Page 1 of 1
ONE CIVIC SQUARE ZEE MEDICAL,INC. CHECK AMOUNT: $98.65
o CARMEL, INDIANA 46032 PO BOX 781554
INDIANAPOLIS IN 46278-8554 CHECK NUMBER: 217413
CHECK DATE: 2/1312013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 . 4239012 158482512 98 . 65 SAFETY SUPPLIES
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))
01/29/13 158482512 safet supplies $98.65
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
?ee Medical, Inc.
IN SUM OF $
'.O. Box 781554
ndianapolis, IN 46278-8554
$98.65
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
'O#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 I 158482512 I 42-390.12 I $98.65 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, February 07, 2013
ol
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
,w
ZEE
INVOICE
PAGE 1
ZEE MEDICAL INC. DATE 0112912013
PO BOX 781554 TIME 11:35:30
INDIANAPOLIS IN 46278-8554
877-275-4933
JOE WEBSTER ext509 Alt, 09/009/19 ORDERIINVPICCEp 0158482512
SHIP TO# 003728
BILL TO p 003728 CARMEL POLICE
CARMEL POLICE 3 CIVIC SQUARE
3 CIVIC SQUARE IN 46032 Carmel IN 46032
Carmel 317-571-2500
317-571.2500 TERESA ANDERSON
$PRICE $EXTENDED TAX
PART p QTY DESCRIPTION 2,95 5.90 N
2354 2 ICE PACK, DELUXE, SMALL (ZEE)
0713 1 BNDG, NON-LTX FINGERTIP XLG, 251BX 9,05 8.40 N
0716 1 BNDG, NON-LTX KNUCKLE, 4018X .40
1817 1 HYDRO CREAM 1.07., 0.9 GM 2518X (ZEE) 10.65 10.65 N
1801 1 3-ANTIBIOTIC DINT 0.9 GM 251BX (ZEE) 9.35 9.35 N
0744 1 BNOG,NON-LTX SMALL STRIP 518", 5018X 19 75 19.75 N
0794 1 QR WOUND SEAL RAPID RESPONSE 6.95 6.95 N
9900 1 HANDLING CHARGE
0740 1 BNDG, NON-LTX ELASTIC STRIP, 501BX 7.46 8,95 N
0743 1 BNDG, NON-1-TX HERA TEARS 45PKX 5.75 5.75 N
0618 1 EYE DROPS -
LOCATIONa 1 LOCATION DESCRIPTION - MAIN
SUBTOTAL: 98.65
" SAFETY: .00
FIRST AID: 98.65
NONTAXABLE: 98.65
TAXABLE: .00
SUBTOTAL: 98.65
TAX 1: .00
TAX 2: .00
TOTAL 98.65
INVOICE
PAGE 2
ZEE MEDICAL INC. DATE 0112912013
PO BOX 781554 TIME 11:35:30
INDIANAPOLIS IN 46278 8554
877-275-4933
JOE WEBSTER ext509 Alt, 091009119 ORDERIINVPICDEup 0158482512
SIGNATURE
DATE: _1_I_
�
i
PRINT
NAME: ---- TITLE:
ASK US ABOUT FIRST AID AND AEO PROGRAMS
THANK YOU FOR YOUR BUSINESS!!
INVOICE IS CONFIDENTIAL - MAY BE SUBJECT TO LATE FEES