217870 02/26/2013 CITY OF CARMEL, INDIANA VENDOR: 343500 Page 1 of 1
ONE CIVIC SQUARE ZEE MEDICAL,INC.
s CHECK AMOUNT: $871.58
CARMEL, INDIANA 46032 PO BOX 781554
INDIANAPOLIS IN 46278-8554 CHECK NUMBER: 217870
CHECK DATE: 2/2612013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 0158482640 205 . 35 OTHER EXPENSES
2201 4239012 0158482641 199 . 35 SAFETY SUPPLIES
601 5023990 0158482642 36 .45 OTHER EXPENSES
651 5023990 0158482642 36 .45 OTHER EXPENSES
2201 4239012 0158482643 192 . 62 SAFETY SUPPLIES
651 5023990 V2561201 201 . 36 OTHER EXPENSES
ZED
INVOICE
ZEE MEDICAL INC. PAGE 1
PO BOX 781554 DATE 0211912013
INDIANAPOLIS IN 46278-8554 TIME 08:28:25
877-275-4933
JOE WEBSTER ext509 091009119 ORDERIINVOICE# 0158482641
Alt: 1 1 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
------ --- ----------- ------ --------- -
1801 1 3-ANTIBIOTIC DINT 0.9 GM 251BX (ZEE) 9.35 9.35 N
0204 1 ANTISEPTIC SWABS 501BX (ZEE) 6.40 6.40 N
2651 1 WATER-JEL BURN JEL 61BX,WRAPPED 9.70 9.70 N
2641 1 POVIDONE IODINE, 101UNIT 8.75 8.75 N
0794 1 QR WOUND SEAL RAPID RESPONSE 19.75 19.75 N
3537 1 SPLINTER OUT (ZEE), 101PK 4.35 4.35 N
5641 1 MUSCLE JEL 3.5gm, 24 CT. 17.75 17.75 N
LOCATION# 1 LOCATION DESCRIPTION - SHOP SUBTOTAL: 76.05
1420 1 IBUTAB 1001BX (ZEE) 15.15 15.15 N
1417 1 PAIN-AID 1001BX (ZEE) 13.80 13.80 N
1487 1 DILOTAB II, 2501BX 32.70 32.70 N
1468 1 SORE THROAT LZNGS CHERRY 181BX (ZEE) 8.95 8.95 N
1446 1 ANTACID, TRIAL 1001BX (ZEE) 12.80 12.80 N
LOCATION# 2 LOCATION DESCRIPTION - OFFICE SUBTOTAL: 83.40
0206 1 HYDROGEN PEROXIDE, NON-AEROSOL, 20Z. 4.35 4.35 N
0216 1 ANTISEPTIC SPRAY, NON-AEROSOL, 2 OZ 6.90 6.90 N
1801 1 3-ANTIBIOTIC DINT 0.9 GM 251BX (ZEE) 9.35 9.35 N
0995 1 ZEE FLEX 2" X 5 YDS 4.90 4.90 N
0370 1 TAPE, ELASTIC 1" X 5 YD. SPOOL 7.45 7.45 N
9900 1 HANDLING CHARGE 6.95 6.95 N
LOCATION# 3 LOCATION DESCRIPTION - BATHROOM SUBTOTAL: 39.90
INVOICE
ZEE MEDICAL INC. PAGE 2
PO BOX 781554 DATE 0211912013
INDIANAPOLIS IN 46278-8554 TIME 08:28:25
877-275-4933
JOE WEBSTER ext509 091009119 ORDERIINVOICE# 0158482641
Alt: ! 1 P.O.#
PART # QTY DESCRIPTION $PRICE $EXTENDED TAX
------ --- ----------- --- --------- ---
" SAFETY: .00
FIRST AID: 199.35
NONTAXABLE: 199.35
TAXABLE: .00
SUBTOTAL: 199.35
TAX 1: .00
TAX 2: .00
TOTAL 199.35
SIGNATURE : DATE: ! I
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
ZEE
p,
INVOICE
ZEE MEDICAL INC. PAGE 1
PO BOX 781554 DATE 02/1912013
INDIANAPOLIS IN 46278-8554 TIME 09:27:48
877-275-4933
JOE WEBSTER ext509 09/009119 ORDERIINVOICE# 0158482643
Alt: ! 1 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
------ --- ----------- ------ --------- ---
2629 2 EYE WASH, STERILE 1-OZ., 21UNIT 10.90 21.80 N
1421 1 IBUTAB 2501BX (ZEE) 31.95 31.95 N
1486 1 DILOTAB ll, 1001BX 16,10 16.10 N
1417 1 PAIN-AID 1001BX (ZEE) 13.80 1180 N
1453 1 CHERRY COUGH DROPS 501BX (ZEE) 9.75 9.75 N
1492 1 CONGEST AID II, 1001BX 16.00 16.00 N
3044 1 GLOVE-NITRILE PWDR EXAM 2PRIBAG, L 3.50 3.50 N
0794 1 QR WOUND SEAL RAPID RESPONSE 19,75 19.75 N
0797 1 QR WOUND SEAL WITH APPLICATOR, 21PK 17.52 17.52 N
9900 1 HANDLING CHARGE 6.95 6.95 N
0740 1 BNDG, NON-LTX ELASTIC STRIP, 501BX 7.45 7.45 N
0716 1 BNDG, NON-LTX KNUCKLE, 401BX 9.40 9.40 N
0743 1 BNDG, NON-LTX LG PATCH, 251BX 8.95 8.95 N
2651 1 WATER-JEL BURN JEL 61BX,WRAPPED 9.70 9.70 N
LOCATION# 1 LOCATION DESCRIPTION - MAIN SUBTOTAL: 192.62
" SAFETY: .00
FIRST AID: 192.62
NONTAXABLE: 192.62
TAXABLE: .00
SUBTOTAL: 192.62
TAX 1: .00 ,
TAX 2: .00
TOTAL 192.62
INVOICE
ZEE MEDICAL INC. PAGE 2
PO BOX 781554 DATE 02119/2013
INDIANAPOLIS IN 46278-8554 TIME 09:27:48
877-275-4933
JOE WEBSTER ext509 09/009119 OROERIINVOICE# 0158482643
Alt: 1 I P.O.#
PART # QTY DESCRIPTION $PRICE $EXTENDED TAX.
------ --- ----------- ------ --------- ---
SIGNATURE : DATE: 1 1
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
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))
02/19/13 0158482641 $199.35
02/19/13 0158482643 $192.62
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 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO. — 20
— ALLOWED
Zee Medical IN SUM OF $
P. O. Box 781554
Indianapolis, IN 46278-8554
$391.97
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members li
P
2201 0158482641 42-390.12 $199.35 1 hereby certify that the attached invoice(s), or
2201 0158482643 42-390.12 $192.62 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
i
i
i
i
ebruary 2E, 20EII
�1
I
WjsVd�'
reet Comoner
C P
Title
Cos t distribution ledger classification if
claim paid motor vehicle highway fund
.t
ZEE
INVOICE
ZEE MEDICAL INC. PAGE 1
PO BOX 781554 DATE 0211912013
INDIANAPOLIS IN 46278-8554 TIME 07:57:57
877.275-4933
JOE WEBSTER ext509 091009119 ORDERIINVOICE# 0158482640
C Alt: 1 f P.O.#
BILL TO M 007748 SHIP TOM 007748
CARMEL WATER UTILITIES CARMEL WATER UTILITIES
3450 W 131ST STREET 3450 W 131ST STREET --
Westfield , IN 46074 Westfield IN 46074
317-733-2855 317-733-2855
JACK SPEARS
PART M QTY DESCRIPTION $PRICE $EXTENDED TAX
--- ----------- -----• --•-•--•- ---
0743 1 BNDG, NON-LTX LG PATCH, 25IBX 8.95 8.95 N
0740 2 BNDG, NON-LTX ELASTIC STRIP, 50IBX 7.45 14.90 N
1801 1 3-ANTIBIOTIC DINT 0.9 GM 25IBX (ZEE) 9.35 9.35 N
5641 1 MUSCLE JEL 3.5gm, 24 CT. 17.75 17.75 N
3538 1 FORCEPS, STERILE DISPOSABLE 2.10 2.10 N
0501 i 1 COTTON TIP APPLICATOR 3", NS, 100IVL 4.25 4.25 N
6625 1 INFECTION CONTROL KIT EACH 49.05 49.05 "N
LOCATION# 1 LOCATION DESCRIPTION - SHOP 1 SUBTOTAL: 106.35
0714 1 BNDG, NON-LTX FINGERTIP, 401BX 9.40 9.40 N
0213 1 BLOOD CLOTTING SPRAY 3 OZ. AEROSOL 15.85 15.85 N
6625 1 INFECTION CONTROL KIT EACH 49.05 49.05 "N
9900 1 HANDLING CHARGE 6.95 6.95 N
5641 1 MUSCLE JEL 3.5gm, '24 CT. 17.75 17.75 N -
LOCATION# 2 LOCATION DESCRIPTION - SHOP 2 SUBTOTAL: 99.00
" SAFETY: 98.10
FIRST AID: 107.25
NONTAXABLE: 205.35
r� TAXABLE: .00
V SUBTOTAL: 205.35
TAX 1: .00
TAX 2: .00
TOTAL 205.35
INVOICE
ZEE MEDICAL INC. PAGE 2
PO BOX 781554 DATE 0211912013
INDIANAPOLIS IN 46278-8554 TIME 07:57:57
877-275-4933
JOE WEBSTER ext509 09/009119 OROERIINVOICE# 0158482640
Alt: I I P.O.#
PART # QTY DESCRIPTION $PRICE $EXTENDED TAX
----------- ------ --------- ---
SIGNATURE : DATE: I !
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
VOUCHER # 123603 WARRANT#
ALLOWED
343500
ZEE MEDICAL IN SUM OF $
P.O. BOX 781554
INDIANAPOLIS, IN 46278-8554
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
i
Board members
p0
# =NV ACCT#
AMOUNT Audit Trail Code
yr i
0158482640 �
01-6200-06
$205.35
F�
Voucher Total
�-� $205.35
Q� �ution ledger classification if
hder vehicle highway fund
I�
City Form No.201(Rev 19951
Prescribed by State Board of Accounts
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 Purchase Order No.
P.O. BOX 781554 Terms
INDIANAPOLIS, IN 46278-8554 Due Date 2/1812013
t
Invoice Invoice Description Anioun
Date Number (or note attached invoice(s) or bill(s)) 5
$205.3
2/18/2013 0158482640
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 5-11-10-1.6
+� Officer
ZEE
r
INVOICE
ZEE MEDICAL INC. PAGE 1
PO BOX 781554 DATE 02/19/2013
INDIANAPOLIS IN 46278-8554 TIME 09:05:36
877-275-4933
JOE WEBSTER ext509 09/009/19 ORDER/INVOICE# 0158482642
Alt: ! ! P.0,#
BILL TO # 011801 SHIP TO# 001107
CITY OF CARMEL H.H.W,""BILLING CITY OF CARMEL UTILITIES
760 3RD AVE SW SUITE 110 760 3RD AVE SW SUITE 110
Carmel IN 46032 Carmel IN 46032
317-571-2624
317-571-2443 I
LISA KEMPA
PART # QTY DESCRIPTION
$PRICE $EXTENDED TAX i
--- ----------- ------ --------- ---
1805 1 BURN SPRAY, NON-AEROSOL, 2 OZ. 6.85 6.85 N
0206 1 HYDROGEN PEROXIDE, NON-AEROSOL, 20Z, 4.35 4.35 N
0216 1 ANTISEPTIC SPRAY, NON-AEROSOL, 2 OZ 6.90 6.90 N
1420 1 IBUTAB 1001BX (ZEE) 15.15 15.15 N
1417 1 PAIN-AID 100/BX (ZEE) 13.80 13.80 N
5649 1 WATER-JEL BURN DRS 414" STER PAD 11.45 11.45 N
0740 1 BNDG, NON-LTX ELASTIC STRIP, 50/BX 7.45 7.45 N
9900 1 HANDLING CHARGE 6.95 6.95 T
LOCATION# 1 LOCATION DESCRIPTION MAIN SUBTOTAL: 72.90
" SAFETY: .00
FIRST AID: 72.90
NONTAXABLE: 65.95
7 " TAXABLE: 6.95
SUBTOTAL: 72.90
TAX 1: .00
TAX 2: .00
TOTAL 72.90
INVOICE
ZEE MEDICAL INC. PAGE 2
PO BOX 781554 DATE 02!1912013 I
INDIANAPOLIS IN 46278-8554 TIME 09:05:36
877-275-4933
_ I
JOE WEBSTER ext509 09/009/19 ORDER/INVOICE# 0158482642
Alt: ! I P.O.#
SIGNATURE DATE:
I
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
VOUCHER # 126750 WARRANT # ALLOWED
343500 IN SUM OF $
ZEE MEDICAL INC
P.O. BOX 4398
CHESTERFIELD, MO 63006
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
s
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
0158482642 01-7200-08 $36.45
i _
Voucher Total $36.45
Cost distribution ledger classification if
claim paid under vehicle highway fund
rd of Accounts City Form No.201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
bill to be properly itemized must show, kind of service, where
a te of service rendered, by whom, rates per day, number of units,
Il
'F t, etc.
Payee
)ICAL INC Purchase Order No.
( 4398 Terms
ERFIELD, MO 63006 Due Date 2/19/2013
Invoice Description
Number (or note attached invoice(s) or bill(s)) Amount
" 2013 0158482642 $36.45
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 5-11-10-1.6
v/�'//3
"`"" Date Officer
1
F
INVOICE
ZEE MEDICAL INC. PAGE 1
PO BOX 781554 DATE 02/19/2013
INDIANAPOLIS IN 46278-6554 TIME 09:05:36
877-275-4933
JOE WEBSTER ext509 09/009119 ORDERIINVOICEN 0158482642
Alt: I ! P.O.#
BILL TO n 011801 SHIP TO# 001107
CITY OF CARMEL H.H.W.""BILLING CITY OF CARMEL UTILITIES
760 3RD AVE SW SUITE 110 760 3RD AVE SW SUITE 110
Carmel IN 46032 Carmel IN 46032
317-571-2624 317-571-2443
LISA KEMPA
PART # CITY DESCRIPTION $PRICE $EXTENDED TAX
------ --- ----------- ------ --------- ---
1805 1 BURN SPRAY, NON-AEROSOL, 2 OZ. 6.85 6.85 N
0206 1 HYDROGEN PEROXIDE, NON-AEROSOL, 20Z. 4.35 4.35 N
0216 1 ANTISEPTIC SPRAY, NON-AEROSOL, 2 OZ 6.90 6.90 N
1420 1 IBUTAB 1000 (ZEE) 15.15 15.15 N
1417 1 PAIN-AID 10018X (ZEE) 13.80 13.80 N
5649 1 WATER-JEL BURN DRS 414" STER PAD 11.45 11.45 N
0740 1 BNDG, NON-LTX ELASTIC STRIP, 5018X 7.45 7.45 N
9900 1 HANDLING CHARGE 6.95 6.95 T
LOCATION# 1 LOCATION DESCRIPTION MAIN SUBTOTAL: 72.90
SAFETY: .00
b FIRST AID: 72.90
NONTAXABLE: 65.95
TAXABLE: 6.95
SUBTOTAL: 72.90
TAX 1: .00
TAX 2: .00
TOTAL 72.90
INVOICE
ZEE MEDICAL INC. PAGE 2
PO BOX 781554 DATE 0211912013
INDIANAPOLIS IN 46278-8554 TIME 09:05:36
877-275-4933
JOE WEBSTER ext509 091009119 ORDERIINVOICE✓r 0158482642
Alt: I ! P.O.#
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
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 Purchase Order No.
P.O. BOX 781554 Terms
INDIANAPOLIS, IN 46278-8554 Due Date 2/19/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
2/19/2013 0158482642 $36.45
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 5-11-10-1.6
z-l z?-t/3 --
Date Officer
VOUCHER # 123638 , WARRANT # ALLOWED
343500
IN SUM OF $
:f
ZEE MEDICAL
P.O. BOX 781554
INDIANAPOLIS, IN 46278-8554
Carmel Water Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code /
0158482642 01-6200-08 $36.45
Y
J y
t
1
Voucher Total $36.45
Cost distribution ledger classification if
claim paid under vehicle highway fund
--------------REMIT TO--------------
ZEE MEDICAL. INC. INVOICE NUMBER: V2561201
P.O. BOX 781554 ACCOUNT NUMBER: 008183
INDPLS . IN 46278-8554 INVOICE DATE : 01/28/2013
(877) 275-4933 PAGE NUMBER: 1
*** I N V O I C E ***
+--------------SOLD TO----------------+---------------SHIP TO---------------+
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
+-------------------------------------+-------------------------------------+
OUR ORDER#: V25612 VK YOUR P/O#:
ORDER DATE: 01/28/2013 14: 39: 25 PLACED BY: WILLIAM
PICK DATE: 01/28/2013 CONTRACT#: _
SHIP DATE 01/28/2013 JOB#/NAME:
SHIP VIA: SALES REP VAN SALES REP: 19
F.O.B. : origin TERMS: NET 15
ORDERED SHIPPED BCKRD ITEM DESCRIPTION PRICE AMOUNT
------- ------- ----- ------ ----------------- --------- --------
1 1 LGSCCX DRINKING CUP-FO 193.41 193.41
**** SUBTOTAL **** 193.41
Freight Charge 7. 95
**** INVOICE TOTAL **** 201. 36
Pmt due by 02/12/2013
Prescribed by State Board of Accounts
ACCOUNTS PAYABLE VOUCHER City Form No.201 (Rev 1995)
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
P.O. BOX 4398 EDu rder No.
CHESTERFIELD, MO 63006
2/18/2013
Invo ice Invoice
Date Description
Number (or note attached invoice(s) r bill(s))� ( )) Amount
2/18/2013 V2561201
$201.36
hereby certify that the attached invoice(s), or bill(s) is (are) true and
;orrect and I have audited same in accordance with IC 5-11-10-1.6
Date
O
ALLOWED
VOUCHER# 126745 WARRANT # IN SUM OF $ }
343500
ZEE MEDICAL INC
P.O. BOX 4398
CHESTERFIELD, MO 63006
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
Audit Trail Code
" PO# INV# ACCT# AMOUNT
$201.36
V2561201 01-720H-08 µ'
•
$201.36
Voucher Total
�- ost distribution ledger class=fund
�- Ill aim paid under vehicle highway