218299 03/13/2013 ---——----—-
---—-----------—-
-----
----—------------------------ _________
CITY OF CARMEL INDIANA VENDOR:
ONE CIVIC SQUARE 343500
CARMEL, INDIANA 46032 ZEE MEDICAL, INC. Page 1 of 1
PO BOX 781
554
INDIANAPOLIS CHECK OUNT:
LIS IN 46278-855 CK
4 $71.15
CHECK NUMBER:BER: 2
ART 182
MENT 99
ACC CH
II OUNT pp CHECK DATE:
NUMBER INVOICE NUMBER 3/13/2013
I 651 5023990 AMOUNT DESCRIPTION
0158482682
71 . 15 MAT & SUPP-HAZ
MATERI �
II
I
ZEE
INVOICE
ZEE MEDICAL INC. PAGE 1
PO BOX 781554 DATE 0212612013
INDIANAPOLIS IN 46278-8554 TIME 12:45:16
877-275-4933 I
JOE WEBSTER ext509 091009/19 ORDER/INVOICE# 0158482682
' Alt: 1 I P,O.#
BILL TO # 008183 SHIP TO# 006183
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
1420 1 IBUTAB 1001BX (ZEE) 15.15 15.15, N
1486 1 DILOTAB II, 1001BX 16.10 16.10 N
1417 1 PAIN-AIO 1001BX (ZEE) 13.80 13.80 N
0203 1 CLEAN WIPES 501BX (ZEE) 6.40 6.40 N
2354 1 ICE PACK, DELUXE, SMALL (ZEE) 2.95 2.95 N
9900 1 HANDLING CHARGE 6.95 6.95 N
0995 2 ZEE FLEX 2" X 5 YDS 4.90 9.80 N
LOCATION# 1 LOCATION DESCRIPTION MAIN SUBTOTAL: 71.15
" SAFETY: .00
FIRST AID: 71,15
NONTAXABLE: 71.15
TAXABLE: .00
SUBTOTAL: 71,15
TAX 1: .00
TAX 2: .00
TOTAL 71.15
INVOICE
ZEE MEDICAL INC. PAGE , 2
PO BOX 781554 DATE 0212612013
INDIANAPOLIS IN 46278-8554 TIME 12:45:16
877-275-4933
JOE WEBSTER ext509 091009119 ORDERIINVOICE# 0158482682
Alt: 1 1 P.O.#
•r
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
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 rDue der No.
P.O. BOX 4398
CHESTERFIELD, MO 63006
3/6/2013
Invoice In voice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
3/6/2013 _ 0158482682 $71.15
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
Date
Officer
VOUCHER# 135090 WARRANT #
ALLOWED
IN SUM OF $
343500
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
0158482682 01-720H-08
$71.15
f
Voucher Total $71.15
—' ost distribution ledger classification if .
�—I aim paid under vehicle highway fund