221776 07/02/2013 i
CITY OF CARMEL, INDIANA VENDOR: 343500 Page 1 of 1
ONE CIVIC SQUARE ZEE MEDICAL, INC.
CARMEL, INDIANA 46032 PO BOX 781554 CHECK AMOUNT: $101.45
INDIANAPOLIS IN 46278-8554 CHECK NUMBER: 221776
CHECK DATE: 7/2/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239012 158503326 101 . 45 SAFETY SUPPLIES
�-z-,x �, _ tie3'';, a P _ate - I ,S' �fi' 4•
FA
" g INVOICE
g °> ZEE MEDICAL INC, PAGE 1 <_ -
g " PO BOX 781554 DATE 0612612013
INDIANAPOLIS IN 46278-8554 TIME 11:46:35 <;
877-275-4933
Y
JOE WEBSTER ext509 091009119 ORDER/INVOICE# 0158503326
Alt: 1 ! P.O.p
BILL TO # 003728 SHIP TO# 003728
rx 4
° � CARMEL POLICE CARMEL POLICE -,
Fir' 3 CIVIC SQUARE 3 CIVIC SQUARE F
a• t� Carmel IN 46032 Carmel IN 46032
317-571-2500
317-571-2500 T '`
p` �x TERESA ANDERSON
V$ya "5 Q
PART q QTY DESCRIPTION $PRICE $EXTENDED TAX
------ - ----------- ------ --------- --- a•
d = 2354 2 ICE PACK, DELUXE, SMALL (ZEE) 3.00 6.00 N $>
, `
)sr 0203 1 CLEAN WIPES 501BX (ZEE) 6,95 6,95 N 4
0740 2 BNDG, NON-LTX ELASTIC STRIP, 501BX 7.95 15.90 N
�1 <_ 0731 1 BNDG, NON-LTX SHEER STRIP 1", 1001BX 10.30 10.30 N s
0944 1 ELASTIC ROLLER GAUZE NIS 3" X 4.5YOS 3.90 3.90 N
0225 1 ANTIBACTERIAL TOWELETTE 201BX 6.40 6.40 N
i sT
9900 1 HANDLING CHARGE 6.95 6,95 N
, • F 0797 1 QR WOUND SEAL WITH APPLICATOR, 21PK 18.20 18.20 N '
z fi arti ;q`.
rc - 0618 1 EYE DROPS - THERA TEARS 41PK 5.95 5.95 N ;.
#a 1825 1 FIRST AID CREAM 251BX 10.95 10.95 N � s °
� 4 1601 1 3-ANTIBIOTIC DINT 0,9 GM 251BX (ZEE) 9.95 9.95 N ;
y f 49 t:
x LOCATION# 1 LOCATION DESCRIPTION MAIN SUBTOTAL: 101.45"
SAFETY: .00 - y
s�` 1 FIRST AID: 101,45 '
IE!Iv ;� ' NONTAXABLE: 101.45
t5t=' TAXABLE: ,00
+ , SUBTOTAL: 101.45
TAX 1; .00
TAX 2: .00
s j TOTAL 101.45 = 4 t
3 t
I N V O I C E r1
1 ZEE MEDICAL INC. PAGE 2
PO BOX 781554 DATE 0612612013 .
INDIANAPOLIS IN 46278-8554 TIME 11:45:35
877-275-4933 ,r
JOE WEBSTER ext509 091009119 OROERIINVOICE# 0158503326
Alt: ! 1 P.O.# E k
^:
SIGNATURE . DATE: ! 1
e PRINT NAME: TITLE: ;
,T _ ASK US ABOUT FIRST AID AND AED PROGRAMS
t�'i THANK YOU FOR YOUR BUSINESS!!
'V INVOICE IS CONFIDENTIAL MAY BE SUBJECT TO LATE FEES
VIM Y
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¢ { +- Asi, -
fft6�t
p rescribed by State Board of Accounts City Form No.201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL
p.n 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
I nvoice Invoice
Description Amount
Date Number (or note attached invoice(s) or bill(s)) "
06/26/13 158503326 medical supplies $101.45
1'r1A�i•jfi Rl�d'a ffi
y*p.
"F`b• i
I
1
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
2 0 n'cwm ''£DL
Clerk-Treasurer
VOUCHER NO. - WARRANT NO.
Zee Medical, Inc. ALLOWED ---20-
IN SUM OF $
0--
P.O. Box 781554
Indianapolis, IN 46278-8554
$101.45
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. LINT
Board Member
1111(] 158503326 42-390.12 $101.45 1 hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
X.
materials or services itemized thereon for
which charge is made were ordered and
received except
Wedn ay, June 26, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund