224701 09/25/2013 f CITY OF CARMEL, INDIANA VENDOR: 343500 Page 1 of 1
ONE CIVIC SQUARE ZEE MEDICAL, INC.
CARMEL, INDIANA 46032 PO BOX 781554 CHECK AMOUNT: $479.55
t°• INDIANAPOLIS IN 46278-8554
CHECK NUMBER: 224701
CHECK DATE: 912512013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4239012 158503735 140 . 25 SAFETY SUPPLIES
2201 4239012 158503764 339 . 30 SAFETY SUPPLIES
ZEE
s,
INVOICE
ZEE MEDICAL INC. PAGE 1
PO BOX 781554 DATE 0911812013
INDIANAPOLIS IN 46278-8554 TIME 14:25:39
877-275-4933
JOE WEBSTER ext509 091009119 ORDERIINVOICE# 0158503764
Alt: I I 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
AMY LUNN
PART # QTY DESCRIPTION $PRICE $EXTENDED TAX
------ --- ----------- ------ --------- ---
0203 1 CLEAN WIPES 501BX (ZEE) 6.95 6.95 N
0740 1 BNDG-NON-LTX ELASTIC STRIP, 501BX 7.95 7.95 N
0995 3 ZEE FLEX 2" X 5 YDS 5.30 15.90 N
0370 1 TAPE, ELASTIC lin X 5 YD. SPOOL 7.95 7.95 N
2641 1 POVIDONE IODINE, 10/UNIT 9.30 9.30 N
2651 1 WATER-JEL BURN JEL 61BX,WRAPPEO 10.40 10.40 N
0744 1 BNDG-NON-LTX SMALL STRIP 518in, 5018 6.95 6.95 N
5641 1 MUSCLE JEL 3.5gm, 24 CT, 18.40 18.40 N
0216 1 ANTISEPTIC SPRAY, NON-AEROSOL, 2 OZ 7.15 7.15 N
0795 1 QR WOUND SEAL, 2/PK 13.95 13.95 N
2207 2 IVY X PRE-CONTACT TOWELETTE, 25/BX 39.50 79.00 "N
2208 1 IVY X CLEANSER TOWELETTE 25/BX 25.90 25.90 "N
LOCATION# 1 LOCATION DESCRIPTION - SHOP SUBTOTAL: 209.80
1805 1 BURN SPRAY, NON-AEROSOL, 2 OZ. 7.45 7.45 N
1817 1 HYDRO CREAM 1.0%, 0.9 GM 25/BX (ZEE) 11.25 11.25 N
0614 1 TETRAHYDRO. EYE DROPS, 112 OZ, 8.45 8.45 N
0217 1 SPRAY-ON BANDAGE 3 OZ. AEROSOL 10.95 10.95 N
0744 1 BNDG-NON-LTX SMALL STRIP 5/8in, 5018 6.95 6.95 N
0740 1 BNDG-NON-LTX ELASTIC STRIP, 501BX 7.95 7.95 N
0713 1 BNDG-NON-LTX FINGERTIP XLG, 251BX 8.80 8.80 N
LOCATION# 2 LOCATION DESCRIPTION - MAIN BLD MENS SUBTOTAL: 61.80
1447 1 ANTACID, TRIAL 2500 (ZEE) 25.25 25.25 N
1487 1 DILOTAB 11, 2500 35.50 35.50 N
9900 1 HANDLING CHARGE 6.95 6.95 N
LOCATION# 3 LOCATION DESCRIPTION - 01FICE SUBTOTAL: 67.70
INVOICE
ZEE MEDICAL INC. PAGE 2
PO BOX 781554 DATE 0911812013
INDIANAPOLIS IN 46278-8554 TIME 14:25:39
877-275-4933
JOE WEBSTER ext509 091009119 OROERIINVOICE# 0158503764
Alt: 1 ! P.O.#
PART # QTY DESCRIPTION $PRICE $EXTENDED TAX
------ --- ----------- ------ --------- ---
" SAFETY: 104.90
FIRST AID: 234.40
NONTAXABLE: 339.30
TAXABLE: .00
SUBTOTAL: 339.30
TAX 1: .00
TAX 2: .00
TOTAL 339.30
SIGNATURE : DATE: / 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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Zee Medical
IN SUM OF $
P. O. Box 781554
Indianapolis, IN 46278-8554
$339.30
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I 0158503764 1 42-390.121 $339.30 1 hereby certify that the attached invoice(s), or
1 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
lbliF 4�' 2013
Stre9trRATTOWner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
09/18/13 0158503764 $339.30
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
ZEE
I
INVOICE
ZEE MEDICAL INC. PAGE 1
DATE 09!1212013
PO BOX 781554 TIME 14:13:41
INDIANAPOLIS IN 46278-8554
877-275-4933
JOE WEBSTER ext509 Alt; 091009119 ORDERIINVPIOE## 0158503735
BILL TO a 003728 SHIP TO# 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
PART # QTY DESCRIPTION $PRICE $EXTENDED TAX
0740 2 BNDG-NON-LTX ELASTIC STRIP, 501BX 7.95 15.90 N
0713 1 BNOG-NON-LTX FINGERTIP XLG, 251BX 8.80 8.60 N
0743 1 BNDG-NON-LTX LG PATCH, 251BX 9.90 9.90 N
0716 1 BNDG-NON-LTX KNUCKLE, 401BX 9.95 9.95 N
0744 1 BNDG-NON-LTX SMALL STRIP 518in, 5018 6.95 6.95 N
0794 1 QR WOUND SEAL RAPID RESPONSE 20.45 20.45 N
2354 1 ICE PACK, DELUXE, SMALL (ZEE) 3.00 3.00 N
0370 1 TAPE, ELASTIC lin X 5 YO. SPOOL 7.95 7.95 N
1805 1 BURN SPRAY, NON-AEROSOL, 2 OZ. 7,45 7.45 N
1825 1 FIRST AID CREAM 251BX 10.95 10.95 N
9900 1 HANDLING CHARGE 6.95 6.95 N
2629 1 EYE WASH, STERILE 1 OZ, 21UNIT 11.35 11.35 N
0203 1 CLEAN WIPES 501BX (ZEE) 6.95 6.95 N
3538 1 DISPOSABLE FORCEP, STERILE 2.45 2.45 N
1817 1 HYDRO CREAM 1.0%, 0.9 GM 2518X (ZEE) 11.25 11.25 N
LOCATION# 1 LOCATION DESCRIPTION - MAIN SUBTOTAL: 140.25
" SAFETY: .00
FIRST AID: 140.25
NONTAXABLE: 140.25
TAXABLE: .00
SUBTOTAL: 140.25
TAX 1: .00
TAX 2: .00
TOTAL 140.25
INVOICE
ZEE MEDICAL INC. PAGE 2
PO BOX 781554 DATE 09112/2013
INDIANAPOLIS IN 46278-8554 TIME 14:13:41
877-275-4933
JOE WEBSTER ext509 09/009/19 ORDER/INVOICE# 0158503735
Alt: I ! P.O.#
PART # QTY DESCRIPTION $PRICE $EXTENDED TAX
------ --- ----------- ------ --------- ---
SIGNATURE : DATE: 1 f
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 NO. WARRANT NO.
ALLOWED 20
Zee Medical, Inc.
IN SUM OF $
P.O. Box 781554
Indianapolis, IN 46278-8554
$140.25
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 I 158503735 I 42-390.12 I $140.25 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, September 19, 2013
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
09/12/13 158503735 medical supplies $140.25
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