HomeMy WebLinkAbout302273 08/22/16 �y ur.C!1HM
\� CITY OF CARMEL, INDIANA VENDOR: 00352717
is ® ij ONE CIVIC SQUARE TSI INC CHECK AMOUNT: $*******720.00*
CARMEL, INDIANA 46032 SOS 12-0764 CHECK NUMBER: 302273
9M1?uil, .` PO BOX 86 CHECK DATE: 08/22/16
MINNEAPOLIS MN 55486-0764
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 24843 90818692 720.00 CLEAN AND CALIBRATE
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
TSI INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
SDS 12-0764 IN SUM OF$ CITY OF CARMEL
PO BOX 86 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
MINNEAPOLIS, MN 55486-0764 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$720.00 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
24843 90818692 43-509.00 $25.00 1 hereby certify that the attached invoice(s),or 8/11/16 90818692 $695.00
1120 101 1120 101
24843 90818692 43-509.00 $695.00 bill(s)is(are)true and correct and that the 8/11/16 90818692 $25.00
1120 1 1 101 1 materials or services itemized thereon for 1120 1 101
which charge is made were ordered and
received except
Friday,August 12,2016
David Haboush
Fire Chief
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
500 Cardigan Road Tel. (651)483-0900
Shoreview, MN 55126 Fax:(651)481-1220 Page 1 of 1
USA Web:www.TSI.com
EIN 41-0843524 Email:answers@TSLcom
DUNS 00-625-3124
R
Manufacturer of TWO,Alnor®,Airflow-,and ChemLogixr+�+branded products I nvoice
Remit-To If payment by Wire:
Remit-To US Bank National Association
TSI Incorporated 225 S. Sixth Street
SDS 12-0764 P.O. BOX 86 Minneapolis, MN 55402
MINNEAPOLIS, MN 55486-0764 A.B.A. No. 091000022
Bill-To-Party SWIFT No. USBKUS441MT
CITY OF CARMEL FIRE DEPT Account No. 1-502-5005-9915
2 CIVIC SQ Invoice Number 90818692
CARMEL, IN 46032 Invoice Date 07/27/2016
USA Reference Order 609447/07/25/2016
Delivery Note No./Date /07/27/2016
PO No. 24843
Ship-To-Party Customer No. 12497
CITY OF CARMEL FIRE DEPT Currency USD
2 CIVIC SQ Term of Payment Net 30 days
CARMEL, IN 46032 Incoterm 2010 CPT: Line Item
USA Consignee's Premises
Ship Via UPS Ground
Bill of Lading 1Z7W697A0368114345
Item Material/Description Quantity Unit Price Value
1 CL-8030 1 EA 695.00 695.00
Clean and Calibrate Model 8030
Delivery Num:80719011 SN:(8030091708)
Net Total 695.00
Freight 25.00
Invoice Amount 720.00
These commodities,technology or software are controlled under the Export Administration Regulations. If the goods
are exported or reexported,it must be in accordance with the Export Administration Regulations. Diversion contrary
to U.S. law is prohibited.
WE HEREBY CERTIFY THAT THESE GOODS WERE PRODUCED IN COMPLIANCE WITH ALL APPLICABLE REQUIREMENTS OF THE FAIR LABOR STANDARDS ACT,AS AMENDED AND
APPLICABLE RULES,REGULATIONS AND ORDERS OF THE UNITED STATES DEPARTMENT OF LABOR OR OTHER ADMINISTRATIVE AGENCIES ISSUED PURSUANT THERETO.TSI
Terms and Conditions apply and are incorporated by reference. See http://www.tsi.coMtc.pdf