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HomeMy WebLinkAbout306565 CITY OF CARMEL, INDIANA VENDOR: 00352717(9, ) TSI INCCHECK AMOUNT: 5"""`10,530.00` ONE CIVIC SQUARE SDS 12-0764 CHECK NUMBER: 306565 CARMEL, INDIANA 46032 PO sox 86 CHECK DATE: 12121116 MINNEAPOLIS MN 55486-0764 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 102 4467099 24898 90848416 10,530.00 FIT TEST MACHINE . F. « a « o � � m O 2 q C LD co >OD z / 0 ? _ 6 cr 0 / / q \ E K 2 O © I g ¥ \ « k Cil , ƒ :3k2 > � 3 � k / k \ \ T. k 7 to # T). O / \ 2 - O § § E q S z | J _ / $ 2 A C 0 k k ka i » ƒ e J Q m m » ? - o CD * \ ®ƒ — ; ,\ s/ \E ® CD k _ ¥\C\{ \% - ? cr a' @ g a q CD 2 o E R g 3 , i E G CD CD EF < C? , q f f [ § $ E / , I f c | a \ KI § m § i 0 $ t. < - 0. 7 / m \ G � > } ® /$ ) / ( Rk co -nz 22 0 ou CO E o E k k § \ m ƒ \ C o � 0 ^ © CD ƒ k / % « § k & | } Cr o \ D \f G / - E ) K §/ } q g > �7 2= § \ y — 2 E I Q \ } 7 \ D O ¥ _ 5 = ` C % # \ c § \ / 0 & = m C n G , — oCD M$ § « / CL / \ ) -n � k � z • �W \ / § 2 & B a o k m § ¥ f 500 Cardigan Road Tel: (651)483-0900 Page 1 of 1 Shoreview, MN 55126 Fax:(651)481-1220 USA Web:www.TSI.com EIN 41-0843524 Email:answers@TSl.com DUNS 00-625- ® 3124 Invoice Manufacturer of TSI®,Alnor@,Airflow-,and ChemLogix—branded products 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 SWIFT No. USBKUS441MT Bill-To-Party Account No. 1-502-5005-9915 CITY OF CARMEL FIRE DEPT 2 clvlc SID Invoice Number 90848416 CARMEL, IN 46032 Invoice Date 12/05/2016 USA Reference Order 629325/ 12/02/2016 Delivery Note No./Date 80744571/ 12/05/2016 PO No. 24898 PO Date 12/02/2016 Ship-To-Party Customer No. 12497 CITY OF CARMEL FIRE DEPT Currency USD 2 CIVIC SID Term of Payment Net 30 days Incoterm 2010 CPT: Line Item CARMEL, IN 46032 Consignee's Premises USA Ship Via UPS Ground Bill of Lading 1Z7W697A0369330805 Item Material/Description Quantity Unit Price Value 1 8038 1 EA 12,995.00 12,995.00 PortaCount Pro+ Respirator Fit Tester EA -2,500.00 Net Total 10,495.00 Freight 35.00 Invoice Amount 10,530.00 A$2,500.00 trade-in credit has been applied for SN:42234.Please reference TSI Sales Order 629325 when returning the trade-in unit to: TSI Inc Attn:Credit Admin-SO#629325 500 Cardigan Road Shoreview,MN 55126 These items are controlled by the U.S.Government and authorized for export only to the country of ultimate destination for use by the ultimate consignee or end-user(s)herein identified.They may not be resold,transferred,or otherwise disposed of,to any other country or to any person other than the authorized ultimate consignee or end-user(s),either in their original form or after being incorporated into other items,without first obtaining approval from the U.S.Government or as otherwise authorized by U.S. law and regulations. 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.comltc.pdf