HomeMy WebLinkAbout320542 01/11/18 CITY OF CARMEL, INDIANA VENDOR: 00352717
js d ONE CIVIC SQUARE TSI INC CHECK AMOUNT: $*****1,180.31*
a CARMEL, INDIANA 46032 SDS 12-0764 CHECK NUMBER: 320542
M,�yoN- PO BOX 86 CHECK DATE: 01/11/18
MINNEAPOLIS MN 55486-0764
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 R4350900 101043 90954027 1,180.31 SOBA TEST MACHINE MAI
VOUCHER NO. WARRANT NO. Prescribed by State Hoard of Accounts city Form No.201(Rev.1995)
vendor# 00352717 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
TSI INC IN SUM OF$ CITY OF CARMEL
SDS 12-0764 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
PO BOX 86 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
MINNEAPOLIS, MN 55486-0764
Payee
$1,180.31
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
101043 90954027 43-509.00 $1,180.31 I hereby certify that the attached invoice(s),or 12/19/17 90954027 $1,180.31
1120 Encumbered 101 Prior Year 1120 101
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
Friday,January 05,2018
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
120—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
500 Cardigan Road Tel. (651)483-0900 Page 1 of 1
Shoreview, MN 55126 Fax:(651)481-1220
USA Web:www.TSI.corn
EIN 41-0843524 Email:answers@TSI.corn
V89)
DUNS 00-625-3124
Invoice
Manufacturer of TSI@,Alnor@,Airflown`;and ChemLog&Tm branded
Bill-To Party _7 Invoice Number 90954027
CITY OF CARMEL FIRE DEPT Invoice Date 12/19/2017
2 CIVIC SQ Reference Order 695040/12/14/2017
CARMEL,IN 46032
USA Delivery Note No./Date /12/19/2017
PO No. 101043
Customer No. 12497
Ship-To Party Currency USD
CITY OF CARMEL FIRE DEPT Term of Payment Net 30 days
2 CIVIC SQ Incoterm 2010 CPT: Prepay&Add
CARMEL,IN 46032 Shipper's Premises
USA Ship Via UPS Ground
Bill of Lading 1Z7W697A0369734478
.Item Material/Description Quantity, Unit Price Value
1 CL=8038 1 EA 995.00 995.00
Clean and Calibrate Model 8038
Delivery Num:80836072 SN:(8038164806)RMA:800495531
2 CL-8026 1 EA 155.00 155.00
Clean Particle Generator 8026
Delivery Num:80836072 SN:(8026164802)RMA:800495532
Net Total 1,150.00
Freight 30.31
Invoice Amount 1,180.31
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.
Remit-To If Payment By
rhPrk lr7lue
TSI Incorporated US Bank National Association
SDS 12-0764 P.O.BOX 86 225 S.Sixth Street
MINNEAPOLIS,MN 55486-0764 MINNEAPOLIS,MN 55402
A.B.A.No.091000022
SWIFT No.USBKUS441MT
Account No. 1-502-5005-9915
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.tsl.comltc.pdf