HomeMy WebLinkAbout328728 08/09/18 CITY OF CARMEL, INDIANA VENDOR: 00352717
® 4, ONE CIVIC SQUARE TSI INC CHECK AMOUNT: $*****1,945.00*
te=a, CARMEL, INDIANA 46032 SOS 12-0764 CHECK NUMBER: 328728
aaTea�. PO BOX 86 CHECK DATE: 08/09/18
MINNEAPOLIS MN 55486-0764
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351501 101796 91017518 1,945.00 FIT TEST INSTRUMENT C
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts city Form No.201(Rev.1995)
Vendor# 00352717 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
TSI INC IN SUM OF$ 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
$1,945.00
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Carmel Police 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
101796 91017518 43-515.01 $1,945.00 1 hereby certify that the attached invoice(s),or 7/24118 91017518 fit test instrument clean&calibration $1,945.00
1110 101 1110 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
Thursday,August 2,2018
&0" e�c
Jim Barlow
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)765-5274 Page 1 of 1
Shoreview, MN 55126 Tel.Customer Service
USA (800)680-1220
E/N 41-0843524 Web:www.TSI.com
DUNS 00-625-3124 Email:answers@TSLcom
° Invoice
Bill-To-Party Invoice Number 91017518
Carmel Police Dept Invoice Date 07/24/2018
3 Civic Square Reference Order 735837/07/24/2018
Carmel, IN 46032
USA Delivery Note No./Date 80890975
PO No. 101796
PO Date 07/24/2018
Customer No. 5112824
Ship-To-Party Currency USD
Carmel Police Dept Term of Payment Net 30 days
3 Civic Square Incoterm 2010 CPT: Prepay&Add
Carmel, IN 46032 Consignee's Premises
USA Ship Via Other
Item Material/Description Quantity Unit Price Value
1 CLC3-8030 1 EA 1,945.00 1,945.00
Pre-Paid Cal Contract; 3-Yr, 8030
SN 8030091708
Net Total 1,945.00
Invoice Amount 1,945.00
SN:8030091708
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
Check Wire
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.tsi.com/tc.pdf