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Home My WebLink About330220 09/19/18 i u-CAAb „/ 4"• CITY OF CARMEL; INDIANA VENDOR: 00352717 s ONE CIVIC SQUARE TSI INC CHECK AMOUNT: $*******141.98* CARMEL, INDIANA 46032 SDS 12-0764 CHECK NUMBER: 330220 PO BOX 86 CHECK DATE: 09/19/18 MINNEAPOLIS MN 55486-0764 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4342100 91032109 11.98 POSTAGE 1110 4239099 101934 91032109 130.00 ALCOHOL FOR FIT TEST VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201(Rev.1995) Vendor# 00352717 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER TSI INC IN SUM OF$ 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 $130.00 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 101934 91032109 42-390.99 $130.00 1 hereby certify that the attached invoice(s),or 9/14/18 91032109 alcohol for fit test machine $130.00 1110 101 1110 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Monday, September 17,2018 Jim Barlow Chief I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 ,20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 00352717 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER TSI INC IN SUM OF$ 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 $11.98 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 91032109 4:3'_421.:00 $11.98 1 hereby certify that the attached invoice(s),or 9/13/18 91032109 shipping $11.98 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 Z Monday,September 17,2018 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.TS1.com DUNS 00-625-3124 Email:answers@TSLcom ° Invoice Invoice Number 91032109 CITY OF CARMEL Invoice Date 09/13/2018 1 CIVIC SQ Reference Order 746262/09/13/2018 CARMEL,IN 46032 USA Delivery Note No./Date 80903555/09/13/2018 PO No. 101934 PO Date 09/13/2018 Customer No. 12497 Ship-To=Party_____-_ J 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 UPS Ground Bill of Lading 1Z7W697A0369117457 Item Material/Description Quaritity, Unit Price Value 1 8016 1 EA 130.00 130.00 Isopropyl alcohol, 30-m1 X 16 bottles Net Total 130.00 Freight 11.98 Invoice Amount 141.98 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 rhpr.k Min 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:ltwww.tsi.com/tc.pdf