HomeMy WebLinkAbout160093 05/28/2008 CITY OF CARMEL, INDIANA VENDOR: 00352717 Page 1 of 1
ONE CIVIC SQUARE TSI INC
CARMEL, INDIANA 46032 SIDS 12 -0764 CHECK AMOUNT: $78.30
PO BOX 86 CHECK NUMBER: 160093
MINNEAPOLIS MN 55486 -0764
CHECK DATE: 5/28/2008
DEPARTMENT ACCO PO NUM INVOICE NUMBER AMOUNT D
1120 4237000 90219917 78.30 REPAIR PARTS
500 Cardigan Road Tel: (651)483 -0900 Page 1 of 1
Shoreview, MN 55126 Fax :(651)481 -1220
V TM USA Web: www. TSI. com
EIN 41- 0843524 Email :answers @TSI.com
Manufacturer of TSI®, Alnor® and Airflow branded I nvo i ce
Remit -To If payment by Wire:
Remit -To US Bank National Association
TSI Incorporated 225 S. Sixth Street
SIDS 12 -0764 P.O. BOX 86 Minneapolis, MN 55402
MINNEAPOLIS, MN 55486 -0764 A.B.A. No. 091000022
Bill -To -Party SWIFT No. USBKUS441MT
Account No. 1- 502 5005 -9915
CITY OF CARMEL FIRE DEPT
RICK MARTIN PH 317 571 -2600
2 CIVIC SO Invoice Number 90219917
CARMEL, IN 46032 Invoice Date 05/02/2008
USA Delivery Note No. /Date 80197921/ 05/02/2008
Reference Order 185632/ 04/24/2008
PO No. V -RICK MARTIN
PO Date 04/23/2008
Customer No. 12497
Ship -To -Party Currency USD
CITY OF CARMEL FIRE DEPT Term of Payment Net 30 days
RICK MARTIN PH 317 571 -2600 Incoterm FOB: Prepay Add
2 CIVIC SID TSI PREMISES
CARMEL, IN 46032 Ship Via UPS GROUND [4 -5 days
USA Bill of Lading 1Z7W697A0359916791
Item Material/Description Quantity Unit Price Value
1 8024 1 EA 63.00 63.00
AC Adapter For 8020, 115/230V
Net Total 63.00
Freight 15.30
Invoice Amount 78.30
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
Prescribed by State Board of Accounts City Form No. 201 (Rev. 995)
ACCOUNTS PAYABLE VOUCHER
t
CITY OF CARMEL
An invoice or bill to be properly itemized must show: kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
05/02/08 90219917 Part for Fit Test Machine $78.30
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
Clerk- Treasurer
VOUCHER NO, WARRANT N
T0I Incorporated ALLOWED 20
SIDS 12 -0765
IN SUM OF
P.O. Box 86
Minneapolis, MN 55486 -0764
$78.30
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# 1 Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1120 90219917 42- 370.00 $78.30 1 hereby certify that the attached invoice(s), or
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
r l
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund