HomeMy WebLinkAbout207628 03/26/2012 CITY OF CARMEL, INDIANA VENDOR: 00352717 Page 1 of 1
0 ONE CIVIC SQUARE TSI INC CHECK AMOUNT: $683.50
CARMEL, INDIANA 46032 SIDS 12 -0764
PO BOX 86 CHECK NUMBER: 207628
MINNEAPOLIS MN 55486 -0764
CHECK DATE: 3/26/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4350900 90479702 683.50 OTHER CONT SERVICES
500 Cardigan Road Tel: (651)483 -0900
Shoreview, MN 55126 Fax:(651)481 -1220 Page 1 of 1
USA Web: www. TSI. com
EIN 41- 0843524 Email:answers @TSLcom
V m
DUNS 00- 625 -3124 TM
Manufacturer of TSI®, Alnor@ and Airflow branded I n v0I Ce
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. USBKUS44IMT
Bill -To -Party Account No. 1- 502 5005 -9915
CITY OF CARMEL FIRE DEPT
2 CIVIC SQ Invoice Number 90479702
CARMEL, IN 46032 Invoice Date 03/13/2012
USA Reference Order 378392/ 03/09/2012
Delivery Note No. /Date 03/13/2012
PO No. 24328
Customer No. 12497
Currency USD
Term of Payment Net 30 days
Incoterm 2010 CPT: Prepay Add
CONSIGNEE'S
Ship Via FEDEX GROUND
Bill of Lading 243032230249273
Item Material/Description Quantity Unit Price Value
1 CL -8020 1 EA 675.00 675.00
Clean and calibrate PortaCount 8020
Delivery Num: 80427523 SN: 42234
Net Total 675.00
Freight 8.50
Invoice Amount 683.50
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. 1995)
ACCOUNTS PAYABLE VOUCHER
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))
90479702 $683.50
1 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 NO.
ALLOWED 20
TSI Incorporated
SIDS 12 -0765
IN SUM OF
P.O. Box 86
Minneapolis, MN 55486 -0764
$683.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
1120 I 90479702 I 43- 509.00 I $683.50 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
Fire Chief
Title
.Cost distribution ledger classification if
claim paid motor vehicle highway fund