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Home My WebLink About260264 06/28/16 { r� . CITY OF CARMEL, INDIANA VENDOR: 221001 4; ® sl ONE CIVIC SQUARE NEENAH FOUNDRY CORP CHECK AMOUNT: $***'***255.00' :. �° CARMEL, INDIANA 46032 Po Box 729 CHECK NUMBER: 260264 v,�iTON_�� NEENAH WI 54957-0729 CHECK DATE: 06/28/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 171772 255.00 REPAIR PARTS VOUCHER NO. WARRANT NO. Prescribed by state Board of Accounts City Form No.201 (Rev.1995) NEENAH FOUNDRY CORP ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 729 IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service NEENAH, WI 54957-0729 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $255.00 Payee Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Street Department 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 171772 42-370.00 $255.00 1 hereby certify that the attached invoice(s),or 6/20/16 171772 $255.00 2201 201 2201 201 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 Tuesday,June 21,2016 Street Commissioner 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer INVOICE Invoice#: 171772 N E E N A H FOUNDRY Invoice Date: 6/13/16 Xkr Terms: Net 30 "Word on the Street is Neenah" Please Remit Payment To: Neenah Foundry Company Payable in U.S.Dollars FEIN 39-1580331 P.O.Box 729 Phone:800-558-5075 Fax:920-729-3682 Neenah;WI 54957-0729 Sold To: Shipped To: CARMEL STREET DEPT CUSTOMER PICKUP 3400 W 131ST STREET CARMEL STREET DEPT CARMEL IN 46074 US Customer PO No. . Date Routing Carrier Page C13200 PROOKSHIRE 6/10/16 1 CUST PICKUPI CUSTOMER PICK UP - Job No. Salesperson IYard, --- - — - - --- - -.-_.- _ - 94288 IJASON BARTON NFCO-INDIANAPOLIS Qty I Part Number Catalog Description Price Amount 113405230113405 INLET FRAME P3405-408 i 255.00 SET 255.00 1' 34050019; GRATE P3405-408 SUB-TOTAL 255.00 ** TOTAL 255.00 E l i E ' 1 \ 5P 1 i I 4 ( t E s a E 1245 98, Claims for errors in weight or number must be made within len days after the receipt of the castings.Neenah Foundry Co.is not responsible for loss o or damage to patterns by tire or other casualties.it snall De me owigation of Ie c s insure his equipment.We do not insure customers'patterns.Prices do not Include sales,use,occupational or similar tax.If any tax of this nature is imposed on this sale,it is to be paid by the purchaser directly to the governmental agency assessing the tax.My sales,use,occupational,or similar tax imposed on this sale,if unbilled,Is the obligation of the purchaser.Seller hereby certifies that the above materials were produced in conformity with the Fair Labor Standards Act of 1938,as amended.Limitation of damages:under no circumstances will Neenah Foundry Co.be responsible for incidental or consequential damages arising from or in connection with the use of any Neenah Foundry casting.Past due invoices may be subject to 1.5%per month service charge. INVC legi led THIS SHIPPING ORDER Ca��anndrfetalnedl by Ink,In Agentde ibis Pencil,or in CARRIER: CUSTOMER PICK UP BOL NO. 0315187 RECEIVED,subject to the classifications and lawfully filed tariffs in effect on the date of the issue of this Bill of Lading. At INDIANAPOLIS, IN 06/10/2016 FROM Rte property described o below,In apparent good weer,excapt as noted(contents arra son bon o1 coolants of packages unknown),marked,mmigned,and destined as indicated below,which said carrier(the word mmier being understood fnroughom he contract as ening any person or corporation in possession of properly antler the contract)agrees to carry tone usual Placa o1 delivery at said destmaoon,if on its route,otherwise to deliver to another carder online route la sad destination.Itis mutually agreed,as to each carrier Fo u N o q v of as oranyolsaid propsny overall or anyponion of said mule to destinetion,arm estoeaohpaMalwylimeinlwesledin'llor any of I properly,Ihat every service fo be perlormetl hereuntler shell be Subject fo es9te terms end mndlbns of the llnifatm Domestic NEe..N Straight gill of Letling aef fOnh(1)in OKtial,Southam,Western,end 115nois Freight Classnisations in ellsct on the date hereof,if this is a rail or mJ-welsr shipmem,or(2)m the applicable motorcerrier Classification ortarif if this is a motor carrier shipment. Shipperhareby—ties that he tamillar win all the ter ms and conditions of the said bill of lading,including those on the beck merm1se11onh in Ole classification or%fill which governs the transporlabon of the shipment and the said terms and conditions are hereby Municipal Products Group agreed to by the shipper and acoepted for himself and his assigns. Consignee Name/Address' Subject to Section 7 of conditions of Trailer# applicable bill of lading,it this shipment is to be delivered to the consignee CUSTOMER PICKUP without recourse on the consignor,the Pro# consignor shall sign the following CARMEL STREET DEPT statement: The Carrier shall not make delivery of this shipment without payment of freight and all other lawful charges. CARMEL ST DEPT If cltarges are to be prepaid,write or stamp here,'To be Prepaid.' PICK UP Received$ Carrier For Payment Send Bill To: to apply in prepayment of the Charges on the property described hereon. Agent o1 Cashier. Per (The signature here acknowledges only the amount prepaid). Charges Advanced: NMFC#: 104935 $ NO.PALLETS/SKIDS KIND OF PACKAGE,DESCRIPTION OF ARTICLES,SPECIAL MARKS,:AND EXCEPTIONS NO:OF CLASS OR CHK. _ — .PIECES 'RATE COL 1 LOOSE CASTINGS 2 50 This BOL Contains: Order#94288 PO#BROOKSHIRE Inv#171772 a {IS I 1 i t s� is "CARGO MUST BE FIRMLY IMMOBILIZED OR SECURED ON OR WITHIN THE VEHICLE PER FMCSR PART 393.100" 1 TOTAL QTY 259 CSTG WGT 0 CNTR WGT 259 TOTAL B/L WGT I It the shipment moves between two ports by a carrier by water,the law requires that the bill of lading shall state whether it is'wrrier's or Shipper's weight' NOTE:-Where the rate is dependent on value,shippers are required to state specifically in writing the agreed a declared value of the property. The agreed or declared value of the property is hereby specifically stated by the shipperto be not exceeding Per Driver Signature Date Permanent post-office address of shipper: 5950 W 82ND STREET Consignee Signature Date INDIANAPOLIS,IN 46278 Agent must retain this Shipping Order and IBOL —The fibre boxes used for this shipment conform to the specifications set lath in the box maker's MP must Sign the Original Bill of Lading certificate thereon,and all other requirements of Consolidated Freight Classilimlion. ^Shippers'impdm in lieu of stamp:not apartof Bill of Lading approved by mtonnote Commerce PACKING SLIP COMPLETE HEENAN X`w FOUNDRY Municipal Products Group 5950 W 82ND STREET INDIANAPOLIS,IN 46278 Ship To: Sold To: PHONE 317-875-7245 FAX 317-875-8637 CUSTOMER PICKUP CARMEL STREET DEPT 3400 W 131ST STREET CARMEL,IN 46074 Invoice #: 171772 Shipment Date: 06/10/2016 Purchase Order# NF Order# Total TAG BROOKSHIRE 94288 259 ITEM SHP COMPONENT NO. PARENT NO. 01 1 53405-2301 INLET FRAME TYPE A REGULAR SEAT P3405-408 123 CATALOG: 3405 GI CLASS 40A DATEMM/DD/YY LOT NO. . . . . . AA 24 X 24, BB 1-1/2, LTRD. 'NEENAH FOUNDRY CO' LTRD. . . 'AASHTO M306 CLASS 40A' . 'MADE IN USA' 01 1 53405-0019 GRATE TYPE H REGULAR SEAT P3405-408 136 CATALOG: 3405 GI CLASS 35B ENVIR-NOTICE 23-5/8 X 23-5/8 X 1-1/2 LTRD. . . 'DUMP NO WASTE DRAINS TO RIVERS' 1/2" LTRS. PAGE: 1 FORM CIC060CP