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Home My WebLink About302647 08/31/16 CITY OF CARMEL, INDIANA VENDOR: 221001 ONE CIVIC SQUARE NEENAH FOUNDRY CORP CHECK AMOUNT: $*******594.00* CARMEL, INDIANA 46032 PO Box 729 CHECK NUMBER: 302647 NEENAH WI 54957-0729 CHECK DATE: 08/31/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4237000 184081 594.00 REPAIR PARTS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) NEENAH FOUNDRY CORP ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 729 IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service N EENAH, WI 54957-0729 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $594.00 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 184081 42-370.00 $594.00 1 hereby certify that the attached invoice(s),or 8/22/16 184081 $594.00 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,August 30,2016 Dave Huffman Director 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#: 184081 NEENAH FOUNDRY Invoice Date: 8/22/16 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. I Date Routing Carrier Page C13200 PREENTREE 1 8/19-/16- J_CUS!I__PIQKUPJ CUSTOMER PICK UP - --- - 1 - - Job No. I Salesperson Yard 06362 IJASON BARTON NFCO-INDIANAPOLIS Qty Part Number Catalog Description Price Amount. 2; 350101403501-N ; ROLL FRAME P3501-505 297. 00 SET 594 . 00 21350101461 _ ` ROLL GRATE P3501-505 f F ? SUB-TOTAL 594 .00 i f ** TOTAL 594 . 00 1 F i € E S j I { € E 1 1 1 E F i i f 1 £ I I { i 1 1 I t f 3 f i I 1 1 f # 1 1245 981 i I Claims for errors in weight or number must be made within len days after the receipt of the castings.Neenah Foundry Co.Is notresponse a for loss of or damage to patterns y we or other casua es,it anall be We obog.u.n o e c o 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.Any 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 must be ed In In THIS SHIPPING ORDER Carbon,andbrletallnedlbythleAgentdeiidePencil,orin BOL No. 0325096 CARRIER: CUSTOMER PICKUP 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 08/19/2016 FROM tie properly described below,in apparent good order,except as noloci(conlenls and condition of contents of pactmges unknown),marked,consigned.and destined as indicated below,wtudi said carrier(me word carrier being understood tmoughad tius contract as ening any person or corporation in possession of properly under me contract)agrees to tarty to ds usual place of adwery at said destination,if on its route,otherwise b deliver to molher terrier on the rade to said deminalion.It is mutually agreed,es to each corrier ween•" Doti"o my o1 al or any o1 said properly over all or m y porion of said route to destination,mid as to each parry et any ams interested in ell or any of sad properly,that every servim to be performed hereunder shall be subject n 0 me berme end condition of the uniform Demestio Slraghl Bitiol Ladngselfonh(1)in Oaiaal,Sadhem,Westem,wdllbmm Freight Cimsdimtionsinefleclongwdmehereof,illhsisamlorml-wetershrymem.or(2)in the apphcable motor carrier classification ortardl lithe is a motor alrner sthipmem. Shipper hereby canities that he familiar wills at the teams and conditions of the said bill of lading.irwNdirg those on the back thereof,set forth In the classifiaabon or ai wnich govenm the fransponaton of me shipment.and the said leans am cotnddtions ere hereby Municipal Products Group agreed to by the shipper and accepted br Itimsai eM hie assigns. Subject to Section 7 of conditions of Consignee Name/Address: Trailer# applicable bill of lading,it this shipment CUSTOMER PICKUP Is to delivered to the consignee without recourse on the consignor,the CARMEL STREET DEPT Pro# consignor shall sign the following statement: The Carrier shall not make delivery of this shipment without payment of freight and all other lawful charges. CARMEL ST DEPT I1 charges 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 orgy the amount prepaid). Charges Advanced: NMFC#: 104935 $ NO.PALLETS/SKIDS KING OF PACKAGE,DESCRIPTION OF ARTICLES,SPECIAL-MARKS,AND:EXCEPTIONS NO.OF CLASS OR CHK. PIECES ....,. RATE COL 1 LOOSE CASTINGS 4 50 This BOL Contains: Order#06362 PO#GREENTREE Inv#184081 I l f 1 r.. I It / S S 1 "CARGO MUST BE FIRMLY IMMOBILIZED OR SECURED ON OR WITHIN THE VEHICLE PER FMCSR PART 393.100" j 1 TOTAL QTY 830 13 CSTG WGT 0 CNTR WGT 830 TOTAL B/L WGT i If the shipment moves between two ports by a carrier by water,the law requires that the bill of lading shag state whether his'cariers or Shippers weight.' NOTE:-Where the rate is dependent on value,shippers are required to state specifically in writing the agreed ordeclared value of the property. The agreed or declared value of the properly is hereby specifically stated by the shipper to 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 Libre boxes used for this shipment conform to the specifications set forth in the box maker's must Sign the Original Bill of Lading certificate thereon,and all other requirements of Consolidated Freight Classification. sh ppery Imprint in lieu of stamp;Trot a part of all of Lading approved by Interstate Commerce PACKING SLIP COMPLETE NEENAN 1w 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 CARMELSTREET DEPT 3400 W 131ST STREET CARMEL,IN 46074 Invoice #: 184081 Shipment Date: 08/19/2016 Purchase Order# NF Order# Total TAG GREENTREE 06362 830 ITEM SHY COMPONENT NO. PARENT NO. 01 2 53501-0140 ROLL FRAME REGULAR SEAT P3501-505 296 CATALOG: 3501-N GI CLASS 35B AA 23-1/2 X 23-1/2, BB 1-1/2 01 2 53501-0146 ROLL GRATE TYPE A REGULAR SEAT P3501-505 119 CATALOG: 3501-N GI CLASS 35B ENVIR-NOTICE W/ FISH LOGO, 23-1/4 X 23-1/4 X 1-1/2 LTRD. . . 'DUMP NO WASTE DRAINS TO RIVER' 3/4" LTRS A74000 ASSEMBLE FOR SHIPMENT - 3.00M PAGE: 1 FORM CIC060CP