HomeMy WebLinkAbout304087 10/10/16 1��-C�qM
CITY OF CARMEL, INDIANA VENDOR: 221001
`/ CHECK AMOUNT: $*******372.00*
.�;® � ONE CIVIC SQUARE NEENAH FOUNDRY CORP
s. ;� CARMEL, INDIANA 46032 Po Box 729 CHECK NUMBER: 304087
sMr�..-;:'� NEENAH WI 54957.0729 CHECK DATE: 10/10/16
.. ��ON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 190804 372.00 REPAIR PARTS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
NEENAH FOUNDRY CORP ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 729 IN SUM OF$ 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.
$372.00 Payee
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
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
190804 42-370.00 $372.00 1 hereby certify that the attached invoice(s),or 9/28/16 190804 $372.00
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, October 04,2016
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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
INVOICE ■■®
Invoice#: 190804 N E E N A HF O U N D R Y
Invoice Date: 9/28/16 im
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,Wl 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 SHOP 9/27/16 CUST PICKUP CUSTOMER PICK UP 1
--- Job-Na -
- Salesperson_..� .-_
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12812
ard -.
12812 JASON BARTON NFCO-INDIANAPOLIS
Qty, Part Number Catalog " ' Description Price Amount
33501014613501-N 1ROLL GRATE 124 .00 SET i 372 .00
{ SUB-TOTAL 372 . 00
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i * TOTAL 372 .00
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Claims for errors in weight or number must be made within ten days after the receipt at the castings.Neenah Foundry Co.is not responsible for loss a or amage m pa ems by fire or offier casua es,r a e e o iga ono e 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 govemmontal 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
1939,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
filled
THIS FNIPPING ORDER Carboy dirletainedi by Ink,In
Agent Indelible Pencil,or in
CARRIER: CUSTOMER PICK UP BOL NO0330586
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 09/27/2016 FROM
the property Oescnbed baow,in apparent good order,except es noted(contents end condition of conlenls o1 packages unknown),marked,conagne4 and destined as indicated below,which said senior(No worn carrier being understood throughout this conlrect as
omeaning any person or corporation in possession of property under the consaa)agrees to carry Io PBueua plain ofdelNeryatsaidtlesortation,ilonitsroute,olherwisetodelivertoentitlecartier on Ila reale to seitldestination.Itismutuallyagreed,is oeach Cartier
f e0 or any of seitl Properly altar any gonion of said route to destneton,and es to each parry al any 21.ami esteef met or any of said property.Net every sermon,to be performed hereunder she be subject to as Phe terms and soneitans of the uniform Domestic Nee NAM POl1NORv
Straight Bis of La ding set farm(1) Offoa.Saehom,Western,and lltnos Freight Classifications in elecl on the date hereof,if the is a hal or rad-water shipment,or eppsasblemolor carriertlessmcavon or tardl it lNeisamow mrna•stupnent.
Shipper hereby cartilies that he ferrite'
al the terms and Cards ons of the said bill of lading.mousing
Mose
on the back thereof,set fon in site classilicesan or mail which governs the pensponeton of Pte sNpment,and the said term s end mnditons are heraby Municipal Products Group
agreed Io by the shipper antl accepted for tum sell and he assigns.
Consignee Name/Address: Subject to Section 7 of conditions of
Trailer# applicable bill of lading,if this shipment
is to be delivered to the consignee
CUSTOMER PICKUP without recourse on the consignor,the
consignor shall sign the following
CARMEL STREET DEPT Pro# statement:
The Cartier shall not make delivery of
this shipment without payment of freight
and all other lawful charges.
CARMEL STREET DEPT cr
If charges are to be prepaid,write or
stamp here,`To be Prepaid.'
PICK UP
Received S
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
i 3 50
This BOL Contains: 1
Order#12812 PO#SHOP Inv#190804 i
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"CARGO MUST BE FIRMLY IMMOBILIZED OR SECURED ON OR WITHIN THE VEHICLE PER-
FMCSR PART 393.100"
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1
1 TOTAL QTY 357 CSTG WGT 0 14M CNTR WGT 357 TOTAL B/L WGT
If the shipment moves between two pons by a carder by water,the law requires that the bill of lading shall state whether Nis'carriers or Shippers weight'
NOTE:-Where the rate is dependent on value,shippers are required to state specifically in writing the agreed or declared value of the property.
The agreed or declared value of the properly is hereby spectrally 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
"The fibre boxes used for this shipment conform to the 2 Agent must retain this Shipping Order and 1301
-
fibre specitirations set forlh in the box makers must Sign the Original Bill of Lading
certificate thereon,and all Other requirements of Consolidated Freight Classification. ^Shippers'imprint m lieu of stamp:not apart of Bill of Lading approved by Interstate Commerce
PACKING SLIP COMPLETE HEENAN 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 CARMEL STREET DEPT
3400 W 131ST STREET
CARMEL,IN 46074 Invoice #: 190804
Shipment Date: 09/27/2016
Purchase Order# NF Order# Total TAG
SHOP 12812 357
ITEM QTY COMPONENT NO. PARENT NO.
SHY
01 3 S3501-0146 ROLL GRATE TYPE A REGULAR SEAT 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'
3/411 LTRS
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