HomeMy WebLinkAbout304702 10/31/16 •Coq
'� '.�F. CITY OF CARMEL, INDIANA VENDOR: 221001
j ® ONE CIVIC SQUARE NEENAH FOUNDRY CORP CHECK AMOUNT: $*******202.00*
r ��� CARMEL, INDIANA 46032 PO eox 729 CHECK NUMBER: 304702
, iTON�` NEENAH WI 54957-0729 CHECK DATE: 10/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 193887 202.00 REPAIR PARTS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
NEENAH FOUNDRY CORP ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PO BOX 729 IN SUM OF$ 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.
$202.00 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
193887 42-370.00 $202.00 1 hereby certify that the attached invoice(s),or 10/17/16 193887 $202.00
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
Monday, October 24,2016
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#: 193887 N E E N A H FOUNDRY
Invoice Date:' 10/17/16
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: Date Routing Carrier Page
C13200 ISHOP 10/14/16 1 CUST PICKUP CUSTOMER PICK UP 1
---Jo6_No._ Salesperson-
15954 JASON BARTON NFCO-INDIANAPOLIS
QtyPart Number Catalog Description'.' Price Amount-:
1( 4215300114215-C ', BEEHIVE GRATE 202 . 00 EA. 202 . 00
1, SUB-TOTAL 202 . 00
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1 ** TOTAL 202 .00
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Claims for ertors in weight or number must be made within ten days after the receipt of the castings.Neenah Foundry Co.Is not responsible for loss c or amage to pa ems y re or o er casua es,i s a e o 1ga on o 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.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 libl
fiad
In
THIS SHIPPING ORDER Carbon,and retained)by thle Agent. Pencil,or in
CARRIER: CUSTOMER PICKUP BOL NO. 0333062
RECEIVED,subject to the classifications and lawfully filed tariffs in effect on the dale of the issue of this Bill of Lading.
At INDIANAPOLIS,IN 10/14/2016 FROM
Me propend descnbed below,in apparent good order,except as noted(cantems and coneiran at contents of packages unknown),marked,consigned,and learned as'md,cated below,wNoh said.,is,(the Wortl same"
being underslootl Ihrougltaul his contract as
anirtg any person or corporetion in possession of property under Ina contract)agrees to tarty to tle usual place of daNery el said tleatinason,it cn its roule,otherwise b center W another tamer on the mule N sad destination.It is mutually agreed,es to eah certier F O V N O R V
at
811 en Isatl parrya y NEe NAN
yo propenrth(1)lroranyprt ofgalroute tand Uhero d I each an me merdated nator any of soldpropeny,twshipm .or(2 i performed beterMost,o.1he,erms and coolloamersepment Domesrc
Straght BG of Ledng sal lonh(1) Critical.southern.West.., dllticm Freight Class)Galore In affect on the date hereat,it this serei)ar rae.wate•snpm t (2)' the epprceble mmorcarr er tlessdiceron or ter 11 fthis'samowr corner shipment
Shipper hereby serldes that he laml rwih al the terms and candirses of the said bill of laling,ncWmng those on the back hereof set forth in he olassifioetlon or tent)M hgoverns the Varrsponason of he shipment.and the sail terms and corarons ere hereby Municipal Products Group
agreed to by the shipper and acoepfetl for Nmsell ane his aselgns -
Subject to Section 7 of conditions of
Consignee Name/Address: 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 Cartier shall not make delivery of
this shipment without payment of freight
and all other lawful charges.
CARMEL ST
If charges are to be prepaid,write or
stamp here,'To be Prepaid.-
PICK
repaid-PICK UP
' Received$
Carrier For Payment Send Bill To: to apply in prepayment o,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
7 1 j
1 LOOSE CASTINGS 1 50 '
This BOL Contains:
Order#15954 PO#SHOP Inv#193887
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"CARGO MUST BE FIRMLY_IMMOBILIZED OR SECURED ON OR WITHIN THE VEHICLE PER;_1
FMCSR PART 393.100" i
Y
I I
E
1 $' TOTAL QTY 194 CSTG WGT 0 CNTR WGT 194 TOTAL B/L WGT
If the shipment moves between two ports by a carrier by water,the law requires that the bill of lading shall state whether it is owniers or Shipper's 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 property 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 1601.
'•The fibre boxes used for this shipment conform to the specifications set forth in the box makers must Sign the Original Bill of Lading
certificate thereon,and all other requirements of Consolidated Freight Classification. "Shppere'imprint in tie.of stump:rte,u part of ant of Lading approved by Interstate Commerce
PACKING SLIP COMPLETE NEENAH M
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 #: 193887
Shipment Date: 10/14/2016
Purchase Order# NF Order# Total TAG
SHOP 15954 194
ITEM QTY COMPONENT NO. PARENT NO.
01 1 N4215-3001 BEEHIVE GRATE REGULAR SEAT 194
CATALOG: 4215-C
GI CLASS 35B ENVIR-NOTICE 34 X 34 X 1, 3 CROSSBARS
LTRD. . . 'DUMP NO WASTE DRAINS TO RIVER' 3/4 IN. LTRS.
PAGE: 1 FORM CIC060CP