331553 10/25/18 .y CITY OF CARMEL, INDIANA VENDOR: 221001
4.
ONE CIVIC SQUARE NEENAH FOUNDRY CORP CHECK AMOUNT: $*******123.00*
s CARMEL, INDIANA 46032 Po Box 729 CHECK NUMBER: 331553
NEENAH WI 54957-0729
,oN�• CHECK DATE: 10/25/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4237000 295677 123.00 REPAIR PARTS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor# 221001
NEENAH FOUNDRY CORP IN SUM OF$ CITY OF CARMEL
PO BOX 729 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.
NEENAH, WI 54957-0729
Payee
$123.00
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Terms
Street Department
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
295677 42-370.00 $123.00 1 hereby certify that the attached invoice(s),or 10/18/18 295677 Parts $123.00
2201 2201 2201 2201
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 23, 2018
Huffman, Dave
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#: 295677 N E E N A H FOUNDRY
Invoice Date: 10/18/18
Terms: Net 30 "Word on the Street is Neenah"
Please Remit Payment To:
Neenah Foundry Company Municipal Payable in U.S.Dollars FEIN 39-1580331
P 0 Box 74007026 Phone:800-558-5075 Fax:920-729-3682
Chicago,IL 60674-7026
Sold To: Shipped To:
CARMEL STREET DEPT CUSTOMER PICKUP
3400 W 131ST STREET CARMEL STREET DEPT
CARMEL IN 46074 US
Customer J PO No. Date Routing Carrier Page
C13200 1FRANKLIN HALL 1 10/17/18 1 OUST PICKUPI CUSTOMER PICK UP 1
Job No.--Salesperson
19537 JASON BARTON NFCO-INDIANAPOLIS
Qty Part Number Catalog Description Price Amount
112560000312560-D1 : BEEHIVE GRATE 123 .00 SET 123 . 00
SUB-TOTAL 123 . 00
** TOTAL 123 .00
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Claims for errors in weight or number must be made within ten days after the receipt of the castings.Neenah Foundry Co.is not responsible for loss of or damage to patterns by Tire oro er casua les,it Shall e the obig.uon o e c s of
Insure his equipment.We do not insure customers'patterns.Prices do not include sales,use,occupational or similar tax.If any lax 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