185365 05/11/2010 CITY OF CARMEL, INDIANA VENDOR: 221001 Page 1 of 1
ONE CIVIC SQUARE NEENAH FOUNDRY CORP
CHECK AMOUNT: $188.75
CARMEL, INDIANA 46032 PO BOX 729
NEENAH WI 54957 CHECK NUMBER: 185365
CHECK DATE: 5/11/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 9254 188.75 MATERIALS SUPPLIES
N ee na h Fo u n dry N E E NAH FOUN
INVOICE
"Word on the Street is Neenah"
Terms: Net 30 Payable in U.S. Dollars FEIN 39- 1580331
Remit To: Neenah) Foundry Company
Invoice No.: 9254 Box 729
Neenah. WI 54957
In voic e Date: 4/22/10 Phone 800- 558 -5075
Fax: 920- 729 -3682
Sold To: Shipped To:
CARMEi, SEWER DEPT CARLAEL SEINER DEPT
760 3 1 _VE SWI /60 3RD VE 5
C IN 46032
C °KNEE I ?v 46062
PAGE 1
Customer Routing Carrier PO No. Job No. Date Shipped
C23210 PREF ID UNITED PARCEL SERVICE 31' 9 4/21/10
Qt Par Number Catalo Description Price Amount
1 7.9150124 1ti15 SOLID LID 148.00 EP 148.00
SUIB -TOTLL 1"0 00
METAL SURCHARGE: .000 /LE Y SE .00
+4 TOT?,L 188.75
1375 sic
I Claims fo errors in err in weigh; or number rncsl be made within len days oiler lne —elm at the castings.
2. Neenah Foundry Co. is no, responsible for loss of or damage to oattems by fire or other casualties, it shall be the obllgalien of the cusIo n_r to insure his equipment. We do not insure customers pallerns.
3. Fncas do not include sales. use. occupational or similar Lax. n any tax of this nature Is Imposed on Ins sale, a is to be paid by line purchaser dlrenly to the governmental agency assessing the tax. Any sales, use, occupational, or similar tar'
imposed on this sale. ll untitled, is the oloiigation of tie ourchaser.
4. Seller hereby certifies that the above materials were produced in comormi:y with the Fair Lai Standards Act of 1939, as amended.
5 Limitation of damages, under no circumstances will Neenah Foundry Go. be responsible for Incidental or consequential damages arising iron or in conneclion wile the use at any Neenah Foundry casing. INVC
4
VOUCHER 105372 1 WARRANT ALLOWED
221001 IN SUM OF
NEENAH FOUNDRY CORP
PO BOX 729
NEENAH, WI 54957
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO INV ACCT AMOUNT Audit Trail Code
9254 01- 7200 -02 $188.75
Voucher Total $188.75
Cast distribution ledger classification if
claim paid under vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or bill to be properly itemized must show, kind of service, where
performed, dates of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
221001
NEENAH FOUNDRY CORP Purchase Order No.
PO BOX 729 Terms
NEENAH, WI 54957 Due Date 5/5/2010
Invoice Invoice Description
Date Number. (or note attached invoice(s) or bill(s)) Amount
5/5/2010 9254 $188.75
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
Date Officer