187392 07/07/2010 CITY OF CARMEL, INDIANA VENDOR: 221001 Page 1 of 1
ONE CIVIC SQUARE NEENAH FOUNDRY CORP
`i CHECK AMOUNT: $123.00
CARMEL, INDIANA 46032 Po eox 729
NEENAH WI 54957 CHECK NUMBER: 187392
CHECK DATE: 7/7/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
206 4237001 712575 123.00 STORM SEWER MAINT SUP
INVOICE
i v p
Invoice 712575 N E E N A H FOUNDRY
Invoice'Date: 6/16/10
Terms: Net 30 "Word on the Street is Neenah"
Please Elerriit 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 YARD PICK —UP
3400 W 131ST STREET
WESTFIELD IN 46074
Customer'No:.PO;No. .DaWShi ed Boutin Carrier
:Page
C13200 I aaa carmel dr 6/14/10 1 CUST PICKUP 1
Job1No. Sales erson ;Yard
46183_ MANUEL ARRIAGA_ NFCO INDIANAPOLIS
Qty 'Part Number'T Cat Iqt Description Price Amount
1 32877001!3287 CURB BOX 123.00 EA. 123.00
SUB -TOTAL 123.00
METAL SURCHARGE: .000 /!LB X 114 .00
TOTAL 123.00
9
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4 a
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1375 98,
Claims for errors in weight or number must be made within tend ays after the receipt of the castings. Neenah Foundry Co. is not responsible for loss of or damage to pat ems by lire or other casualties, a shall be the obligation at the cualo er to
insure his equipment. We do not insure customers' patterns, N-s do not indude sales, use, national or similar tax. 11 any tax of this nature is imposed on this sate, it is to be paid by the purchaserdirectly to the go✓emmenlai agency
zis sling the tax. Any sales, use occupational, or similartax imposed on this sale, it unbilled, is the obligation of the purchaser. Seller hereby certifies that the above materals were produced in conformity with the Fair Labor Slandards Act of
1938, as amended. Limitation of damages. underno circumstances will Neenah Foundry Co. be responsible lot incidental arconsequential damages arising from or in connection with the use of any Neenah Foundry testing. Past due invoices
may be subject to 1.5 per month service charge.
INVC
VOUCHER NO. WARRA NO.
Neenah Foundry ALLOWED 20
IN SUM OF
Box 729
Neenah, WI 54957
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board MemberE
206 712575 42- 370.01 $123.00 1 hereby certify that the attached invoice(s), or
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
fi Thursd�� y July 01, 2010
u6w zvLiw,� P
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Street Commissioner
C�`�ro a3 (`.nm^'1I�SIOnF3r
Title
Cost distribution ledger classification if
claim paid motor 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 service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
06/14/10 712575 $123.00
1 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
Clerk- Treasurer