187968 07/21/2010 CITY OF CARMEL, INDIANA VENDOR: 221001 Page 1 of 1
ONE CIVIC SQUARE NEENAH FOUNDRY CORP CHECK AMOUNT: $296.00
CARMEL, INDIANA 46032 PO Box 729
NEENAH WI 54957 CHECK NUMBER: 187968
CHECK DATE: 7/21/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
206 4237001 713785 296.00 STORM SEWER MAINT SUP
INVOICE
Invoice 713785 N E E N A H FOUNDRY
Invoice Date: 6130110
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 YARD PICK -UP
3400 W 131ST STREET
WESTFIELD IN 46074
Customer No. PO No. Date Shi ed Routin Carrier Page
C13200 I HAWTHORN 6/29/10 1 OUST PICKUP 1
Job No. Isalesp arson Yard
462 °3 MANUEL ARRIAGA NFCO- INDIANAPOLIS
Oty Part Number Catalog Description Price Amount
1 35010140 3501 -N ROLL FRAME P3501 -505 296.00 SET 296.00
1 35010146 ROLL GRATE P3501 -505
SUB -TOTAL 296.00
METAL SURCHARGE: .000 /LB X 415 .00
TOTAL 296.00
1375 98
Claims far errors in weight or number must N made within ten days after the receipt of the caslhifs. Neenah Foundry Ca Is not responsible for loss of or damage to patterns by fire or other casualties, It shall be the obligation of the customer to
insure his equipment. We do not Insure cuslOmers' patterns. Prices do not include sales, use, occupational or similar tax. If any tax of this nature is imposed on this sate, it is to be paid by the purchaser directly to the governmental agency
assessing the tax, Any sales. use occupational, or similar lax imposed on this sale, if unbilled, is the obligation of this purchaser. Seller hereby cenlhes 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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Neenah Foundry
IN SUM OF
Box 729
Neenah, WI 54957
$296.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
206 713785 42- 370.01 $296.00 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
Th6rsda�, my 15, 2010
Street Commis o er
StrQet 0 qrT itTeiggionpr
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))
06/30/10 713785 $296.00
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