188926 08/18/2010 CITY OF CARMEL, INDIANA VENDOR: 221001 Page 1 of 1
0 ONE CIVIC SQUARE NEENAH FOUNDRY CORP CHECK AMOUNT: $1,628.00
CARMEL, INDIANA 46032 PO BOX 729
'c, off NEENAH WI 54957 CHECK NUMBER: 188926
CHECK DATE: 8/18/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
206 4237001 716183 1,628.00 STORM SEWER MAINT SUP
INVOICE
Invoice' 716183 N E E N A H zvP F O U N ®R V
lnvoice !Date 7/30/10
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
CustomerNo..PO'No. Date:Shi ed Routin Carrier Pa e.
C13200 7/30/10 CUST PICKUP 1
Job No.,' .Sales erson Yard
46586 IMANUEL ARRIAGA NFCO— INDIANAPOLTS
City ?art 'Number Catalo q Description I Price Amount
1 32872015 3287 -15 FRAME P3287 -829 936.00 SET 936.00
2'32873022 GRATE P3287 -829
1 32877002 CURB BOX P3287 -829
1.35012176.3501-TL ROLL FRAME P3501 -610 328.00 SET 328.00
1 35013001 ROLL GRATE P3501 -610
1 35160003 3516 -1 ROLL FRAME P3516 -510 364.00 SET 364.00
1 35160002 ROLL GRATE P3516 -510
SUB -TOTAL 1,628.00
METAL SURCHARGE: .000 1 LB X 1722 .00
TOTAL 1,628.00
1375 98'
Claims far errors in weigM or number must be made within ten days atter the receipt W the castings. Neenah Foundry Co- is not responsible tar loss of or damage to is hems by fire or other casualbas, it shall be the obligation o t e customer b
insure his equipment. We do not insure customers' patterns Pd—do not include sales, use, o pational or similar tax. It any lax o1 this nature is imposed on this sale, it isio be paid by the purchaserdirectly to Ire gwemmenlal agency
assessmg the tax. My sales, use, occupa5onal, or similar tax imposed on this sale, 11 unNhed, is the obligation of the purchaser. Seller hereby oenlfies that the above materials were produced in eornormily with the Fair Labor Standards Act of
1 938, as am m es:
ended. limitatlon o1 daag under no circumstances will Neenah Foundry Co. be responsible for incidental or consequent a m ial damages arising from connection with the use of any Neenah Foundry casting. Past due i ices
]p 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
$1,628.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
206 716183 42- 370.01 $1,628.00 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
Thursday, August 12, 2010
l J
to liTT1gsionq-,r
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 261 (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))
07/30/10 716183 $1,628.00
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
Clerk- Treasurer