189923 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 221001 Page 1 of 1
ONE CIVIC SQUARE NEENAH FOUNDRY CORP
0 CHECK AMOUNT: $6,620.00
CARMEL, INDIANA 46032 Po eox 729
NEENAH WI 54957 CHECK NUMBER: 189923
CHECK DATE: 9/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 718652 6,620.00 OTHER EXPENSES
1
INVOICE
:Invoice 718652 N E E N A H F O U N D R Y
Invoice Date: 8/31110 zw
Terms Net 30 "Word on the Street is Neenah"
Please Remit Payment Ton
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 SEWER DEPT YARD PICK —UP
760 3RD AVE SW
CARMEL IN 46032
Customer =.No. PO -No. Date'Shi ed Routin Cerr.ier P.a e
C13210 8/30/10 CUST PICKUP 1
JobAo'. Salesperson'' Yard
46867- MANUEL ARRIAGA. NFCO— INDIANAPOLIS
a Part Number Catabq Description Price Amount'
15 17137300 1713 :ADJUSTING RING P1713 -058 132.00 SET 1,980,00
20'17137200 1713 ADJUSTING RING P1713 -054 118.00 SET 2,360.00
20 17137150. 1713 ADJUSTING RING P1713 -052 114.00 SET 2,280.00
SUB —TOTAL 6,620.00
METAL SURCHARGE: .000 /.LB X 3470 .00
TOTAL 6,620.00
0
1 375 98
Claims far evors in weight or number must be made within ten days after the receipt of the casings. Neenah Foundry Co. is not responsible for Ions o1 or damage to patterns by fire or olher casuallies, n shall low the obligation oft a customer to
i nsure his equipment. We do not insure customers' pattems. Prices do not include sales, use, orxxtpalional or similar tax. If any tax of this nature is imposed on this safe, it is to be pad by the purchaserdireclly So the gwemmental agency
assessing the lax. Any sales, use, occupational, or similar tax imposed on this sale, it unfilled, is the obligation of the purchaser. Seller hereby certifies that the above materials were produced in conformity with the Fair Labor Standards Act of
1M, as amended. Limitation of damages: under no circumstances will Neenah Foundry Co. be responside for incidental or consequential damages arising from or in connection with the use of any Neenah Foundry ossffng. Past due invoices
maybe subject to 1.55 per month service charge_
INVC
VOUCHER 106148 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
718652 01- 7200 -02 $6,620.00
Voucher Total $6,620.00
Cost 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 t
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 Germs
NEENAH, WI 54957 Due Date 9/8/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/8/2010 718652 $6,620.00
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
Date Officer