190881 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 221001 Page 1 of 1
ONE CIVIC SQUARE NEENAH FOUNDRY CORP
CARMEL, INDIANA 46032 PO BOX 729
CHECK AMOUNT: $3,672.87
NEENAH WI 54957 CHECK NUMBER: 190881
CHECK DATE: 10/13/2010
DEPARTM ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 21253 3,672.87 OTHER EXPENSES
INVOICE
invoice 21253 N E E N A HF O U N D R Y
Invoice .Date: 9/27/10
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. INI 54957 -0729
Sold To: Shipped To:
CARMEL SEWER DEPT CARMEL SEWER DEPT
760 3RD AVE SW 760 3RD AVE SW
CARMEL IN 46032
CARMEL IN 46032
Customer 'No.' P 0. Date Shipped Routing Carrier 'Pa e
C13210 ILARRY 9/24/10 1 PREPAID NEENAH TRANSPORT INC 1
.Job No. Salesperson -Yard
41241 MANUEL ARRIAGA NFCO— INDIANAPOLIS
Oty Part.Number Catalog Description Price Amount
15 17137101 1713 ADJUSTING RING 115.00 EA. 1,725.00
15 17137250 1713 ADJUSTING RING 119.00 EA. 1,785.00
SUB —TOTAL 3,510.00
METAL SURCHARGE: .000 /L13 X 1680 .00
FREIGHT 162.87
TOTAL, 3, 672.87
1375 98
Clams for errors in weight or number muss be made within ten days after the receipt of the castings. Neenah Foundry Co. is not responsible for lass of or damage to patterns by lire cr other casuehles, n sha¢ be the obligation .1 the customer m
insure his equipment. We do not insure wolamers' pattems. Prices do" include sales, use, occupational or similar talc. li any tax cf this nature is imposed on this sale, it is to be paid by the purchaserdirectly to the governmental agency
assessing the tax. Any sales. use, occupational, or similar tax imposed on this sale, it unbilled, is the obligation o1 the purchaser. Seller hereby cerihies that the above materials were produced in conformity with the Fair Labor Standards Act of
1936, as amended. Urhilation of damages: under no arcumsiances will Neenah Foundry Co. be responsible for incidental or ccrh equemial 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 106322 WARRANT ALLOWED
22`1001 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
21253 01- 7200 -02 $3,672.87
Voucher Total $3,672.87
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
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 10/5/2010
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/5/2010 21253 $3,672.87
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 Off ic