162889 08/20/2008 i
CITY OF CARMEL, INDIANA VENDOR: 221001 Page 1 of 1
ONE CIVIC SQUARE NEENAH FOUNDRY CORP
CARMEL, INDIANA 46032 PO BOX 729 CHECK AMOUNT: $612.94
'a? NEENAH WI 54957
CHECK NUMBER: 162889
CHECK DATE: 8/20/2008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTION
206 4237001 858368 612.94 STORM SEWER MAINT SUP
I
1
ORIGIfvAL
M NEENAH FOUNDRY
O Box 729, Neenah, WI 54957
Phone 800 -558 -5075 Fax 920 729 -3682
TERMS NET 30 DAYS "Word on the street is Neenah"
SHIP TO (IF DIFFERENT FROM SOLD TO)
S
OT CARMEL STREET DEPT YARD PICK -UP
L0 3400 W 131ST STREET
WEST' I ELD i N 46074 PAGE i
PLEASE REFER TO INVOICE NUMBER CUSTOMER NUMBER ON ALL CORRESPONDENCE CONCERNING THIS INVOICE
ROUTING PURCHASE ORDER JOB NUMBER DATE SHIPPED INVOICE NUMBER CUSTOMER NO.
CUSTOMER PICK —UP 4745 8/04/05 555368 C13200
QUANTITY PART NUMBER CATALOG DESCRIPTION PRICE AMOUNT
2 30102100 3010 FRAME P0333-' 10 272.00 SET 544.00
2 30100003 GRATE P0333 -310
2 30107012 CURB BOX P0333 -210
SULK -TOTAL 544.00
METAL SURCHARGE: .090 /LB X 766 68.94
TOTAL 612.94
1379 98
1. CLAIMS FOR ERRORS IN WEIGHT OR NUMBER MUST BE MADE WITHIN TEN DAYS AFTER THE RECEIPT OF THE CASTINGS.
2. NEENAH FOUNDRY CO. 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 CUSTOMERS' PATTERNS.
I 3. PRICES DO NOT INCLUDE SALES, USE, OCCUPATIONAL OR SIMILAR TAX, IF ANY TAX OF THIS NATURE IS IMPOSED ON THIS SALE, IT IS TO BE PAID BY THE PURCHASER DIRECTLY TO THE GOVERNMENTAL AGENCY ASSESSING THE TAX, ANY SALES,
USE, OCCUPATIONAL, OR SIMILAR TAX IMPOSED ON THIS SALE, IF UNBIILED, IS THE OBLIGATION OF THE PURCHASER.
4. SELLER HEREBY CERTIFIES THAT THE ABOVE MATERIALS WERE PRODUCED IN CONFORMITY WITH THE FAIR LABOR STANDARDS ACT OF 1939, AS AMENDED.
S.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.
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. T'
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
r Date Number (or note attached invoice(s) or bill(s))
08/04/08 858368 $612.94
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
VOUCHER NO. WARRANT NO.
Neenah Foundry ALLOWED 20
IN SUM OF
Box 729
iVeenah, WI 54957
$612.94
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
206 858368 42- 370.01 $612.94 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 14, 2008
Stre ommissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund