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158050 04/01/2008 0 CITY OF CARMEL, INDIANA VENDOR: 221001 Page 1 of 1 ONE CIVIC SQUARE NEENAH FOUNDRY CORP CARMEL., INDIANA 46032 PO BOX 729 NEENAH W 1 54957 CHECK AMOUNT: $168.00 CHECK NUMBER: 158050 CHECK DATE: 4/112008 DEPARTMENT ACCO PO_ NUMBER INVOICE NUMBER AMOUNT DESCRIPTION I 206 4237001 847538 168.00 STORM SEWER MAINT SUP 1 I ORIGINAL NEENAH FOUNDRY 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) I S 10T CARMEL. STREET DEPT YARD PICK -UP L O D 3400 W 131ST STREET WESTF IEL.D IN 46074 PAGE i PLEASE REFER TO INVOICE NUMBER CUSTOMER NUMBER ON ALL CORRESPONDENCE CONCERNING THIS INVOICE ROUTING PURCHASE ORDER JOB NUMBER �DATESHIPPED J INVOICENUMBER I CUSTOMERNO. CUSTOMER PICK-UP SHOP 46144 /OR R475'39 c i. X63 QUANTITY PART NUMBER CATALOG DESCRIPTION PRICE AMOUNT 1 16902002 2563 FRAME P2563 -395 16B.00 SET 168.00 1 25600003 BEEHIVE GRATE P2563 -395 SUB TOTAL. 168.00 TOTAL. 16e. oo 98 1379 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. 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 UNBILLED, 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 1938, 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 ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995) 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 2: wA fA Foun Purchase Order No. Terms Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) Total 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 I VOUCHER NO. WARRANT NO. ALLOWED 20 r' IN SUM OF g YI tLrLg� LOT- 5 4 q 6 I(.00,co ON ACCOUNT OF APPROPRIATION FOR Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT DEPT. I hereby certify that the attached invoice(s), or 811 538 31 0. C I 1p 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 MAR 3 12008 20 Si ture z G M� o7 �y Cost distribution ledger classification if Title claim paid motor vehicle highway fund