173471 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 221001 Page 1 of 1
�4 10� ONE CIVIC SQUARE NEENAH FOUNDRY CORP CHECK AMOUNT: $603.48
.0jJ CARMEL, INDIANA 46032 PO BOX 729
•w;,.o„ to. NEENAH WI 54957 CHECK NUMBER: 173471
CHECK DATE: 6/10/2009
DEPARTME A CCOUNT PO NUM INVOICE NUMBER AM OUNT DESCRIPTION
206 4237001 875256 465.45 STORM SEWER MAINT SUP
206 4237001 875835 138.03 STORM SEWER MAINT SUP
ORIGINAL
M 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)
S
OT CARMEL STREET DEPT YARD PICK -UP
L O
D 3400 W 131ST STREET
WESTFIELD IN 46074 PAGE 1
PLEASE REFER TO INVOICE NUMBER CUSTOMER NUMBER ON ALL CORRESPONDENCE CONCERNING THIS INVOICE
ROUTING PURCHASE ORDER JOB NUMBER DATE SHIPPED INVOICE NUMBER CUSTOMER NO.
QUANTITY PARTNUMBER CATALOG DESCRIPTION `-PRICE-- AMOUNT
1 66790003 6679 —B1 FRAME P6679 -300 217.00 SET 217.00
1 66795007 SOLID PLATEN LD P6679 -300
1 17142000 1714 FRAME P17i4-105 218.00 SET 218.00
1 17145000 VENT.PLATEN LID P1714 -105
SUB -TOTAL 435.00
METAL SURCHARGE: .000/LL X 545 .00
STATE AND LOCAL TAX 7.0000% 30.45
TOTAL 465.45
1379 98
1. CLAIMS FOR ERRORS IN WEIGHT OR NUMBER MUST BE MADE WITHIN. TEN DAYS AFTER THE RECEIPT OF THE CASTINGS:
L 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.
PRICES 'DO.NOT INCLUDE. SALES, USE, OCCUPATIONAL OR SIMILAR TAXAF'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,
ISE, OCCUPATIONAL, OR SIMILAR TAX IMPOSED ON THIS SALE, IF UNBILLEO,;IS THE OBLIGATION OF THE PURCHASER..
1. SELLER HEREBY CERTIFIES THAT THE ABOVE MATERIALS:WERE PRODUCED IN CONFORMITY WITH THE FAIR LABOR' STANDARDS ACT OF 1938, AS AMENDED.
i;LIMITATIONOF 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.
ORIGINAL
M NEENAH FOUNDRY
V 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
D WESTFIELD IN 46074 PAGE 1
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 aaa way 48960 5/38/09 675835 013200
QUANTITY PART NUMBER CATALOG DESCRIPTION PRICE AMOUNT
1 32877001 3287 CURB BOX 129.00 EA. 129.00
SUB -TOTAL i29.00
METAL SURCHARGE: .000 /LB X 124 .00
STATE AND LOCAL TAX 7.0000! 9.03
TOTAL 138.03
1170 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.
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.
&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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
05/19/09 875256 $465.45
05/28/09 875835 $138.03
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
VOU NO. WA N
ALLOWED 20
Neenah Foundry
IN SUM OF
Box 729
Neenah, WI 54957
$603.48
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
206 875256 42- 370.01 $465.45 1 hereby certify that the attached invoice(s), or
206 875835 42 370.01 $138.03 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
I
i
di ay, 05, 2009
I A
4
r
Stre _t Commissior{er�
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund