180197 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 221001 Page 1 of 1
ONE CIVIC SQUARE NEENAH FOUNDRY CORP
CHECK AMOUNT: $284.00
CARMEL, INDIANA 46032 Po Box 729
NEENAH W 54957
CHECK NUMBER: 180197
CHECK DATE: 12/8/2009
DEPARTMEN ACCOUNT PO N INVOICE NUMBER AMOUNT DESCRIPTION
206 4237001 703929 284.00 STORM SEWER MAINT SUP
Neenah Foundry N E E N A H FOUNDRY
INVOICE
"Word on the Street is Neenah"
Terms: Net 30
Remit To: Neenah Foundry Company
Box 729
Payable in U.S. Dollars Neenah. WI 54957
FEIN 39- 1580331 Phone: 800 -558 -5075
Fax: 920 729 -3682
Sold To: Shipped To:
CARMEL STREET DEPT YARD PICK —UP
3400 W 131ST STREET
WESTFIELD IN 46074
PAGE 1
Invoice No. Invoice Date Customer Routing PO No. Job No. Date Shipped
703929 1 11/25/09 C13200 CUSTOMER PICK -UP chadwick 45270 11/24/09
Q y Part Number Catalog Description Price Amount
1 35010140 3501 -N ROLL FRAME P3501 -505 284.00 SET 284.00
1 35010146 ROLL GRATE P3501 -505
SUB -TOTAL 284.00
METAL SURCHARGE: .000 /LB X 415 .00
TOTAL 284.00
1375 98
1. Claims for errors in weight a number must be made within ten days atterlhe receipt of the castings.
2. Neenah Foundry Co. is not responsible for loss of or damage to patterns by fire or other casualties, if shall be the obligation of the customer to insure his equipmem. 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, his lobe paid by the purchaser directly to the governmental agency assessing the tax. Any sales, use, occupational, or similar tax
imposed on this sale, it unfilled, is the obligation of the purchaser.
4. Seller hereby cerfifies that the above materials were produced in comonnity with the Fair Labor Standards Act of 1938, as amended.
5. Lim 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. INVC
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, b
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))
11/24/09 703929 $284.00
1 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
VO UCHER NO. WARRANT NO.
ALLOWED 20
Neenah Foundry
IN SUM OF
Box 729
.Neenah, WI 54957
$284.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT
Board Member
206 703929 42- 370.01 $284.00 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
Friday,De5e� fi ber 04, 200e
f/
sStreet,Commisio er
»J
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund