179342 11/11/2009 CITY OF CARMEL, INDIANA VENDOR: 221001 Page 1 of 1
ONE CIVIC SQUARE NEENAH FOUNDRY CORP
ti; 20.
CARMEL, INDIANA 46032 PO BOX 729
CHECK AMOUNT: $823.00
off o NEENAH WI 54957 CHECK NUMBER: 179342
CHECK DATE: 11/11/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AM DESCRIPTION
`.651 5023990 S11874 701007 823.00 MANHOLE CASTINGS
Neenah Foundry
NEiENA FOUNDRY
INVOICE $I' ll
111) Word on the Street is Neenah
Terms: Net 3•
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 SEWER DEPT YARD PICK UP
760 3RD AVE SW
CARMEL IN 46032
PAGE 1
Invoice No. Invoice Date Customer Routing PO No. Job No. Date Shipped
701007 10/15/09 C13210 CUSTOMER PICK -UP joe 278 49998 10/14/09
�dt Part Number Catalog Description Price Amount
3 59000007 1792 -EL FRAME P1792 -230 133.00 SET 399.00
3 59000265 SOLID PLATEN LD P1792 -230
4 59002001 1792 -AL FRAME P1792 -100 106.00 SET 424.00
4 59000263 SOLID PLATEN LD P1792 -100
SUB -TOTAL 823.00
METAL SURCHARGE: .000 /LB X 688 .00
TOTAL 823.00
1375 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 10 patterns by hire or other casualties, n shall be the obligation of the customer to in sure his equipment. We do not insure customers' patterns.
3. Prices do not include sales, use occupational or similar tax. II 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 "'his sale, if unfilled, is the obligation of the purchaser.
A. Seller hereby certifies that the above materials were produced in conformity with the Fair Labor Standards Act of 1938, as amended.
5. Limitation of damagesi 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
221001
NEENAH FOUNDRY CORP Purchase Order No.pp
PO BOX 729 Terms 'D
NEENAH, WI 54957 Due Date 11/2/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/2/2009 701007 $823.00
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 Officer Officer
VOUCHER 096664 WARRANT ALLOWED
_1
221001 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
701007 01- 7202 -06 $823.00
��w C
P
Voucher Total $823.00
Cost distribution ledger classification if
claim paid under vehicle highway fund