179778 11/24/2009 CITY OF CARMEL, INDIANA VENDOR: 221001 Page 1 of 1
ONE CIVIC SQUARE NEENAH FOUNDRY CORP CHECK AMOUNT: $9,087.00
CARMEL, INDIANA 46032 Po Box 729 NEENAH WI 54957 CHECK NUMBER: 179778
CHECK DATE: 11/24/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
;651 5023990 702157 9,087.00 OTHER EXPENSES
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
Sold To:
Fax: 920 729 -3682
Shipped Pp ed 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
702157 10/30/09 C13200 CUSTOMER PICK -UP SR151 45122 10/29/09
&y Part Number Catalog Description Price Amount
20 17137300 1713 ADJUSTING RING 127.00 EA. 2,540.00
8 17137200 1713 ADJUSTING RING 113.00 EA. 904.00
10 17137250 1713 ADJUSTING RING 114.00 EA. 1,140.00
19 16427300 1642 ADJUSTING RING 237.00 EA. 4,503.00
SUB -TOTAL 9,087.00
METAL SURCHARGE: .000 /LB X 5505 .00
TOTAL 9,087.00
1375 98
1. Claims for errors in weight or number must be made within ten days aher 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 equipmem. We do not insure customers' patterns.
3. Prices do not include sales, use, occupational or similar tax. It any tax of this nature is imposed on this sale, h governmental is to be paid by the purchaser directly to the governme agency assessing the tax. Any sales, use occupational, or similar tax
imposed on this sale, it unbilled, is the obligation of the purchaser.
4. Seller hereby certties that the above materials were produced in comonnity with the Fair Labor Standards Act of 1938, as amended.
5. Limitation o1 damages: under no circumstances will Neenah Foundry Co. be responsibe 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.
PO BOX 729 Terms �E
NEENAH, WI 54957 Due Date 11/17/2009 p
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
11/17/2004 702157 $9,087.00
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
r �i I 1 e"'.4
Date Officer
I
V,OUCHEP 096783 WARRANT ALLOWED
ti
221001 IN SUM OF
NEENAH FOUNDRY CORP
PO BOX 729
NEENAH, WI 54957
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
I�
Board members
PO INV ACCT AMOUNT Audit Trail Code
702157 01- 7200 -02 $9,087.00
O
Voucher Total $9,087.00
Cost distribution ledger classification if
claim paid under vehicle highway fund