176865 09/02/2009 CITY OF CARMEL, INDIANA VENDOR: 221001 Page 1 of 1
ONE CIVIC SQUARE NEENAH FOUNDRY CORP CHECK AMOUNT: $272.00
CARMEL, INDIANA 46032 PO BOX 729
NEENAH WI 54957 CHECK NUMBER: 176865
CHECK DATE: 9/212009
DEPARTMENT ACCOUNT P NUMBER INVOICE NUMB AMOUNT DESCRIPTION
651 5023990 881777 272.00 MATERIALS SUPPLIES
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ORIGINAL
M NEENAH FOUNDRY
H l 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
o T CARMEL- SEWER DEPT YARD PICK —•UP
L O
D 3410 W 13iST ST
WESTrIELD IN 48074 PAGE I
PLEASE REFER TO INVOICE NUMBER CUSTOMER NUMBER ON ALL CORRESPONDENCE CONCERNING THIS INVOICE
ROUTING PURCHASE ORDER JOB NUMBER DATE SHIPPED INVOICE NUMBER ICUSTOMERNO.
CUSTOMER P IC K —UP COOL CREEK DR I4' 49534 C 1 c
QUANTITY PART NUMBER CATALOG DESCRIPTION PRICE AMOUNT
1 19160289 1916 —F FRAME P1916 -443 272.00 SET 272.00
1 1916 5293 SOLID PL.A TEN LO P1916443
SUB--TOTAL 272.00
METAL. SURCHARGE: OOO /L.B 342 .00
TOTAL 272. 00
1379 9s
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,.. q
USE, OCCUPATIONAL, OR SIMILAR TAX IMPOSED ON THIS SALE, IF UNBILLED,ISTHE 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.UMITATION 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. I
Prescribed by State Board of Accounts City Form No. 201 (Rev 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
x'
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
NEENAH, WI 54957 Due Date 8/25/2009
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
8/25/2009 881777 $272.00
hereby certify that the attached invoice(s), or bill(s) is (are) true and
orrect and I have audited same in accordance with IC 5- 11- 10 -1.6
Date Officer
VOUCHER 096306 WARRANT ALLOWED
221001 IN SUM OF
NEENAH FOUNDRY CORP
PO BOX 729
NEENAH, WI 54957
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
i ll
Board members
PO INV ACCT AMOUNT Audit Trail Code
881777 01- 7200 -02 $272.00
P C)
Voucher Total $272.00
Cost distribution ledger classification if
claim paid under vehicle highway fund