HomeMy WebLinkAbout211882 08/14/2012 CITY OF CARMEL, INDIANA VENDOR: 221001 Page 1 of 1
ONE CIVIC SQUARE NEENAH FOUNDRY CORP
CARMEL, INDIANA 46032 PO BOX 729
CHECK AMOUNT: $279.00
NEENAH WI 54957 CHECK NUMBER: 211882
CHECK DATE: 8114/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
206 R4237001 27481 757966 279 . 00 STORM SEWER MAINT SUP
INVOICE
Invoice#: 757966 N E E N A H FOUNDRY
Invoice Date: 7/24/12 1qF
Terms: Net 30 "Word on the Street is Neenah"
Please Remit Payment To:
Neenah Foundry Company Payable in U.S. Dollars FEIN 39-1580331
P.O. Box 729 Phone:800-558-5075 Fax:920-729-3682
Neenah WI 54957-0729
Sold To: Shipped To:
CARMEL STREET DEPT YARD PICK—UP
3400 W 131ST STREET
CARMEL IN 46074
Customer No. PO No. Date Shipped Routing Carrier Pa e
C13200 7/23/12 CUST PICKUP 1
Job No. I Salesperson Yard
46210 JASON LONSBURY NFCO—INDIANAPOLIS
a Part Number Catalog Description Price Amount
1 18783044 1878-B7G GRATE 269 . 00 EA. 269. 00
SUB-TOTAL 269. 00
HANDLING 10 . 00
** TOTAL 279 . 00
1380 96
Claims for errors in weight a number must be made within tend ays atter the receipt of the castings Neenah Foundry Co is not responsible for loss of or damage to patlems by fire or other mwallies,n shall be the obligation of e customer to
insure his equipment We do not insure customers'pattems Prices do not mdude sales,use,occupational a similar tax.If any tax of this nature is imposed on this sale,it is to be pad by the pur haler 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 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 ansing from or in connection with the use of any Neenah Foundry casting Past due invoices
may be subject to 1.5 16 per month service charge.
INVC
VOUCHER NO. WARRANT NO.
ALLOWED 20
Neenah Foundry
IN SUM OF $
Box 729
Neenah, WI 54957
$279.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
27481 I 757966 I 42-370.01 I $279.00 I 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
R
r Thursday, August 09, 2012
;1
Street Commissioner
.._...�_ " ...__._.._.
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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))
07/24/12 757966 $279.00
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