214376 11/07/2012 CITY OF CARMEL, INDIANA VENDOR: 221001 Page 1 of 1
0 ONE CIVIC SQUARE NEENAH FOUNDRY CORP CHECK AMOUNT: $646.00
CARMEL, INDIANA 46032 PO BOX 729
NEENAH WI 54957 CHECK NUMBER: 214376
CHECK DATE: 11/7/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
206 R4237001 27481 764647 312 . 00 STORM SEWER MAINT SUP
206 R4237001 27481 765283 334 . 00 STORM SEWER MAINT SUP
INVOICE
Invoice#: 764647 N E E N A H FOUNDRY
Invoice Date: 10/18/12 11%r
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.I PO No. I Date Shipped Routing Carrier Pa e
C13200 1west clay 1 10/17/12 1 CUST PICKUP 1
Job-114o. -Sales erson - Yard
46789 JASON LONSBURY NFCO—INDIANAPOLIS
Qty I Part Number Catalog Description Price Amount
2 16425001 1642 SOLID PLATEN LD 151 . 00 EA. 302 . 00
SUB—TOTAL 302 . 00
HANDLING 10 . 00
** TOTAL 312 . 00
1380 96
Claims for mom in weight or number must be made within ten days after the receipt of the castings.Neenah Foundry Co.is not responsible for loss of or damage to pal ems by fire or other casualties,n a e obligation o the customer o
insure his equipment We do not insure customers'pattems.Pnces do not include sales,use,occupational or similar tax.If any tax of this nature is imposed on this sale,it is to be pad by the purchaser directly to the governmental agency
assessing the tax.Any sales,use,occupational,or similar tax imposed on this sale,if unbilled,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 Cc be responsible for incidental or consequential damages asing from or in connection with the use of any Neenah Foundry casting. Past due invoices
may be subject to 1 5 1,e per month seance charge.
INVC
INVOICE ,f
Invoice#: 765283 N E E N A H FOUNDRY
Invoice Date: 10/26/12
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 US
Customer No. PO No. Date Shipped Routing Carrier 7--page
C13200 IS13356 10/25/12 CUST PICKUP 1
-_ ---job-No-.— Salesperson- -- _. Yard
46872 IJASON LONSBURY NFCO—INDIANAPOLIS
Qty Part Number Catalog Description Price Amount
1 19165313 1916—F SOLID PLATEN LD 324 . 00 SET 324 . 00
1 19160289 FRAME
SUB—TOTAL 324 . 00
HANDLING 10 . 00
** TOTAL 334 . 00
1380 96
Claims for errors in weight a number must be made within tend ays after the receipl of the castings.Neenah Foundry Co.is not responsible for loss of or damage to patterns by fire or other casualties,it shall be the obligation of e cus mer o
insure his equipment.We do not insure wslomers'patterns.Prices do not include sales,use,oaaipahonal a similar tax It any tax of this nature is imposed on this sale,it is to be paid by the purchaserdirectly to the governmental agency
assessing the tax.Any sales,use,occupational,or similar tax imposed on this sale,if unbilled,is the obligation of the purchaser Seller hereby certifies that the above materials were produced in contormity with the Fair Labor Standards Aq of
1938,as amended.Limitation of damages:under no circumstances will Neenah Foundry Co.be responsible for inadental or consequential damages arising from or in connection with the use of any Neenah Foundry casting. Past due invoices
may be subject to 1.5%per month service charge.
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, 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))
10/17/12 764647 $312.00
10/26/12 765283 $334.00
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Neenah Foundry
IN SUM OF $
Box 729
Neenah, WI 54957
$646.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
211 764647 42-370.01 j $312.00 1 hereby certify that the attached invoice(s), or
211 765283 42-370.01 $334.00 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
Thursday, November 01, 2012
Al
fiJ i ✓;� �•
Street Commissioner
Street ComrTitieiorer
Cost distribution ledger classification if
claim paid motor vehicle highway fund