HomeMy WebLinkAbout214760 11/20/2012 CITY OF CARMEL, INDIANA VENDOR: 221001 Page 1 of 1
ONE CIVIC SQUARE NEENAH FOUNDRY CORP
CARMEL, INDIANA 46032 PO BOX 729
CHECK AMOUNT: $334.00
NEENAH WI 54957
CHECK NUMBER: 214760
CHECK DATE: 11/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
206 R4237001 27481 766414 334 . 00 STORM SEWER MAINT SUP
INVOICE
Invoice#: 766414 N E E N A H F O U N D R Y
Invoice Date: 11/12/12 MW
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.I PO No. Date Shipped Routinq Carrier Pa e
C13200 IS13381 11/09/12 1 CUST PICKUP 1
Jib-No--Sales erson - -- ____--=--_ _-- - -------- _— Yard -
469541 JASON LONSBURY NFCO—INDIANAPOLIS
Oty Part Number Catalog Descri lion Price Amount
1 19160289 1916-F FRAME P1916-443 324 . 00 SET 324 . 00
1 19165293 SOLID PLATEN LD P1916-443
SUB—TOTAL 324 . 00
HANDLING 10 . 00
** TOTAL 334 . 00
1380 96
Clams for errors in weight or number must be made within tend ays after the receipt 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 customer to
insure his equipment.We do not insure customers pattems. Prices do not include sales,use,occupational or similar tax.11 any tax of this nature is imposed on this sale,it is to be paid by the p irchaserdirectly 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 Cc 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%per month service charge
INVC
VOUCHER NO. WARRANT NO.
Neenah Foundry ALLOWED 20
IN SUM OF $
Box 729
Neenah, WI 54957
$334.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
27481 I 766414 I 42-370.01 I $334.00 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
N� Thursday, November 15, 2012
w
l
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))
11/12/12 766414 $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