221163 06/18/2013 *f CITY OF CARMEL, INDIANA VENDOR: 221001 Page 1 of 1
ONE CIVIC SQUARE NEENAH FOUNDRY CORP CHECK AMOUNT: $2,130.00
'�+a CARMEL, INDIANA 46032 PO BOX 729
NEENAH WI 54957 CHECK NUMBER: 221163
CHECK DATE: 6/18/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 774722 2 , 130 . 00 OTHER EXPENSES
INVOICE
Invoice#: 774722 N E E N A H FOUNDRY
Invoice Date: 5/31/13 ivp
Terms: Net 30 "Word on the Street is Neenah"
Please Remit Payment To:
Neenah Foundry Company Payable in U.S. Dollars FEIN 39-1 58033 1
P.O. Box 729 Phone:800-558-5075 Fax:920-729-3682
Neenah WI 54957-0729
Sold To: Shipped To:
CARMEL SEWER DEPT YARD PICK—UP
760 3RD AVE SW
CARMEL IN 46032 US
Customer No.I PO No. Date Shipped Routinq Carrier Page
C13210 s13595 _ 5/30/13 CUST PICKUP 1
Job No. I Salesperson Yard
47648 JASON LONSBURY NFCO—INDIANAPOLIS
Oty I Part Number Catalog Description Price Amount
20 99985014 DF 1772 SOLID PLATEN LD 106. 00 EA. 2, 120 . 00
SUB-TOTAL 2, 120 . 00
HANDLING 10 . 00
** TOTAL 2, 130 . 00
1380 96
Clams for errors 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 patients by fire or other casualties,d shall be the obligation o e customer o
Insure his equipment.We do not insure customers'pattems.Prices do not include sales,use,occupational or similar tax.II any tax of this nature is imposed on this sae,it is to be paid by the purchaserdirectly to the govemmernal agency
assessing the tax.Any saes,use,occupational,or similar tax imposed on this sale,it unbilted,is the obligation of the purchaser.Seller hereby certdies 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 consequemia 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 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 6/12/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/12/2013 774722 $2,130.00
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.
Date Off ice r
VOUCHER # 135731 WARRANT # ALLOWED
221001 IN SUM OF $
NEENAH FOUNDRY CORP
PO BOX 729
NEENAH, WI 54957
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
774722 01-7200-02 $2,130.00
Voucher Total $2,130.00
Cost distribution ledger classification if
claim paid under vehicle highway fund