224052 09/10/2013 CITY OF CARMEL, INDIANA VENDOR: 221001 Page 1 of 1
ONE CIVIC SQUARE NEENAH FOUNDRY CORP
CARMEL, INDIANA 46032 PO BOX 729 CHECK AMOUNT: $172.00
NEENAH WI 54957
o„ CHECK NUMBER: 224052
CHECK DATE: 9/10/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
211 4237001 781157 172 . 00 STORM SEWER MAINT SUP
INVOICE
Invoice#: 781157 N E E N A H FOUNDRY
Invoice Date: 8/27/13
Terms: Net 30 "Word on the Street is Neenah"
Please Remit Payment To:
Foundry Company Payable in U.S. Dollars FEIN 39-1580331
Neenah
Neenah 729 Phone:800-558-5075 Fax:920-729-3682
P.O. Box 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 Routing Carrier Page
C13200 1106th 8/26/13 CUST PICKUP 1
Job-No-. ,I-salesperson ------ --- -- - Yard, _ —148152 JASON LONSBURY NFCO-INDIANAPOLIS
City Part Number Catalog Description Price Amount
1 35012176 . 3501-T ROLL FRAME 162 . 00 EA. 162 . 00
SUB-TOTAL 162 . 00
HANDLING 10 . 00
** TOTAL 172 . 00
I
1380 96
Clams for mom in weight a number must be made within ten days aher 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 the customer to
insure Ns equipment.We do not insure customers'patterns.Prices do not include sales,use,occupational or similar tax.11 any tax of this nature is unposed on this sale,it is to be paid by the purchaser directly to the governmental agency
assessing the tax.Any saes,use,ocwpational,or similar tax imposed on this sale,it 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 at damages:under no circumstances will Neenah Foundry Co.be responsible for incidental or consequential damages ansmg from a 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))
08/27/13 781157 $172.00
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 5-11-10-1.6
20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Neenah Foundry
IN SUM OF $
Box 729
Neenah, WI 54957
$172.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
r
211 I 781157 I 42-370.01 I $172.00 1 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
ursday, ept er 05, 2013
Jm
Street Commissi n
Street CdWenissioner
Cost distribution ledger classification if
claim paid motor vehicle highway fund