225911 11/05/2013 CITY OF CARMEL, INDIANA VENDOR: 221001 Page 1 of 1
ONE CIVIC SQUARE NEENAH FOUNDRY CORP CHECK AMOUNT: $1,739.75
CARMEL, INDIANA 46032 PO BOX 729
NEENAH WI 54957 CHECK NUMBER: 225911
CHECK DATE: 1115/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
211 4237001 785252 354 . 00 STORM SEWER MAINT SUP
211 4237001 785687 1, 107 . 00 STORM SEWER MAINT SUP
651 5023990 86916 278 . 75 OTHER EXPENSES
INVOICE
Invoice#: 785687 N E E N A H FOUNDRY
Invoice Date: 10/23/13 M*v
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. 1 Date Shipped Routing Carrier Pa e
C13200 ISHOP RON WILLIA 10/22/13 1 CUST PICKUP 1
'Job No. Saies erson Yard
48496 IJASON LONSBURY NFCO—INDIANAPOLIS
City Part Number I Catalog Description I Price Amount
3, 35012176 3501-TR ROLL FRAME P3501-615 325. 00 SET 975. 00
3 35013002, ROLL GRATE P3501-615
1 350101463501-N ROLL GRATE 122 . 00 EA. 122. 00
SUB-TOTAL 1, 097 , 00
HANDLING 10 . 00
** TOTAL 1, 107 . 00
1380 96
Claims 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 patterns by fire or other casualties,a shall be the obligation of e customer o
insure his equipment.We do not insure customers'patterns.Prices do not include sales,use,occupational or similar tax.It any tax of this nature is imposed on this sale,it is to be paid by the purchaser directly to the governmental agency
assessing the tax.Any sates,use,occupational,or similar tax imposed on this sate,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 of damages:under no circumstances will Neenah Foundry Co.be responsible for incidental 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
INVOICE
Invoice#: 785252 N E E N A 9# 1W FOUNDRY
Invoice Date: 10/17113
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 ICALVIN 10/16/13 CUST P4�NFCO-INDIANAPOLIS 1
Job No. Sales erson _. rd"48453 JASON LONSBURY
Qt Part Number Catalog Description Price Amount
1: 19162289'' 1916-F FRAME P1916-444 344 . 00 SET 344 . 00
1"' 19165293' SOLID PLATEN LD P1916-444
SUB-TOTAL 344 . 00
HANDLING 10 . 00
** TOTAL 354 . 00
1380 96
Claims for errors in weight a number must be made within ten days after the receipt of the castings.Neenah Fou rid ry Co.is not responsible for loss of or damage to patterns by tire or other casualties,it sh all be the obligation of the customer to
insure his equipment.We do not insure customers patterns.Prices don at in dude sales,use,occupational or similar tax.It any tax of this nature is imposed on this sale,it is to be paid by the purchaser directly to the governmental agency
assessing the tax.Any sales,use,occupational,or similar tax imposed on this sale,it unbil led,is the obligation of the purchaser.Seller hereby certifies that the above materials were produced in conformity with the Fair Labor Standards Ad of
1938,as amended.Limitation of damages:under no circumstances will Neenah Foundry Co.be responsible for incidental 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
VOUCHER NO. WARRANT NO.
Neenah Foundry ALLOWED 20
IN SUM OF $
Box 729
Neenah, WI 54957
$1,461.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
211 785252 42-370.01 $354.00 1 hereby certify that the attached invoice(s), or
211 785687 42-370.01 $1,107.00 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
ThVr/da Y AA ber 31, 2013
St&GofTlrrllssllone�er
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))
10/17/13 785252 $354.00
10/23/13 785687 $1,107.00
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
INVOICE
Invoice#: 86916 `
P1EEQdA9� FOUNDRY Invoice Date: 10/22/13
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 SEWER DEPT CARMEL SEWER DEPT
9609 HAZEL DELL PKWY
INDIANAPOLIS IN 46280 US 9609 HAZEL DELL PKWY
INDIANAPOLIS IN 46280
Customer No: P_0N 0'. Date Shipped Routinq Carrier Page
C13210 S13-729 1 10/21/13 1 PREPAID UNITED PARCEL SERVICE 1
Job No.1 Salesperson - Yard
060361 JASON LONSBURY NFCO—NEENAH 99
Oty I Part Number I Catalog Description Price Amount
: BILL FREIGHT FIRM 103 . 75
1` 00004152`i1468-KL SOLID LID T0603-601 175. 00 EA. 175. 00
SUB—TOTAL 175. 00
SHIPPING & HANDLING 103. 75
** TOTAL 278 . 75
1`380 96'I
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 ordamage to patterns by fire or other casualties,it shall be the obligation of e cus Omer o
insure his equipment.We do not insure customers pattems.Prices do not include sales,use,occupational or similar tax.If any tax of this nature is imposed on this sae,it is to be pad by the purchaserdirectly to the governmental agency
assessing the tax.Any sales,use,occupational,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,-amended.Limitation of damages:under no circumstances will Neenah Foundry Co.be responsible for incidental or consequential damages arising 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
VOUCHER # 136691 WARRANT # ' ALLOWED
221001 IN SUM OF $
NEENAH FOUNDRY CORP
PO BOX 729
NEENAH, WI 54957
.l
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
ti
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
86916 01-7200-02 $278.75
i
Voucher Total $278.75
Cost distribution ledger classification if
claim paid under vehicle highway fund
j
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 10/29/2013
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
10/29/201; 86916 $278.75
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
Date Officer