HomeMy WebLinkAbout236970 09/10/14 ! CITY OF CARMEL, INDIANA VENDOR: 00351300
® '� ONE CIVIC SQUARE PADDACK WRECKER SERVICE, INC CHECK AMOUNT: $********74.00*
=Q CARMEL, INDIANA 46032 18702 US 31 NORTH CHECK NUMBER: 236970
'''�roN'�D' WESTFIELD IN 46074 CHECK DATE: 09/10/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4351000 146991 74.00 AUTO REPAIR & MAINTEN
xx'-131
PADDA )4607
W ECKER SERC.
18702 US 31
ESTFIELD, INDIAR®a(317) 896-3Service(317) 846-3
D,A,Tt�E` r/ TIME AM QUESTED 13 P.O:NQ-7
PM r 7 C G/J�l/
EPHONE
77-OW 1A)67 OF F08
ADDRESS F12Ow1 Al.MREX0 (v`
CITY STATE ZIP
I' '1 Ll
12 CC PFMLOC�IO' ""/ k'
I-. 11 VLl35If
YEAR,MAKE,MODEL
,-I COLOP MILEAGE
S TE
PLATE N VEHICLE LD NO.. l� i
MILEAGE SERVICETIME ❑ACCIDENT
START 7 START ❑IMPOUND
FINISH FINISH [}BREAKDOWN
7 // ❑SERVICE CALL
TOTAL ) S(� ' TOTAL ❑
DESCRIPTION OF SERVICES SPECIAL EQUIPMENT
—
❑SINGLE LINE WINCHING
❑DUAL LINE WINCHING
❑SNATCH BLOCKS
❑DOLLY _
L
TYPE OF TOW T01NED;P,ER ORDS v VEHICLETbT0
^.-. W
EISLING/HOIST TOW O=STATE .-FIRST TOW!'OPOLICE��=_...,.-..,,._ _ ^. _ _ L1`Uu fffddd
❑`t"CATBED/RAMP ❑LOCAL POLICE
❑WHEEL LIFT ❑SHERIFF DEPT. SECONDTOW _
❑ ❑DEALER D'dWNER
STORAGE t. TOWING CHARGE j
TO DAYS®S MILEAGE CHARGE
PAID LABOR CHARGE
DRIVER'S
❑CASH ❑CHECK LIC.NO.
WINCH CHARGE
EXP.
❑MC ❑VISA - ❑AMEX El DISCOVER DATE SPILL
CONTAINMENT
SPECIAL
CC NO. EQUIPMENT
OPERATO `S SIGrATURE -_ ATE
T/ // f CLEAN UP
UNIT NQ / STORAGE
J L� /
AUTHORIZED SIGNATURE DATE ADMIN
VEHICLE DTO DATE TOTAL 7 Z/ •I
A Not responsible for loss damage to vehicle
In case of fire,theft or any other
cause beyond our control.
printingservice 1-BOD-8288-0,327 Rel.NxG 754904616
Customer Release Form .
Liability Release Form
I have-requested towing,-transport recovery or roadside`services that
are not recommended by the company below. If damage or theft of
my vehicle(s) occurs because of this request, I release the company,
below of all responsibility, both civil and criminal, in a court of law.
Date —
Driver's License
Vehicle ID# —
Authorizing Signature
Operator Signature
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
00351300 Paddack Wrecker Service, Inc. Terms
18702 US 31 North
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
8/15/14 146991 Towing of P08 from North Trailhead to PFM xx1031 $ 74.00
Total. $ 74.00
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.
00351300 Paddack Wrecker Service, Inc. Allowed 20
18702 US 31 North
Westfield, IN 46074
In Sum of$
$ 74.00
ON ACCOUNT OF APPROPRIATION FOR
i
101 -General Fund
II
i,
PO#or Board Members
Dept# INVOICE NO. ACCT#/TITL AMOUNT
1125 146991 4351000 74.00 1 hereby cern that the attached invoice(s). or
$ Y fY
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
4-Sep 2014
Signature
$ 74.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund