HomeMy WebLinkAbout239593 11/25/14 ��� CITY OF CARMEL, INDIANA VENDOR: 00351300
j; ® ; ONE CIVIC SQUARE PADDACK WRECKER SERVICE, INC CHECK AMOUNT: $*******316.00*
s. �; CARMEL, INDIANA 46032 18702 US 31 NORTH CHECK NUMBER: 239593
9M,()UII�` WESTFIELD IN 46074 CHECK DATE: 11/25/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351000 566746 316.00 AUTO REPAIR & MAINTEN
it
PAS
HEAVY TRANSPORT SERVICE
18702 US 31 N
WESTFIELD,INDIANA 46074
,�(317�)896-3206
F9X (317)867-0651
Date Time AM PM Requested By O.No.
1-17 " C.arv�i�
Name Mona Wf
Address
City State Zip
Location 1 , Lo t
3,100 w ion 2
arm s�- e
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Destinatio 1 - Dest niption 2
re W06 ielvi 0c
Description
o e-r
%/)'.. — I( p PS1/936 #" — 303 to,
Mileage Start 24#1 Finish (—^f_ Total,
A62
Service Time StartFinish Total
Services Provided
1/ Y..P� tt 1Qf
1
iebrb.io)
vc
— 14 1 .f+u KJ % t
Remove Driveline Secure Air Ride❑ Cage Brakes Nt
Landoll Trailer❑ Low Boy Trailer❑ HD Rollback❑
STORAGE FROM Transport Charge J
Mileage Charge
- - To DAYS®$ Hr.Charge
PAID BY DRIVER'S
❑CASH ❑CHECK LIC.NO. Permit Fees
EXP.
❑COM CHECK ❑MC ❑VISA ❑AMEX DATE Labor Charge
Winch Charge
CC NO. Storage
OPERATOR'S SIGNATURE DATE
54 1 —1 —
TRUCK NO. /Z�� Subtotal
AUTHORIZED SIGNATURE DATE Total 3 to
566746
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VOUCHER NO. WARRANT NO.
ALLOWED 20
Paddack Wrecker Service
IN SUM OF$
f
18702 US 31 North
Westfield, IN 46074
$316.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE I AMOUNT Board Members
2201 I 566746 I 43-510.001 $316.00 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
/
Frid Nou 14
N./WVV W
1-f
S`� �dFl��ir�r
Title
i
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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i
Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
I
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
�I
Purchase Order No.
Terms
I
Date Due
I
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
11/17/14 566746 $316.00
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