241352 01/22/15 a'.
CITY OF CARMEL, INDIANA VENDOR: 00351300
® Yr ONE CIVIC SQUARE PADDACK WRECKER SERVICE, INC CHECK AMOUNT: $""""'525.00'
CARMEL, INDIANA 46032 18702 US 31 NORTH CHECK NUMBER: 241352
M,roN r� WESTFIELD IN 46074 CHECK DATE: 01/22/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351000 567628 525.00 AUTO REPAIR & MAINTEN
PADDACK'S
HEAVY TRANSPORT SERVICE
18702 US 31 N
WESTFIELD,INDIANA 46074
(317)896-3206
Fax:(317)867-0651
Dfte 1'1 _ 1 Time AM PM Requested ByC C P.O.No.
Name 1 f J Ph ne
cok'rvyttJ e o.f V 7 - LD C1 1012
',?q
sf
y00 W131
Cil"
State Lp
a v 01.1.e 1 /N LI Lo o 3 2-
Location
location t34go w , 13 � Location 2
� t1
Destination tD stip Gon 2 '
tr iM o �csu► ) ic
Description
IQ V I-
S-1 97/ VSA; _
laic -
28o t
Mileage Start Finish Total
Service Time Start Finish , v 0 Y'- Total 2 I,
'. UO q-^ Finish
Services Provided
+�w
SIC C-V-t
Remove Driveline❑ Secure Air Ride❑ Cage Brakes❑
Landoll Trailer❑ Low Boy Trailer❑ HD Rollback❑
STORAGE FROM Transport Charge
Mileage Charge
PAIBY TO DAYS®S Hr.Charge
D b Z S
DRIVER'S
CASH ❑CHECK LIC.NO. Permit Fees
EXP.
❑COM CHECK ❑MC ❑VISA ❑AMEX DATE Labor Charge
Winch Charge
CC NO. Storage
OPERATOR'S SIGNATURETek.CQ DATE
TRUCK NO. / Subtotal
AUTHORIZED SIGNATURE DATE Total 15-2-
567628 567628 ✓
NEUS CUST4 M 141 ,A•::
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))
01/14/15 567628 $525.00
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
Paddack Wrecker Service
IN SUM OF $
18702 US 31 North
Westfield, IN 46074
$525.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
2201 567628 43-510.00 $525.00 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
uau4 #,jF'r1td4YJ'4"16, 2015
ctMet Comm issiQnar.
Street Commissioner
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund