241559 01/27/15 +°'`�A+, CITY OF CARMEL, INDIANA VENDOR: 00352463
® y ONE CIVIC SQUARE MILLER'S TOWING &TRANSPORT CHECK AMOUNT: $*******665.00*
s. ?q: CARMEL, INDIANA 46032 20583 CYNTHEANNE ROAD CHECK NUMBER: 241559
9�(TON„L/0�9 NOBLESVILLE IN 46060 CHECK DATE: 01/27/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 104731 665.00 OTHER EXPENSES
MILLER'S TOWING & TRANSPORT
20583 CYNTHEANNE ROAD
NOBLESVILLE, IN 46060
Invoice# : 104731 Date : 01/02/15
Billed To : CITY OF CARMEL UTILITIES
Year Name : JEFF COOPER
Make : FORD Address
Model : F8000 City
Style : UNIT 505 State
Color : Q800VBK208 ZIP :
V.I.N AG0001665774 Home Phone : 317-716-5882
License Work Phone - -
State Cash Value : .00
Odometer Sale/Auction #
Reason : TRANSPORT Sale Date
P.O. # Call#
_—_-
Membership-4—.—
Lot
embership#—:-Lot Barcode Payout Desc.
Driver : DAVID Need Release? : N
Truck# : 711 Release Date
Type of Tow : LANDOLL Release#
Requested By : CITY OF CARMEL UTILITIES Released To
Location : NEW LEBANON, IN
Destination : 96TH & HAZEL DELL CARMEL Lot/Row/Slot
Time of Call Time Dispatch
Arrival Time Hook Time
Drop Time Cleared Time
Total Hours 0.00 Hourly Rate $0.00
Billed To: CITY OF CARMEL UTILITIES Towing $665.00
clean up $0.00
Labor $0.00
Winching $0.00
Mileage Summary Misc $0.00
Beginning Ending Total Miles Rate $0.00
0 0 0 $ 0.00 Unloaded $0.00
0 0 0 $ 0.00 Loaded $0.00
Subtotal $665.00
Storage Summary Lien $0.00
Date In Date Out Total Days Rate permits $0.00
01/02/15 $ 0.00 Storage $0.00
admin. $0.00
Payout $0.00
Tax $0.00
Tax 2 $0.00
Total $665.00
Amount Paid $0.00
Balance Due $665.00
Signature:
VOUCHER # 146482 WARRANT# ALLOWED
a
00352463 IN SUM OF $
MILLER'S TOWING & TRANSPORT, LL,
20583 CYNTHEANNE ROAD {
NOBLESVILLE, IN 46060
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
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Board members
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PO# INV# ACCT# AMOUNT Audit Trail Code
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104731 01-7502-06 $665.00
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Voucher Total $665.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
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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
00352463
MILLER'S TOWING &TRANSPORT, LLC Purchase Order No.
20583 CYNTHEANNE ROAD Terms
NOBLESVILLE, IN 46060 Due Date 1/15/2015
I
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
1/15/2015 104731. $665.00
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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