245563 05/20/15 CITY OF CARMEL, INDIANA VENDOR: 369398
® t' ONE CIVIC SQUARE MILLER'S TOWING &TRANSPORT CHECK AMOUNT: $*******125.00*
a CARMEL, INDIANA 46032 20583 CYNTHEANNE ROAD CHECK NUMBER: 245563
NOBLESVILLE IN 46060 CHECK DATE: 05/20/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 19091 125.00 OTHER EXPENSES
MILLER'S TOWING & TRANSPORT
20583 CYNTHEANNE ROAD
NOBLESVILLE, IN 46060
Invoice # : 19091 Date : 03/13/15
Billed To : CITY OF CARMEL UTILITIES
Year Name : CARMEL WATER
Make : FORD Address
Model : F SERIES City
Style : WATER TRUCK State
Color : RED ZIP
V.I.N Home Phone - -
License : 12417 Work Phone - -
State : IN Cash Value : .00
Odometer Sale/Auction #
Reason : AIR BRAKES Sale Date
P.O. # Call #
Membership # Member Exp.
Lot Barcode : UNIT 80 Payout Desc.
Driver : CHUCK Need Release? : N
Truck # : 600 Release Date
Type of Tow : MEDIUM DUTY Release #
Requested By : CITY OF CARMEL UTILITIES Released To
Location : 106TH AND HAZEL DELL
Destination : CARMEL WATER PLANT 96TH 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 $125.00
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
Discount _$0.00_
Subtotal $125.00
Storage Summary Lien $0.00
Date In Date Out Total Days Rate permits $0.00
03/13/15 $ 0.00 Storage $0.00
admin. $0.00
Payout $0.00
Tax $0.00
Tax 2 $0.00
Total $125.00
Amount Paid $0.00
Balance Due $125.00
Signature:
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 5/12/2015
Invoice Invoice - Description
Date Number (or note attached invoice(s) or bill(s)) Amount
5/12/2015 19091 $125.00
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
Date Officer
VOUCHER # 155509 WARRANT # ALLOWED
i
00352463 IN SUM OF $
MILLER'S TOWING & TRANSPORT, LLQ
20583 CYNTHEANNE ROAD
NOBLESVILLE, IN 46060
Carmel Wastewater Utility
1
ON ACCOUNT OF APPROPRIATION FOR !
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
i
19091 01-7500-02 $125.00
i
Voucher Total $125.00
Cost distribution ledger classification if
claim paid under vehicle highway fund
I