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245581 05/20/15 F'ti�.�r C.IF,yF( CITY OF CARMEL, INDIANA VENDOR: 00351300 ® ONE CIVIC SQUARE PADDACK WRECKER SERVICE, INC CHECK AMOUNT: $*****1,095.00* CARMEL, INDIANA 46032 18702 CHAD HITTLE DR CHECK NUMBER: 245581 WESTFIELD IN 46074 CHECK DATE: 05/20/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4351000 568538 810.00 AUTO REPAIR & MAINTEN 2201 4351000 570543 285.00 AUTO REPAIR & MAINTEN PADDACK'S HEAVY TRANSPORT SERVICE 18702 US 31 N WESTFIELD, INDIANA 46074 (317) 896-3206 Fax: (317) 867-0651 D e Time AM PM R quested By P.O.No. Name Phone CkVV-A C 1 vtZ� L52 Address City State Zip Lo�'tioon�� • +A Location 2 tt D inationt VV Destination 2 v'/►�l SI-� c�i— Y Description S Mileage Start Finish Total Service Time Start Finish Total Services Provided Vic 0r- i^L' 40 � � Fi 6-- V V.— oyC 8 G Remove Driveline ❑ Secure Air Ride ❑ Cage Brakes D Landoll Trailer❑ Low Boy Trailer D HD Rollback ❑ STORAGE FROM Transport Charge Mileage Charge TO DRIVER'S DAYS®$ PAID BY Hr. Charge ❑CASH ❑CHECK LIC.No. Permit Fees EXP. ❑COM CHECK ❑MC ❑VISA ❑AMEX DATE Labor Charge Winch Charge 52 CC No. Storage OPERATOR'S b SIGNATURE ATE �!d rC TRUCK NO. I Z — (:)3)f) Subtotal AUTHORIZED SIGNATURE DATE [Total S� 6 568538 �t•-..•+: ,i�EBSCtfST�..YvS �rittttti({<entCP .... .- .c... ... ••r:;,,,ar,uy ctr,..—t•.. .:rr: _,...,:o;r f•.i-t .., t: ,.., ,iv�r;�s PADDACK'S HEAVY TRANSPORT SERVICE 18702 US 31 N WESTFIELD, INDIANA 46074 (317) 896-3206 Fax: (317) 867-0651 � ld_ Time AM PM Requested By P.O.No. / /S—/11 7 Name Phone 1� Address City State Zip L c to Location 2 estiCCnAAtion 1Destination 2 ,V.J T s Description JU�n 10 4A, Mileage Start Finish Total Service Time Start Finish Total Services Pr vide fA1 VC14u Remove Driveline ❑ Secure Air Ride ❑ Cage Brakes ❑ Landoll Trailer❑ Low Boy Trailer ❑ HD Rollback ❑ STORAGE FROM Transport Charge ZOS Mileage Charge TO DAYS @$ PAID BY Hr. Charge DRIVER'S ❑CASH ❑CHECK LIC.NO. Permit Fees EXP. ❑COM CHECK ❑ MC ❑ VISA ❑AMEX DATE Labor Charge Winch Charge CC NO. Storage OP TOR'S SIGNATURE _DATE -is-)S- Dld zTRIJCK ° � Subtotal AUTHORIZED SIGNATURE DATE Total Zg t 570543 NFBSLUST- M' printinq service ?„ Prch; .. �•... r:a;; .r+:, •u:? .:.Y:•. ntt +J::.:, e;;gCit:•i 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)) 05/11/15 568538 $810.00 05/12/15 570543 $285.00 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 Chad Hittle Dr. Westfield, IN 46074 $1,095.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 568538 43-510.00 $810.00 1 hereby certify that the attached invoice(s), or 2201 570543 43-510.00 $285.00 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 17 ThA ay g5 WU U St%R(�, Yt? ig%s 4 er Title Cost distribution ledger classification if claim paid motor vehicle highway fund