249384 09/09/15 ^'���"e,F CITY OF CARMEL, INDIANA VENDOR: 00351300
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ONE CIVIC SQUARE PADDACK WRECKER SERVICE, INC CHECK AMOUNT: S"'''"110.00'
,_� CARMEL, INDIANA 46032 18702 CHAD HITTLE DR CHECK NUMBER: 249384
���orv'LO WESTFIELD IN 46074 CHECK DATE: 09/09/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 151166 55.00 AUTO REPAIR & MAINTEN
1110 4351000 151523 55.00 AUTO REPAIR & MAINTEN
I
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WRECKER SERVICE, INC. 10
18702 US 31 North
WESTFIELD, INDIANA 46074 Road
(317) 896-3206 13
(317) 846-3206 (a (r v 109
9
DATE / r �" TIME AM RE E Y P.O.NO.
l/Jn r PM
NAME PHONE
I colds 4—W�—
ADDRESS
CITY STATE ZIP
LOCATION OF VEHICLE j ��D 6, /
YE R, KEffi�ze—l- q
MODEL /l l 1!// / C LOR MILE
�° C�
7Ll JICYE I.
MILEAGE SERVICETIME ❑ ACCIDENT
START START IMPOUND
❑ BREAKDOWN
FINISH FINISH
❑ SERVICE CALL
TOTAL TOTAL ❑
DESCRIPTION OF SERVICES SPECIAL EQUIPMENT
❑ SINGLE LINE WINCHING
/l ❑ DUAL LINE WINCHING
LL ❑ SNATCH BLOCKS
❑ DOLLY
TYPE OF TOW TOWED PER ORDER OF VEHICQLETOWEDTO
❑ S/LING/HOIST TOW ❑/STATE POLICE FIRS WW� /�
In FLAT BED/RAMP .Q LOCAL POLICE (/��
❑ WHEEL LIFT ❑ SHERIFF DEPT. SECONDTOW
❑ ❑ DEALER O OWNER
STORAGE QTOWING CHARGE
r�I 7e1v '6)vla I AY k� �e' ' MILEAGE CHARGE4o s ;LYL/
PAID `�iLABOR CHARGE
DRIVER'S (�
El CASH ❑ CHECK LIC.NO.
,D --
WINCH CHARGE
EXP.
❑ MC ❑ VISA ❑ AMEX ❑ DISCOVER DATE SPILL
CONTAINMENT
SPECIAL
CC NO. EQUIPMENT
OPERATOR'S SIGN,!�TCAA�n / CLEAN UP
UNIT NO. `(� !/ STORAGE
AUTHORIZED SIGNATURE DATE
ADMIN FEE
VEHICLE RELEASED TO DATE
TOTAL 55
Not responsible for loss or damage to vehicle h a exp k Y®e
15116 6
in case of fire,theft or any other cause beyond our control. u U 9 @.11
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WRECKER SERVICE, INC.
18702 US 31 North
: WESTFIELD, INDIANA 46074 Road
(317) 896-3206
(317) 846-3206
DATE /f r( TIME AM REQUESTED BY PO.N(.,
"D
?'S Is-
PM
NAM
J"T7
AD ESS
CITY STATE ZIP
LOCATION OF VEHIC �
j,,j,,\
YEAR,PAAK�,MODEL O/ CC�LO� MILEAGE
'Y/ry�R p0 n ktv\, V jCL / tilt'\` c/¢1�]
I PLATE N�v\ V iV� v W vY 13 �J(i ~
MILEAGE SERVICE TIME ACCIDENT
START START l�J IMPOUND
❑ BREAKDOWN
FINISH FINISH
, ❑ SERVICE CALL
TOTAL TOTAL ❑
DESCRIPTION OF SERVICES SPECIAL EQUIPMENT
(?-SINGLE LINE WINCHING
❑ DUAL LINE WINCHING
El SNATCH BLOCKS
❑ DOLLY
El
TYPE OF TOW TOWED PER ORDER OF VEHICLETOWEDTO
❑ SSLING/HOISTTOW El STATE POLICE FIRST TOW i
L��'FLAT BED/RAMP /, LOCAL POLICE CUVf
❑ WHEEL LIFT ❑ SHERIFF DEPT. SECOND TOW
❑ i❑ DEALER ❑OWNER
ST AGE TOWING CHARGE
V.hannn ��
hd D v s MILEAGE CHARGE
PAID LABOR CHARGE
DRIVER'S
❑ CASH ❑ CHECK LIC.NO,
WINCH CHARGE
EXP.
❑ MC ❑ VISA ❑ AMEX ❑ DISCOVER DATE SPILL
CONTAINMENT
SPECIAL
cc NQ. EQUIPMENT
OPERATO IGNATU �/Jf/' DATE
{/� CLEAN UP
UNIT NO.
STORAGE
AUTHORIZED SIGNATURE DATE
ADMIN FEE :+
VEHICLE RELEASED TO DATE
TOTAL
151523 Not responsible for loss damage to vehicle `�h a n k Y®u
in case of lire, theft or any otherr uo cause beyond our control. ®
CtDIELURI£ FOR BUSINESS 1-800-888-6327 Ref tor, G 15%5{tiifif,
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))
08/06/15 vehicle tow $55.00
1 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, Inc.
IN SUM OF $
18702 Chad Hittle Dr
Westfield, IN 46074
\�o .-'�-
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1110 43-510.00 $55.00
I hereby certify that the attached invoice(s), or
\5\1 bl� I I
5� 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
We ay, September 02, 2015
�Z Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund