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250325 1 0/07/1 5 9,�'' ��'';"> CITY OF CARMEL, INDIANA VENDOR: 369940 ® 'I ONE CIVIC SQUARE LAST CHANCE WRECKER & SALES INCCHECK AMOUNT: $"`***""50.00' INDIANAPOLIS CARMEL, INDIANA 46032 1024 E MARKET ST CHECK NUMBER: 250325 or a� INDIANAPOLIS IN 46202 CHECK DATE: 10/07/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 911 4351000 50.00 AUTO REPAIR & MAINTEN a Last Chance Wrecker & Sales Inc. 1024 E. Market Street k• ,• , ; Indianapolis, IN 46202 _ 317 972 9651 Dispatch 1T'-"`�'-""�_`•Il7 ( ) p . ,. (317)972-9650 Fax www. L 0476835 24 HOUR SERVICE O - P.O. .= r � . Nth,. NAME ONE �."-ADDRESS t` ; .'CITY ST ZIP CODE §�".;7-�LOCATION OF V - DRI CK NO. E- KE/M C JOWMFf EAR .I ••OWNER'S PHONE NO. +'`• a _ CONDITION OF VEHICLE: 1-MINOR 2-MODERATE 3-EXTREME PROPERTY: • 3 q 5 g 7• 8 zc K LEFT, o 0 ----------. :z Y N 2 .17: ,18 :19; 9 R DIO 10 15 `"�'14 13 J 12 .. 20-Undercarriage •REASON.FOR TOW/SERVICE. SPECIAL EQUIPMENT: ❑ACCIDENT ❑TA ❑LOCK OUT E)WINCH l.Ft_ ❑ARREST ❑ ❑JUMP START ❑DOLLY >. ❑UNREGISTERED ❑STOLEN CAR ❑FLAT TIRE ❑GO-JACK ❑TOW ZONE ❑BREAKDOWN ❑OUT OF GAS OTHER: '''•TYPE OE TOW: TOW PER,ORDER OF: !MPDnsP HOLD_#_ OFFICER__LOT LocarloN gas_❑WHEEL LIFT ❑'MPD/ISP/ + :Kc ❑MEDIUM DUTY ❑OWNER/DE LER 10:23 VP 10:08 ,. 1 r.: _E] HEAVY DUTY ❑PROPERTY OWNER . CHARGE 'ACKNOWLEDGEMENT: TOWING BY SIGNING BELOW,I ACKNOWLEDGE THAT THE INFORMATION _�. . RECORDED ON THIS TICKET IN RELATIONSHIP TO A NOW MILEAGE CHARGE t=V; CONSENSUAL TOW IS TRUE AND ACCURATE.I ATTEST THAT I AM x' THE PARKING LOT OWNER OR THE OWNER'S AUTHORIZED AGENT. LABOR CHARGE I FURTHER UNDERSTAND THAT I WILL BE LIABLE FOR ANY DAMAGE rer `SUSTAINED BYTHE VEHICLE AS A RESULT OF IMPROPER TOWING. EQUIPMENT LASTLY,I ACKNOWLEDGE THAT THIS TOW COMPLIES WITH THE F "REQUIREMENTS OF CHAPTER 995 OF THE REVISED CODE OF THE STORAGE CHARGE ez N CITY OF INDIANAPOLIS AND MARION COUNTY. DROP FEE ' AUTHORIZED DATE "OTHER'r• r.'_'SIGNATURE ' '_ ..-PRINTED - DATE rt+"" .-PRINTED SUB TOTAL '=OPERATOR'S - E TAX et . SIGNATURE _ :4.�•- ` cL�`--;,r;VEHICLE - DATE RELEASED TO TOTAL Not respo.sible for loss or damage to vehicle in case of fire,theft or any other cause beyond dt frcontrol. �,'aLC-TOWTKT 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)) 09/03/15 047685 $50.00 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 Last Chance Wrecker & Sales, Inc. IN SUM OF $ 1024 E. Market Street Indianapolis, IN 46202 $50.00 ON ACCOUNT OF APPROPRIATION FOR Proict 2015-911 Task 2015-2 PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 911 047685 43-510.00 $50.00 I hereby certify that the attached invoice(s), or I 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 Wednesday, September 30, 2015 Major Title Cost distribution ledger classification if claim paid motor vehicle highway fund