251676 11/18/15 w.��NM
f CITY OF CARMEL, INDIANA VENDOR: 00351300
® ONE CIVIC SOUARE PADDACK WRECKER SERVICE, INC CHECK AMOUNT: $*******170.00*
s. ?�' CARMEL, INDIANA 46032 18702 CHAD HITTLE DR CHECK NUMBER: 251676
+M, a, WESTFIELDIN 46074 CHECK DATE: 11/18/15
<TON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 151877 170.00 AUTO REPAIR & MAINTEN
PA®®ACI(
WRECKER SERVICE, INC.
18702 US 31 North Road WESTFIELD, INDIANA 46074 -
(317) 896-3206 190h 0
(317) 846-3206 r V I
GATE TIME AM REQUESTED BY P.O.NO.
PM
NAME PHONE
ADDRESS
CITY STATE ZIP
LOCATION OF VEHICLEI;/rr>S LL
I
//V
YEAR.MAKE,MODL OL MILEAGE
S ATS 1 PIAS�E�� HI L 1 v
` /�
aWqS4- ?��
MILEAGE SERVICETIME L/ ACCIDENT
START START _ ❑ IMPOUND
FINISH FINISH ❑ BREAKDOWN
❑ SERVICE CALL
TOTAL TOTAL ❑
DESCRIPTION OF SERVICES SPECIAL EQUIPMENT
❑ SINGLE LINE WINCHING
❑ DUAL LINE WINCHING
❑ SNATCH BLOCKS
❑DOLLY
❑
TYPE OF TOW TOWED PER ORDER OF VEHICLETOWEDTO
❑ SLING/HOIST TOW El STATE POLICE FIRST TOW /1
FLATBED/RAMP OCAL POLICE lC `� �1T1��_
HEEL LIFT ❑ SHERIFF DEPT. SECOND TOW
❑ ❑ DEALER ❑OWNER
STORAGE
TOWING CHARGE
TO DAYS @ S MILEAGE CHARGE 00
PAID LABOR CHARGE
DRIVER'S
❑ CASH ❑ CHECK LIC.NO.
WINCH CHARGE
EXP.
❑ MC ❑ VISA ❑ AMEX ❑ DISCOVER DATE SPILL
CONTAINMENT
SPECIAL
CC No. EQUIPMENT
OPER r�ntl1RE DATE CLEAN UP
UNIT N 1/
STORAGE
ALIT HORI IGNATURE DATE
ADMIN FEE
VEHICLE RELEASED TO DATE
TOTAL
1 rig ^ Not responsible for loss damage to vehicle Than k YO �
'5 1 tyJ( 77
in case of fire.theft or any otherr cause beyond our control. 9�0 k'
b1BLUXE FOR BLJ1-S!N;_jy
t�.
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))
09/23/15 151877 tow $170.00
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, Inc.
IN SUM OF $
18702 Chad Hittle Dr
Westfield, IN 46074
$170.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
1110 I 151877 I 43-510.00 I $170.00 1 hereby certify that the attached invoice(s), or
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
Friday, Nov mber 13, 2015
Chief of Police
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund