252060 12/02/15 Ji•CggMf
CITY OF CARMEL, INDIANA VENDOR: 369398
® ONE CIVIC SQUARE MILLER'S TOWING &TRANSPORT CHECK AMOUNT: $*-....70.00-
CARMEL, INDIANA 46032 20583 CYNTHEANNE ROAD CHECK NUMBER: 252060
NOBLESVILLE IN 46060 CHECK DATE: 12/02/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4351000 22734 70.00 AUTO REPAIR & MAINTEN
MILLER'S TOWING & TRANSPORT
20583 CYNTHEANNE ROAD
NOBLESVILLE, IN 46060
Invoice # : 22734 Date : 10/28/15
Billed To : CARMEL CLAY PARKS AND RECREATION
Year : 2008 Name — -
Make : FORD Address RECEINF
Model : F-250 City NOV 1 6 '2015
Style : UNIT# M07 State
Color : WHITE ZIP BY:
V.I.N : 1FTSX21558EB25097 Home Phone - - -=- �I
License : 74098 Work Phone - -
State : IN Cash Value : .00
Odometer : 0 Sale/Auction #
Reason : WON'T START Sale Date
P.O. # Call # : 2320
Membership # Member Exp.
Lot Barcode Payout Desc.
Driver : THOMAS BURGESS Need Release? : N
Truck # : 712 Release Date
Type of Tow : FLAT BED Release #
Requested By : CARMEL CLAY PARKS AND RECREATION Released To
Location : CARMEL BUS LOT
Destination : 1427 E 116TH ST Lot/Row/Slot
Time of Call : 12:45 Time Dispatch : 13:00
Arrival Time : 13:20 Hook Time : 13:35
Drop Time : 13:36 Cleared Time : 13:45
Total Hours 0.00 Hourly Rate $0.00
Billed To: CARMEL CLAY PARKS AND RECREATION Towing $55.00
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 5 5 $ 3.00 Loaded $15.00
Discount $0.00
Subtotal $70.00 I
Storage Summary Lien $0.00
Date In Date Out Total Days Rate permits $0.00
10/28/15 $ 0.00 Storage $0.00
admin. $0.00
Payout $0.00
Tax $0.00
Tax 2 $0.00
Total $70.00
Amount Paid $0.00
Balance Due $70.00
Signature:
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
Miller's Towing & Transport Terms
20583 Cyntheanne Rd
Noblesville, IN 46060
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
10/28/15 22734 Towing M07 to PFM for repair XX2962 $ 70.00
Total $ 70.00
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. _
Miller's Towing &Transport Allowed 20
20583 Cyntheanne Rd
Noblesville, IN 46060
In Sum of$
$ 70.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO#or INVOICE NO. ACCT#MTLE AMOUNT Board Members
Dept#
1125 22734 4351000 $ . 70.00_ 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
November 23, 2015
Signature
$ 70.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
I