HomeMy WebLinkAbout253168 01/11/16 4i u1..�r\��
v% ,� CITY OF CARMEL, INDIANA VENDOR: 00351300
ONE CIVIC SQUARE PADDACK WRECKER SERVICE, INC CHECK AMOUNT: $********73.00*
a CARMEL, INDIANA 46032 18702 CHAD HITTLE OR CHECK NUMBER: 253168
9�,rsN�.g. WESTFIELD IN 46074 CHECK DATE: 01/11/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 153351 73.00 AUTO REPAIR & MAINTEN
0 PADDACK
- WRECKER SERVICE, INC.
18702 CHAD HITTLE DRQ O
WESTFIELD, INDIANA 46074
(317) 846-3206 s e' l i n e
(317) 846-3206 service
DATE1 J 7 �� TIME AM 11 REQUESTED BY - P.O.NO.
Pm
NAME ) PHONE
ADDRESS
CITY STATE ZIP
LOCATION OF VEHICLE
YEAR,MAKE,MODEL COLOR f MILEAGI__�
STATE PLATE O. VEHICLVFI.D.NO.
MILEAGE v SERVICETIME El ACCIDENT
START START ❑IMPOUND
L2{BREAKDOWN
FINISH - FINISH `
/ El SERVICE CALL
TOTAL YU fil ? TOTAL ❑
DESCRIPTION-OF SERVICES. SPECIAL EQUIPMENT
❑SINGLE LINE WINCHING
❑DUAL LINE WINCHING
❑SNATCH BLOCKS
❑DOLLY.
El
TYPE OF TOW TOWED PER ORDER OF VEHICLETOWEDTO
El SLING/HOISTTOW ❑STATE FIRSYiow /
Z FLAT BED/RAMP LOCAL POLICE
[I WHEEL LIFT ED SHERIFF DEPT. SECOND TOW
❑ ❑DEALER ❑OWNER
��_CTApAL`F
-- TOWING CHARGE
Customer Release Form
Liability Release Form
I have requested towing, transport recovery or roadside services that
are not recommended by the company below.Ifi damage_or_theft_of_
my vehicle(s) occurs because of this request, I release the company
below of all responsibility, both civil and criminal, in a court of law:
Date ----- �.__----
Driver's License
Vehicle ID# — -- --
Authorizing Signature
Operator Signature-------- --.----- __. —._ _�_ __
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 Date Invoice# Description Amount
Dept. Fund# (or noteattached invoice(s)or bill(s))
12/18/15 153351 vehicle.tow_CPD car 60 $73.00
1110 101
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO
ALLOWED 20
PADDACKWRECKER:SERVICE, INC,
18702-CHAD HITTLE.DR IN SUM OF$
WESTFIELD,'IN 46074 .
$73.00 .
ON ACCOUNT.OF APPROPRIATION FOR
PO*/,Dept. INVOICE NO. ACCT#%Fund. AMOUNT
Board Member:
153351 43-510:00 $73.00 I hereby certify that the attached invoice(s), or
1110 ( 101 Prior Year
bill(t) is(are)true.and correct and that the
materials dr.services itemized thereon for
which charge is made were ordered and
received"except
Wednesday, December 30, 2015
Cost distribution ledger classification if .
claim paid motor vehicle highway fund