HomeMy WebLinkAbout253169 01/11/16 SQA
CITY OF CARMEL, INDIANA VENDOR: 00351300
ONE CIVIC SQUARE PADDACK'S HEAVY TRANSPORT CHECK AMOUNT: $*******224.50*
'a CARMEL, INDIANA 46032 18702 CHAD HITTL DRIVE CHECK NUMBER: 253169
9M�ioN�O'= WESTFIELD IN 46074 CHECK DATE: 01/11/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 574242 224.50 AUTO REPAIR & MAINTEN
PADDACWS
HEAVY TRANSPORT.SERVICE
18702 CHAD HITTLE:DR:
WESTFIELD,INDIANA 46074
(317)896-3206
Fax:(317)867-0651
Date Time AMRequested By P.O.No.
•.
;.7 . G Ff�
Name Phone,
Address
CityState Zip.
;
Location 1 Location 2
w
Destina io 1 Destination 2
2C+ -7 C G
Description" 1
ks 4t� f
—137 D r
Mileage.Staft Finish Total.
Service Time Start Finish Total r
1
Services Provided
v
Remove Driveline❑ Secure Air Fide❑ Cage Brakes-E3
Landoll Trailer❑ Low Boy Trailer❑. HD RollbackEl
STORAGE FROM Transport Char
Mileage Charge
TO DAYS @ s Hr.Charge
PAID BY DRIVER'S
❑CASH ❑CHECK LIC.No. Permit Fees .
EXP.
❑COM CHECK ❑MC ❑VISA ❑AMEX DATE Labor Charge L�
Winch:Charge.
CC NO. Storage
O . R'S SIGNATURE DATE q
TRUCK NO. Subtotal
AUTHORIZED SIGNATURE DATE Total
574242
DELUXE FOP.BUSINESt 1-800-888-6327
rescribed by State Board of Accounts City Form No.201(Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
m invoice or bill to be properly itemized must show: kind of service,where performed,dates service rendered, by
Thom, 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))
574242 VIN 7045 $224.50
I hereby certify that the attached invoice(s), or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Paddack's Heavy Transport
IN SUM OF$
18702 Chad Hittle Drive
Westfield, IN 46074
Y $224.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1120 574242 43-510.00, $224.50 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
jAN 2616
Fire Chief
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund