HomeMy WebLinkAbout256478 03/15/16 �F�q
o`% '' CITY OF CARMEL, INDIANA VENDOR: 00351300
r ` ONE CIVIC SQUARE PADDACK WRECKER SERVICE, INC CHECK AMOUNT: $*******350.00*
r. �a CARMEL, INDIANA 46032 18702 CHAD HITTLE DR CHECK NUMBER: 256478
9M(TON`q� WESTFIELD IN 46074 CHECK DATE: 03/15/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1120 4351000 576913 350.00 AUTO REPAIR & MAINTEN
PADDACK'$
.HEAVYTRANSPORT SERVICE
18702 CHAD HITTLE DR.,
WESTFIELD,.INDIANA 46074
(317)896-3206
Fax:(317)867-0651
to Time AM - PM Requested By P.O.No.
Name Phone
Address
City State Zip
Location 1Location 2
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Destination Destination 1 Destination 2
Description
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Mileage Start Finish Total
Service Time Start Finish Total
Services Provided
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vie) a..w- . 4.rt.f-- d �- d✓y
.Remove Driveline D Secure Air Ride Cage Brakes D
Landoll Trailer D Low-Boy Trailer.D HD Rollback❑
STORAGE FROM Transport Charge
Mileage Charge
TO DAYS®s Hr.Charge
PAID BY DRIVER'S
El CASH -0 CHECK LIC.NO. Permit Fees
EXP.
0 COM CHECK'0 MC C VISA 0 AMEX DATE Labor Chalge
Winch Charge
CC NO, Storage
OPERATOR'S SIGNATU E DATE
p.
TRUCK NO, ( Subtotal Subtotal
AUTHORIZED SIGNATURE (' DATE Total ,a ry1
576913
DELUXE FOR BUSINESS 1-800.888-6321 =a'ran.•s ia.;gcoer;s
rescribed by State Board of Accounts City Form No.201 (Rev.1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
kn 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))
576913 VIN 8435 $350.00
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
120
Clerk-Treasurer