HomeMy WebLinkAbout259136 05/31/16 0�4A+, CITY OF CARMEL, INDIANA VENDOR: 00351300
ONE CIVIC SQUARE PADDACK WRECKER SERVICE, INC CHECK AMOUNT: $*******250.00*
x. =Q; CARMEL, INDIANA 46032 18702 CHAD HITTLE DR CHECK NUMBER: 259136
9•�j�/JON LA'` WESTFIELD IN 46074 CHECK DATE: 05/31/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351000 577757 250.00 AUTO REPAIR & MAINTEN
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
PADDACK WRECKER SERVICE, INC ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
18702 CHAD HITTLE DR IN SUM OF$ CITY OF CARMEL
An invoice or bill to be properly itemized must show:kind of service,where performed,dates service
W ESTFI ELD, IN 46074 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
$250.00 Payee
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Street Department Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
577757 43-510.00 $250.00 1 hereby certify that the attached invoice(s),or 5/24/16 577757 $250.00
2201 201 2201 201
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Wedfrlsday, May 25, 1
4
Street COmmIssioner
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
,20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
PADDACK'.S
0 HEAVY TRANSPORT SERVICE
18702 CHAD HITTLE DR.
WESTFIELD, INDIANA 46.074
(317) 896-3206
Fax: (317) 867-6651
Dat _7 ,1Time AM PM I Requested By Z P.O.No.
Name � � Phone .
e��v�►;t I �-�.1 S
Address
City State Zip
Loqaftpn 1 11 Location 2
CEJ � J (t wTGv
De oration 1 Destination 2
a+ 30
Description
3X 9
Mileage Start Finish Total
Service Time start Finish Total G. 7
Services Provided
CP .
- S �ve-s
Remove Driveline ❑ Secure Air Ride ❑ Cage Brakes ❑
Landoll Trailer O Low Boy Trailer ❑ HD Rollback ❑
STORAGE FROM Transport Charge 131
Mileage Charge
TO DAYS @$ Hr.Charge
PAID BY DRIVER'S
❑CASH ❑CHECK LIC.NO. Permit Fees
EXP.
❑COM CHECK ❑ MC ❑VISA ❑AMEX DATE Labor Charge ZS'
Winch Charge
CC NO. Storage
OPERATOR'S SIGNATURE DATE
TRUCK NO. r Subtotal
AUTHORIZED SIGNATURE DATE Total
a
577757
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