HomeMy WebLinkAbout303633 09/29/16 (9,
CITY OF CARMEL, INDIANA VENDOR: 00351300
ONE CIVIC SQUARE PADDACK WRECKER SERVICE, INC CHECK AMOUNT: $********58.00*
CARMEL, INDIANA 46032 18702 CHAD HITTLE DR CHECK NUMBER: 303633
WESTFIELD IN 46074 CHECK DATE: 09/29/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4351000 157326 58.00 AUTO REPAIR & MAINTEN
Voucher No. Warrant No.
00351300 Paddack Wrecker Service, Inc. Allowed 20
18702 US 31 North
Westfield, IN 46074
In Sum of$
$ 58.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund
PO#or INVOICE NO. ACCT#/TITL AMOUNT Board Members
Dept#
1125 157326 4351000 $ 58.00 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
September 21, 2016
Signature
$ 58.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be property 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.
00351300 Paddack Wrecker Service, Inc. Terms
18702 US 31 North
Westfield, IN 46074
Invoice Invoice Description
Date Number (or note attached invoice(s)or bill(s)) PO# Amount
9/14/16 157326 Tow M06 from MO to Indy Tire for Repair F_
xm339 $ 58.00
Total $ 58.00
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
PADDACK
WRECKER SERVICE, INC.
18702 CHAD HITTLE DR. Road WESTFIELD, INDIANA 46074
(317) 86-3206 b e r v I c e
(317) 8446-3206
DATE / / STIME AM I REQUESTED BY P.O.NO.
/� PM
NAME C i/,yi11P� �CrZ lv1 G6 + PHONE
Hd P 6
ADDRESS
1 L4 ?-? C ( (6 Ste.
CITY STATE ZIP
LOCATION OF VEHICLE
t'0-5 A-t
YEAR;MAK EL -rV - COLO MILEAGE
STATE/J,� PLXTE NO. -VEHICLE I.D.NO.
MILEAGE SERVICE!TIME ❑ACCIDENT
START /� I• / START ❑IMPOUND
d REAKDOWN
FINISH FINISH
SERVICE CALL
TOTAL TOTAL ❑
DESCRIPTION OF SERVICES SPECIAL EQUIPMENT
❑SINGLE LINE WINCHING
❑DUAL LINE WINCHING
El SNATCH BLOCKS
❑DOLLY
TYPE OFTOW TOWED PER ORDER OF VEHICLETOWEDTO
❑SLING/HOIST TOW ❑STATE POLICE FIRSTTOW' / JJ, �
XLAT BED/RAMP El ��i LOCAL POLICE �/ 1 I sG/
r
WHEEL LIFT ❑SHERIFF DEPT. SECONDTOW
STORAGE TOWING CHARGE.
S�-T f 6 2016 , cr
TO .DAYS @$ MILEAGE CHARGE
PAID BY: LABOR CHARGE
❑CASH Lj CHECK, LIC.NQ:
WINCH CHARGE
EXP.
❑MC ❑VISA ❑AMEX ❑DISCOVER DATE SPILL
CONTAINMENT
SPECIAL
CC NO. — EQUIPMENT
OPERATOR'S SIGNATURE! I ATE CLEAN UP
UNIT I E• ':' STORAGE
AUTHORIZEDNATORE'- '•� �. DATE,
ADMIN FEE /
VEHICLE RELEASED TO - DATE TOTAL
e �
=�—qty '- � Not responsible for loss or damage to vehicle Th a n R Y®u
! 5 in case of fire,theft or any other cause beyond our control. ee
PT-4ILUX12 FOR BUSINESS 1-808-888-6327 R=_—N.G t;,nsoacas
Customer Release Form
Liability Release Farre
I have requested towing, transport recovery or roadside services that
are not recommenced by the company below. If 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 —