HomeMy WebLinkAbout306323 Q
CITY OF CARMEL, INDIANA VENDOR: 00351300
ONE CIVIC SQUARE PADDACK WRECKER SERVICE, INC CHECKAMOUNT: S********61.00*
CARMEL, INDIANA 46032 18702 CHAD HITTLE DR CHECK NUMBER: 306323
WESTFIELDIN 46074 CHECK DATE: 12/16/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4351000 157370 61.00 AUTO REPAIR & MAINTEN
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PADDACK __ --
WRECKER SERVICE, INC.
18702 CHAD HITTLE DR.
WESTFIELD, INDIANA 46074 Road
(317) 896-3206 r
(317) 846-3206 bevice
DATE TIME AM REDO STED BY P.O.NO.
Ll- f PM I V �L""'
NAME CFFI�./Vl C�L, bW �lJ [Z,E�
TPHONk `U`t
ADDRESS
CITY � � STATE ZIP
LOCATION OF VEHICLE j 1 I -�`7
YEAR,MA L � C{)LO� MILEAGE
STATE PLATE NO. VEHI E I&,.NO.. G � ) C#+-�- D �V
MILEAGE SERVICE TIME ❑ ACCIDENT
START START U IMPOUND
FINISH __ _..._. FINISH �4REAKDOWN
SERVICE CALL
TOTAL TOTAL
DESCRIPTION OF SERVICES SPECIAL EQUIPMENT
❑ SINGLE LINE WINCHING
DUAL LINE WINCHING
❑ SNATCH BLOCKS
❑ DOLLY
❑
TYPE OF TOW TOWED PER ORDER OF VEHICLE TOWED TO
XLING/HOISTTOW ElSTATE POLICE FIRSTTO -AT BED/RAMP ❑ LOCAL POLICE j
[I WHEEL LIFT ❑ SHERIFF DEPT. SECONDTOW
F] El }DEALER .[�OWNER
STORAGE TOWING CHARGE
TO oars®$ MILEAGE CHARGE ? y
PAID LABOR CHARGE
DRIVER'S
❑CASH ❑ CHECK LIC.NO.
WINCH CHARGE
EXP.
❑ MC ❑ VISA ❑ AMEX 'J DISCOVER DATE SPILL
CONTAINMENT
SPECIAL.
CC NO. EQUIPMENT
OPERATOR'SA7k�RE DATE CLEAN UP
UNIT NO. (r STORAGE
AUTHORIZED SIGNATURE DATE
ADMIN FEE
VEHICLE RELEASED TO DATE
TOTAL
Not responsible for loss or damage to vehicle T h a n k Y"o U
in case of tire,theft or any other cause beyond our control.
DELUXE FOR BUSS ES',3 1 ,600-886-6K" ;;t:'