308629 02/28/17 o
CITY OF CARMEL, INDIANA VENDOR: 00351300 ,,,,,,,,tONE CIVIC SQUARE PADDACK WRECKER SERVICE, INCCHECK AMOUNT: S 700.00CARMEL, INDIANA 46032 18702 CHAD HITTLE DR CHECK NUMBER: 308629
WESTFIELD IN 46074 CHECK DATE: 02/28/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351000 584374 700.00 AUTO REPAIR & MAINTEN
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts - City Form No.201 (Rev.1995)
Vendor# 00351300 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
PADDACK WRECKER SERVICE, INC IN SUM OF$ CITY OF CARMEL
18702 CHAD.H ITTLE DR An invoice or bill to be properly 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.
WESTFIELD, IN 46074
Payee
$700.00
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
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
584374 43-510.00 $700.00 1 hereby certify that the attached invoice(s),or 2/8/17 584374 $700.00
2201 201 2201 201
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Tuesday, February 14, 2017
Huffman, Dave
Director
I hereby certify that the attached invoice(s), or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
• ,20
Cost distribution ledger classification if claim paid motor vehicle highway fund.
Clerk-Treasurer
PADDACK'S
HEAVY TRANSPORT SERVICE
18702 CHAD HITTLE DR.
WESTFIELD, INDIANA 46074
(317)8.96-3206
Fax: (317) 867-0651
to. Time AM PM Requ ted By
Name P one
Address
City State Zip"
Loco 1 t( location 2
T r G L T �� 4F � �Cv p r,,�C,
Desti tion 1 Destination 2
. �� s
Description
Mileage Start Finish Total
Service Time Start Finish Total
Services Provided
�v C-✓ �Uw
Remove Driveline ❑ Secure Air Ride ❑ Cage Brakes ❑
Landoll Trailer ❑ Low Boy Trailer ❑ HD Rollback ❑
STORAGE FROM Transport Charge
Mileage Charge
TO. DAYS @$ Hr.Charge
PAID BY DRIVER'S
❑CASH ❑CHECK LIC.NO. Permit Fees
EXP.
❑ COM CHECK ❑ MC ❑VISA ❑AMEX DATE Labor Charge
Winch Charge
CC NO. Storage
OPERATOR'S SIGNATURE DATE
TRUCK NO. 99 Subtotal
AUTHORIZED SIGNATURE DATE Total
584374
`DISL XIE FOR BUSINESS' 1-800-888-6327 Ref.No;r, tassaasss