319394 12/05/17 CITY OF CARMEL, INDIANA VENDOR: 00351300
ONE CIVIC SQUARE PADDACK WRECKER SERVICE, INC CHECK AMOUNT: $"""`477.00*
?� CARMEL, INDIANA 46032 18702 CHAD HITTLE DR CHECK NUMBER: 319394
WESTFIELD IN 46074 CHECK DATE: 12/05/17
F Brox�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER_ AMOUNT DESCRIPTION
1120 4351000 164316 127.00 AUTO REPAIR & MAINTEN
2201 4351000 586162 350.00 AUTO REPAIR & MAINTEN
{
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
Vendor* 00351300
PADDACK WRECKER SERVICE, INC IN SUM OF$ 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
$350.00
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
586162 43-510.00 $350.00 1 hereby certify that the attached invoice(s),or 12/2/17 586162 $350.00
2201 2201 2201 2201
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Tuesday, December 05,2017
Huffman, Dave
Director
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC-5-11-10-1.6
,20—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
PADDACK'S
HEAVY TRANSPORT SERVICE
18702 CHAD HITTLE DR.
I WESTFIELD, INDIANA 46074
(317)896-3206
Fax:(317)867-0651
Time AM PM Requested BIC Is (� P.O.No.
Name / ( PhI�
733 - 7z: /
Address
City Stale Zip,,•' ..
Lo' ijI Location
estimation 1 Destination 2
Description
2�J� —rte,'� �-� _ �,. Ng r•K-. �(� c"� J}
"71/,- �/ ' G J7v
I
Mileage Start "�� Finish / Total
Service Time Start Finish Total
Services.Provided r p
Remove Driveline❑ Secure Air Ride❑ Cage Brakes❑
Landoll Trailer❑ Low Boy Trailer❑ HD Rollback❑
STORAGE FROM Transport Charge
Mileage Charge
PAID BY TO DAYS @$ Hr.Charge
DRIVER'S
❑CASH ❑CHECK LIC.NO. Permit Fees
EXP.
❑COM CHECK ❑MC ❑VISA ❑AMEX DATE Labor Charge
Winch Charge
CC NO. Storage
OPERATt $ N'TU�iE f DATE �
ff �G 55
TRUCK NO. Subtotal
A
AUTHORIZED SIGN tR J DATE ^dr
``T Total
586162
. FESS 1-800-888-6327
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 HITTLE 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
$127.00
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
Carmel Fire 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
164316 43-510.00 $127.00 1 hereby certify that the attached invoice(s),or 12/4/17 164316 $127.00
1120 101 1120 101
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, December 04,2017
David Haboush
Fire Chief
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
120—
Cost
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
PADDACK
WRECKER SERVICE, INC.
18702 CHAD HITTLE DR.
WESTFIELD, INDIANA 46074 R-0-a-d
(317) 896-3206
(317) 846-3206 Service
DATE TIME AM I REQUESTED BY P.O.NO.
I���•-/7
PMj L rb P
NAME PHONE
GAI'�tr i EW� 6/V zf'
ADDRESS
CITY STATE ZIP
LOCATIONOF EHICLE
YEAR,.MAKE,MODEL COLOR
Forte [MILEAGE
3 � y.
STATE PLATE NO. VEHICLE I.D.N0:
1V Fse 9g9t7
MILEAGE . SERVICETIME ❑ ACCIDENT
START O START ❑ IMPOUND
FINISH FINISH BREAKDOWN
❑ SERVICE CALL
TOTAL !yam$" L� TOTAL ❑
DESCRIPTION OF SERVICES SPECIAL.EQUIPMENT
42 SINGLE LINE WINCHING
❑ DUAL LINE WINCHING
❑ SNATCH BLOCKS
❑ DOLLY
TYPE OFTOW TOWED PER ORDER OF VEHICLE'TOWEDTO
❑ SLING/HOISTTOW ❑ STATE POLICE TO
ZAwwooOe
JRoFLAT BED/RAMP ❑.LOCAL POLICE
❑WHEEL LIFT ❑ SHERIFF DEPT. SECONDTOW
❑ ❑ DEALER .OWNER
STORAGE TOWING CHARGE
TO DAYS 5 MILEAGE CHARGE yj?
PAID LABOR CHARGE
DRIVER'S
❑ CASH ❑ CHECK LIC.NO. WINCH CHARGE
EXP.
❑.MC . ❑ VISA ❑AMEX ❑ DISCOVER DATE SPILL
CONTAINMENT i
SPECIAL
CC NO. EQUIPMENT
OPERATOR'S SIGNATURE DATE CLEAN UP
SLG /Z--
UNIT NO. STORAGE
5�
AUTHORIZED SIGNATURE DATE
-ADMIN FEE
VEHICLE RELEASED TO DATE
TOTAL J
164316
C /)4 11 h6 Not responsible for loss or damage to vehicle Yb u
1 V in case of fire,theft or any other cause beyond our control.
DELUtKM FOR BUS1NESS 1-800-888-6327 ?et^!':C t,•+guat;to