319861 12/21/17 CITY OF CARMEL, INDIANA VENDOR: 00351300
.j; � "l• ONE CIVIC SQUARE PADDACK WRECKER SERVICE, INC
CHECK AMOUNT: $********73.00*
?q . CARMEL, INDIANA 46032 18702 CHAD HITTLE DR CHECK NUMBER: 319861
9M.. WESTFIELDIN 46074 CHECK DATE: 12/21/17
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DEPARTMENT ACCOUNT PO NUMBER _ INVOICE NUMBER AMOUNT DESCRIPTION
601 5023990 164300 73.00 OTHER EXPENSES
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VOUCHER NO. 173589 WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev 1995)
ALLOWED 20
Vendor # 00351300 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
PADDACK WRECKER SERVICE INC CITY OF CARMEL
18702 US 31 North An invoice or bill to be properly itemized must show: kind of service,where performed,
Westfield, IN 46074 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit, etc.
Payee
73.00 00351300 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR PADDACK WRECKER SERVICE INC Terms
Carmel Water Utility 18702 US 31 North Due Date
BOARD MEMBERS
I hereby certify that that attached invoice(s), Westfield, IN 46074
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon for DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
164300 01-6500-04 $73.00 and received except 12/6/2017 164300 $73.00
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited
same in accordance with IC 5-11-10-1.6
Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_
Clerk-Treasurer
PADDACK
WRECKER SERVICE, INC.
18702 CHAD HITTLE DR. Road®ad
WESTFIELD, INDIANA 46074
(317)'896-3206 Service��V
(317) 846-3206 c 6
DATE TIME AM REQUESTED BY - P.O.NO.
PM
NAME PHONE
ADDRESS
.CITY fir+. STATE 'ZIP
LOCATION OF VEHICLE
YEAR,MAKE,MODEL COLOR MILEAGE
C'hNu1' rye c-, +v)),4C-' I I() Oc�S
STATE PETE NO. VEHICLE I.D.NO.
Itv �c2rroC� Cyt Ua7�� X0,-71a1zz 50�
MILEAGE ' SERVICETIME ❑ACCIDENT
START START ❑IMPOUND
Z BREAKDOWN
FINISH FINISH ��
/ ❑SERVICE CALL
TOTAL tisk' = TOTAL ❑
;DESCRIPTION OF SERVICES SPECIAL EQUIPMENT
'R-SINGLELINE WINCHING
❑DUAL LINE WINCHING
❑SNATCH BLOCKS
❑DOLLY
c elf 4/0 &Sn °
TYPE OFTOW TOWED PER ORDER OF VEHICLETOWEDTO
❑SLING/HOISTTOW ❑STATE POLICE FIRSTTOW
tt��
„l'+FLAT BED/RAMP ❑LOCAL POLICE �/r�I l' "z!'SCC
❑WHEEL LIFT ❑SHERIFF DEPT. SECONDTOW
❑ ❑DEALER --,k]OWNER
STORAGE TOWING CHARGE
TO DAYS @a$ MILEAGE CHARGE ��a• '
PAID LABOR CHARGE
DRIVER'S
❑CASH ❑CHECK LIC.NO.
WINCH CHARGE
EXP.
-1 MC ❑VISA ❑AMEX ❑DISCOVER DATE SPILL
CONTAINMENT
SPECIAL
CC NO. EQUIPMENT
OPERATOR'S SIGNATURE. DATE
/I Af CLEAN UP
UNIT STORAGE
AUTHORIZED SIGNATURE DATE ADMIN FEE
VEHICLE RELEASED TO. DATE
TOTAL
's
164300 Not responsible for loss or damage to vehicle Th n I(Yo U
in case of fire,theft or any other cause beyond our control.
D:`U5.2:FOR BUSINI_SS -800-868-6327