Loading...
HomeMy WebLinkAbout186477 06/09/2010 CITY OF CARMEL, INDIANA VENDOR: 353947 Page 1 of 1 ONE CIVIC SQUARE PREFERRED TOWING RECOVERY CHECK AMOUNT: $140.00 ra CARMEL, INDIANA 46032 16567 RIVER AVE NOBLESVILLE IN 46060 CHECK NUMBER: 186477 CHECK DATE: 6/9/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4358200 39025 140.00 SPECIAL INVESTIGATION t PREFERRED TOWONG RO w Z REC OVERV, ONCo 16567 RE Ave. S ERVICE NOBLES!/tLLE, I N 46062 (317) 7731.7890 TIME OF CALL DATE IN DATE OUT TIME START TIME FINISH REOUESiED BY P.O. /CASE OFFICER NAME A.M. A.M. A.M. c P7 P.M. 's P.M. P.M., ii NAME HONE# ,7 o /U ADDRESS r CITY STATE ZIP YEAR MAKE/MODEL COLOR ODOMETER DRIVER MARKER PLATE# STATE 'VIN# REGISTERED OWNER LOCATION OF VEHICLE J li r f tr. TOWE TO INSPECTED BY INSURANCE CO. APPRAISER NAME DATE DRIVER RELEASED BY DATE PHONE REASON FOR TOW TYPE OF TOW PERSONALS TAKEN BY I DATE PHONE# ACCIDENT BREAK DOWN SLING /HOIST VEHICLE STORAGE TIME ABANDONED UNREGISTERED ]•FLAT BED /RAMP FROM TO DAYS Q S NO START OUT OF GAS WHEEL LIFT INDICATE DAMAGED AREA(S) ON VEHICLE: KEYS LEFT C3 FLATTIRE Cl FIRE LANE C) 7 IV ,r LOCKOUT L) NO TRESPASS TOWED PER ORDER O �����d✓y► TOW ZONE L1 ARREST STATE POLICE RADIO LOCAL POLICE Y N STOLEN D IMP OUNDED MILEAGE CHARGE SNO OVAL ❑'OWNER OF A CAR FINISH SPECIAL EQUIPMENT USED ❑DEALER START MILEAGE WINCH FLARES OTHER SERVICES SCOTCH SWEEP FIRST TOTAL LABOR DOLLIES BLOCKS REMOVE LABOR TIME PERSON RAMPS FINISH SNATCH LOOSE PARTS SPECIAL BLOCKS START EQUIPMENT METHOD OF PAYMENT STORAGE CASH CHECK DRIVER'S LIC. TOTAL EXP. DATE EXTRA PERSON CREDIT FINISH CARD I I I I I I SUBTOTAL AUTHORIZED SIGNATURE DATE START X TAX a ee ro r�da ims con, an nam,iess ro. an aama es eue m wwm 0 onee.ea TOTAL DRIVER SIGNATURE DRIVER TRUCK •f� TOTAL We cannot be responsible for damages caused by faulty tires, bumper braces, etc. This company assumes no responsibility 01998 AW Direct, Inc. for loss or damage by theft, fire or any other cause beyond our control, to any vehicle placed with them for storage or repair. THANK YOU! PRODUCT 8760 39025 aa��oaaG� aaDaaaa C�oc�a UMDA W x0008203 0 IF(DIM l have requested towing, recovery or roadside services that are not recommended by the company below. N 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 I Prescribed by State Board o1 Accounts City Form No. 201 (Rev. 1995) r ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL 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. r Payee Preferred Towing Recovery, Inc. Purchase Order No. 165 River Avenue Terms Noblesville, IN 46062 Date Due Invoice Invoice Description Amount Date Number (or note attached invoice(s) or bill(s)) 5/10/10 3902 payment for towing vehicle 140.00 Total 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 VOUCHER NO. WARRANT NO. ALLOWED 20 Preferred Towing Recovery, Inc. IN SUM OF 16567 River Avenue Noblesville, IN 46062 140.00 ON ACCOUNT OF APPROPRIATION FOR police general fund Board Members PO# or D PT. INVOICE NO. ACCT #!TITLE AMOUNT I hereby certify that the attached invoice(s), or 1110 39025 582 140.00 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 June 3 20 10+ Signature Chief of Police Title Cost distribution ledger classification if claim paid motor vehicle highway fund