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
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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
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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
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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