191322 10/27/2010 CITY OF CARMEL, INDIANA VENDOR: 353947 Page 1 of 1
s ONE CIVIC SQUARE PREFERRED TOWING RECOVERY
CARMEL, INDIANA 46032 16567 RIVER AVE CHECK AMOUNT: $56.00
NOBLESVILLE IN 46060
CHECK NUMBER: 191322
CHECK DATE: 10/27/2010
DEPARTMENT ACCOUNT PO NUMBER INVO NUMBER AMOUNT DESCRIPTION
1110 4358200 40550 56.00 SPECIAL INVESTIGATION
PREFERRED TOWING
J RECOVERY, INC ROAD
16567 River Ave
Noblesville, IN 46062 SERVIC"E
{317) 773 =7390
TIME OF CALL DATEI pAT� y1y1T TIM START TIM
A.M. 7 L! A:M.
P.M. P.M.
NAME
O
j ADDRESS
.i
I CITY
STATE ZIP
R MAK /MODEL COLOR ODOMETER DRIVER
MAR R PLAT ATE VIN REGISTERED OWNER
Ef
LO FVE ICLE
tir TOWED
INSPECTED BY INSURAN C p RAISER NAME DATE DRIVER
RELEASED BY DATE PHONE
1
REASON FOR TOW TYPE OF TOW PERSONAE'S TAKEN BY DATE PHONE#
ACCIDENT BREAK DOWN, U SLING /HOIST
1 VEHICLE STORAGE TIME
ABANDONED UNREGISTERED _J =AT RED /RAMP FROM TO DAYS
I, J NO START OUT OF GAS WHEEL LIFT INDICATE DAMAGED AREAI5) ON VEHICLE:
❑FLATTiRE ❑FIRE LANE
KE S LEFT
Ii LOCKOUT NO TRESPASS TOWED PER ORDER O Y N
STATE POLICE RADIO
E`; TOW ZONE Q ARREST
k &LOCAL POLICE
STOLEN POUNDED MILEAGE TOWING
SNOW OWNER OF A CAR CHARGE
REMOVAL FWISH
SPECIAL EQUIPMENT USED ❑DEALER MILEAGE
START
WINCH FLARES OTHER SERVICES
FIRST
DOLLIES BLOCKS SWEEP AID 'TOTAL
REMOVE LABOR TIME EXTRA
RAMPS AXLE tt FINISH PERSON
SECURE
!,fit
SNATCH SECURE SPECIA
LOOSE L
❑BLOCKS O START EQUIPMENT
METHOD OF PAYMENT
CASH CHECK DRIVER'S LIC. TOTAL STORAGE
f_ vim„ "6 EXP. DATE EXTRA PERSON
CREDIT FINISH
GARD# SUBTOTAL
AUTHORIZED SIGNATURE DATE START
TAX
�I o ,o hoia m�G hxmoe f: ,en�aomo es a�emio o ,eeae�ea TOTAL
F, DRIVER SIGNATURE Serv DATE D IVEf3 TRUCK r
TOTAL
L
t
We cannot be responsible for damages caused b fain tires, b brackets, etc. This company assumes no responsibility 011398 AW o ect, Inc.
A 9 Y n' P P, y
for.loss or damage'by thett, fire or any other cause beyond our conirol, to any vehicle placed with them for storage or repair '8 HANK YOUP
r:
q 0 550 PRODUCT 876e
I` l/ rl
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No, 201 Rev. 1995)
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.
Payee
Preferred Towing Recovery, Inc. Purchase Order No.
16567 River Avenue Terms
Noblesville, IN 46062 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
9/19/10 40550 Dayment for towing vehicle 9
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 2Q
Preferred Towing Recovery, Inc.
IN SUM OF
16567 River Avenue
Noblesville, IN 46062
56.00
ON ACCOUNT OF APPROPRIATION FOR
police general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 40550 582 56.00 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
October 21 20 10
Signature
Assistant Chiefo6f Poli
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund