193190 12/22/2010 CITY OF CARMEL, INDIANA VENDOR: 00351300 Page 1 of 1
ONE CIVIC SQUARE PADDACK WRECKER SERVICE, INC
CARMEL, INDIANA 46032 18702 US 31 NORTH CHECK AMOUNT: $350.00
WESTFIELD IN 46074
CHECK NUMBER: 193190
CHECK DATE: 12/22/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351000 536237 350.00 AUTO REPAIR MAINTEN
PADDAC
HEAVY TRANSPORT SERVICE
18702 US 31 N
WESTFIELD, INDIANA 46074
(317) 896 -3206
Pax: (317) 867 -0651
Date Time AM PMst�
az
N Phone
Address
City State Zip
vo; a ion r vocation 2
Destination 1 Destination 2
Description
Mileage Starts •;niSMrr r a ti
Service Time Start Finis otal
C 1 4 "T
Services Provided
Remove Driveline Secure Air Ride Cage Brakes
Landoll Trailer Low Boy Trailer HD Rollback
STORAGE FROM Transport Charge
Mileage Charge
TO DRIVER'S s Hr. Charge
PAID BY
DRIVER'S
G CASH i D CHECK LiC. NO. Permit Fees
EXR
COM CHECK MC Eli VISA AMEX DATE tabor Charge
Winch Charge
CC NO, Storage
OPERATOR'S SIC ATURE DATE
TRUCK NO.
C "I Subtotal
r+
AUTHORIZED SIGNATURE DATE Total
536237
VOUCHER NO. WARRANT NO.
ALLOWED 20
Paddack Wrecker Service
IN SUM OF
18702 US 31 North
Westfield, IN 46074
$350.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
2201 536237 43- 510.00 $350.00 1 hereby certify that the attached invoice(s), or
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
Thursday,, er 16, 2010
StreeSfr'get,Cbmrrrissioner
Titie
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/13110 536237 $350.00
1 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