HomeMy WebLinkAbout200975 08/30/2011 ,a CITY OF CARMEL, INDIANA VENDOR: 353947 Page 1 of 1
ONE CIVIC SQUARE PREFERRED TOWING RECOVERY
3 CHECK AMOUNT: $210.00
CARMEL, INDIANA 46032 16567 RIVER AVE
NOBLESVILLE IN 46060 CHECK NUMBER: 200975
CHECK DATE: 8/30/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 43358 210.00 AUTO REPAIR MAINTEN
PREFERPED 70WRIG :y.x.� LOAD
16100 River hvenue
Nil SERVICE
(317) 773 -7890
TIME OF CALL DATE IN I DATE OUTJ TIME START I TIME FINISH
P.M. R EQUES TE D BY P.O. /CASE# OFFICER NAME
AN Z l it P.M. P.M. `i 1 1 J 3 VV YY
NAME PHONE#
ADDRESS
CITY C STATE ZIP
YEAR 'CK 0DE A rt r i f COLO
R le ODOMETER DRIVER
0 MARKER PLATE (4k.. STATE VINr1�f C ti°"S 'z REGISTERED OWNER
LOCATION O
TOWED TO
INSPECTED BY INSURANCE CO. APPRAISER NAME DATE DRIVER
RELEASED BY DATE PHONE
REASON FOR TOW TYPE OF TOW PERSONALS TAKEN BY DATE PHONE#
Q 6ENT BREAK DOWN ❑SLING /HOIST
VEHICLE STORAGE TIME
ABANDONED ❑UNREGISTERED ']SLAT BED /RAMP FROM T TO DAYS S
NO START OUT OF GAS WHEEL LIFT INDICATE DAMAGED AREA(S) ON VEHICLE:
FLATTIRE FIRE LANE KE LNFT
LOCK OUT NO TRESPASS TOWED PER ORDER O
TOW ZONE ARREST TATE POLICE Y D O
STOLEN ❑IMPOUNDED LOCAL POLICE MILEAGE TOWING
SNOW OWNER OF A CAR CHARGE
REMOVAL FINISH
SPECIAL EQUIPMENT USED DEALER MILEAGE 1 r
START
l V
WINCH FLARES OTHER SERVICES
SCOTCH FIRST t LABOR
❑DOLLIES ❑BLOCKS
SWEEP TOT I
REMOVE LABOR TIME EXTRA
RAMPS AXLE PERSON
SECURE FINISH
SNATCH LOOSE PARTS SPECIAL
BLOCKS START EQUIPMENT
METHOD OF PAYMENT STORAGE
CASH CHECK DRIVER'S LIC. TOTAL
idwbw Y� EXP. DATE EXTRA PERSON
CREDIT FINISH
CARD I I I I I I I I I I I I SUBTOTAL
AUTHORIZED SIGNATURE DATE START
X TAX
i a mnaam�smmoa� namiass+aa aan,a esaeiomwmomsemcasraneerea TOTAL
DRIVER SIGNATURE DATE IVE TRUCK TOTAL
We cannot be responsible for damages caused by faulty tires, bumper bra&ets, et 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. TH"K YOU!
4335 PRODUCT 8760
ILi;.Do 'DUMB G 0 93G 00 nf�
2�W� ETZ not recommended L)V the company MOW.
thv s5 request, C Felmase the company pa nyy bec ow ®4 a H
Fzzpo oz'sC H2V, both c!vH and cm6mra nav 6n a court ®4 Cava.
Date
DrWem's Utense
VeNcle ID
AuthopWng Sugnature.
Operator vgna,Wre
VOUCHER NO. WARRANT NO.
ALLOWED 20
Preferred Towing Recovery
IN SUM OF
16100 River Avenue
Noblesville, IN 46062
$210.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1110 43358 43- 510.00 $21 Q.00
I hereby certify that the attached invoice(s), or
I
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, August 25, 2011
Chief of Police
Title
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))
06/26/11 43358 payment for towing car 1451 N. Zellers $210.00
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