156755 02/21/2008 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: $459.50
WESTFIELD IN 46074 CHECK NUMBER: 156755
CHECK DATE: 2/21/2008
DEPARTMENT ACCOUNT PO NUMBER INV OICE NUMBER AMOUNT DESCRIPTION
1110 4351000 111684 150.00 AUTO REPAIR MAINTEN
1120 4350900 520218 160.00 OTHER CONT SERVICES
1120 435.0900 520384 149.50 OTHER CONT SERVICES
IS
PADDACK
e. WRECKER SERVICE, INC.
18702 US 31 North
WESTFIELD, INDIANA 46074 R
(317) 896 -3206
(317) 846 -3206 Se rvi ce.•
DATE A 9 t TIME i _307 BY ID P N
NAME L PHONE
ADDRESS
CITY r STATE ZIP
LOCATI000
YEAR, MAKE, MOD�,,:�, o CO�Ofi MILEAGE
P/b ��XI� TO aq /<q
MILEAGE FOCIC6 SERVICE TIME Q ACCIDENT
START- START (/f7 IMPOUND
FINISH FINISH v A� BREAKDOWN
SERVICE CALL
TOTAL TOTAL
.DESCRIPTION OF SERVICES SPECIAL EQUIPMENT
SINGLE LINE WINCHING
El DUAL LINE WINCHING
SNATCH BLOCKS
DOLLY
TYPE OF TOW TOWED PER ORDER OF VEHICLE TTQ TO
SLING /HOIST TOW TI STATE POLICE FIRSS7� �y
FLAT BED /RAMP LI LOCAL POLICE
WHEEL LIFT SHERIFF DEPT. SeC,0ND TOW
El DEALER El OWNER
/•tC
STORAGE TOWING CHARGE
TO DAYS e MILEAGE CHARGE'
PAID LABOR CHARGE
DRIVER'S
CASH CHECK LIC. NO.
WINCH CHARGE
MC VISA AMEX DISCOVER 'DATE SPILLr*w
CONTAINMENT
SPECIAL
CCNO� EQUIPMENT
OPERATOR'S SIGNAT F3E -r f DATE
CLEAN UP
UNIT NO. \1
JG STORAGE
AUTHORIZED SIGNATURE 'DATE
SUB -LET J pr
VEHICLE RELEASED TO DATE TOTAL V
11168 (O Not responsible for loss or damage to vehicle r h a n k o u
6 in case of fire, theft or any other cause beyond our control. 1, fl i
J
Reorder Fm NEBS CUSTCMN prfnting service i- aoo- 88a-F3 T NL -'BS, fne, Petert,�rough. Nf; 03»,5d o_vrri.��'.�s,wm Ref,Na G 154904ets
CusRomer RM(Sese Form.-
Liab Ry RMease form
1,have requested towing, transport'recovery or roadside sorvices that
are' not 'recommended by :he .company below: It damage or theft of
my Vehicle(s) occurs because of this request, 1 release the company
--below.of ali,responsibility, both civil and criminal, in a court of lalrr.
Date
Driver's License
Vehicle.i®#
Authorizing Si §nature:
Operator Sic
driature
P. 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
Paddack Wrecker Service, Inc. Purchase Order No.
=18702 USS31 North Terms
Westfield, IN 46074 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
1/9/08 111684 paymnent for towing vehicle 38 150.00
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
ck Wrecker Service Inc. IN SUM OF
18702 US 31 North
Westfield, IN 46074
150.00
ON ACCOUNT OF APPROPRIATION FOR
p olice general fund
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 111684 510 150.00 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
February 12 2008
Signature
Chief of POlice
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
PADDACK'S
HEAVY TRANSPORT SERVICE
18702 US 31 N
WESTFIELD,. INDIANA 46074
(317) 896 -3206
Fax: (317) 867 -0651
Date Time AM PM Requested By Poor. No.. /..'n r•� t
it
NdriTd W Phone
Address
City State Zip
Location 1 Location 2
Destination 1 Destination 2
j OP
Description
4 -i L:.
Mileage Start Finish Total.,
Service Time Start Finish Total
Services Provided
1
Remove Driveline Secure Air,Ride Cage Brakes
Landoll Trailer Low Boy'Trailer HD Rollback
STORAGE FROM Transport Charge
Mileage Charge
TO DAVS'' Hr. Charge
PAID BY DRIVER'S
CASH CHECK LIC. NO. Permit Fees
EXP.
COM CHECK MC VISA AMEX DATE Labor Charge
Winch Charge
CC NO. Storage
OPERATOR'S SIGNATURE DATE
TRUCK NO. SUbtOtal
.'N.J
AUTHORIZED SIGNATURE DATE
Total
523218 �GV
t
Reorrte� r on, NESS CUST¢,M' "printiny ServlCe 1.000 BBft -f327 NLJJ, h;r,. Petabnr'ou9h, P1H 0. >450 www.rets.w!rt� Fluff. No: G 14330MG3
MaMft Rage se Farm
1 have requested towing, transport, recovery or roadside services
ghat are not recommended by the company below.
11 damage or theft of my vehicle(s) occurs because of
this request, l release the company below of, ail"
responsibility, both civil _and in a court of law.
Date
Driver's License
Vehicle.9D
Authoriz'tfig Signature
Operat ®r Signature
PADDACK'S s
HEAVY TRANSPORT SERVICE
18702 US 31 N
WESTFIELD, INDIANA 46074
(317) 896 -3206
(317) 867-0651
Da Time AM A A Requested By P. Nd.
r ,Qh 6
Na Phone
Address
City State Zip
Location 1 Location 2
D estination 1 (�/'j Destination 2
L I
Description nn
Start
mileage Finish Total
9 a r2 ?.tip, 3r
Service Time Start Finish Total
Services Provided
i G> 6 A. S: ��.c.-
Remove Driveline Secure Air Ride Cage Brakes
Landoll Trailer Low Boy Trailer HD Rollback
STORAGE FROM Transport Charge S
Mileage Charge �;jy {t
PAID BY TO DAYS Hr. Charge
DRIVER'S
CASH CHECK LIC. NO. Permit Fees
E] COM CHECK MC VISA AMEX A Labor Charge
Winch Charge
CC NO Storage
OPUATOR'S SIGNATURE DATE'
s O
TRUCK NO.
Subtotal
AUTHORIZED SIGNATURE DATE Total y5
520384
^'cR$ SJscT(� `printinq service 1-800.889 -6327 NE Inr,. Po I.Iftl gh, NF1 03459 Hw. N) G 143WOFIOD
(K�Moftmsrf naDa s F@T[r
MMMft [R86(isse [Foam
have regUested ,towing, transport, recovery or roadside services
that•are not recommended by the company below.
'if 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..
D
Driver's License
Vehicle 16
Authorizing Signature
Operator Signature
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 7995)
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))
a
o
Total 3oa .5 Q
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
IN SUM OF
a
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
�o Saoa�� Soa•.o ��o.� bill(s) is (are) true and correct and that the
S a.o3�y rya �o materials or services itemized thereon for
which charge is made were ordered and
received except
QO o
Signature
-Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund