HomeMy WebLinkAbout155850 01/23/2008 CITY OF CARMEL, INDIANA VENDOR: 00351300 Page 1 of 1
ONE CIVIC SQUARE PADDACK WRECKER SERVICE, INC CHECK AMOUNT: $100.00
CARMEL, INDIANA 46032 18702 US 31 NORTH
WESTFIELD IN 46074 CHECK NUMBER: 155850
CHECK DATE: 1/2312008
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1:10 4351000 111144 100.00 AUTO REPAIR MAINTEN
r
PADDACK
WRECKER SERVICE, INC.
18702 USA 31 North R oa d
WESTFIELD, INDIANA 46074
(317) 896 -3206
(317) 846 -3206 S e r vi c e
DATE 1 v TIME ,a 0 PM REQU S
NAME V PHONE
ADDRESS
CITY STATE ZIP
LOCATION OF VEHICLE
YEAR, MAKE�MOD�L 1,d 2 5 M PC& COLOR MILEAGE
STATE U PLA T G (N 96 7 I. NO.. k 41 3 TOW SLIP H
Al
MILEAGE SERVICE TIME ACCIDENT
START START IMPOUND
f4.
FINISH FINISH El BREAKDOWN
EI SERVICE CALL
TOTAL TOTAL
DESCRIPTION OF SERVICES SPECIAL EQUIPMENT
L SINGLE'LINE WINCHING
I 6� 1 C Cwlwi e �h J �l1 DUAL LINE WINCHING
t SNATCH BLOCKS
O r rt!mv0 c !9 g -J i P7 DOLLY
a tJ
TYPE OF TOW TOWED PER ORDER OF VEHICLE TOWED TO
El SLING /HOIST TOW STATE POLICE FIRSTTOW
FLAT BED /RAMP LOCAL POLICE
El WHEEL LIFT El SHERIFF DEPT. SECOND TOW
DEALER ❑.OWNER
STORAGE
TOWING CHARGE
To oars ®s MILEAGE CHARGE
PAID LABOR CHARGE
DRIVER'S
0 CASH CHECK LIC. NO.
EXP. WINCH CHARGE 9^ 0
V
MC VISA AMEX El DISCOVER' DATE SPILL
CONTAINMENT
SPECIAL
CC NO. EQUIPMENT
OP6RAT0 SI ATURE DATE CLEAN UP
UNIT NO. STORAGE
o
AUTE 51691 URE E
SUB -LET
VEHICLEIIELE D T DATE O TA
TO
��j
4 4 Not responsible for loss damage to vehicle Thank You
I L 1 in case of fire, theft or any other r cause beyond our control.
J
Reorder From NESS CUSTaiM printing Service 1 13W 888 6327 NEBS, Inc.pete(bofough. NH 03156 aura. nebs.com Ref. No: C, 1540p481E
r
CU Sta LI Ne
Liability Release Form
I have requested towing, transport recovery or roadside services. that,.
=are not recommended by-the company below-. If damage or theft of.
my vehicle occurs because of this request, I release the company
below `of, ail responsibility, both civil and criminal,'. in a court of :law.-
Date
Driver's License
Vehicle l
.'Authorizing Signature
Operator Signature
Presc ibed 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
4mhom, 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 US 31 North Terms
Westfield, IN 46074 Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/11/07 111144 Payment for towing vehicle
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
Paddack Wrecker Service. Inc IN SUM OF
18702 US 31 North
Westfield, IN 46074
100 00
ON ACCOUNT OF APPROPRIATION FOR
police genera lfund
Board Members
PO# or INVOICE NO. ACCT #!TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
iiin 111144 510 100.00 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
-january 1A 20 08
A z�'&Z 1 -4""&
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund