HomeMy WebLinkAbout164392 09/30/2008 CITY OF CARMEL, INDIANA VENDOR: 353947 Page 1 of 1
ONE CIVIC SQUARE PREFERRED TOWING RECOVERY CHECK AMOUNT: $171.00
CARMEL, INDIANA 46032 16567 RIVER AVE
NOBLESVILLE IN 46060 CHECK NUMBER: 164392
CHECK DATE: 9/30/2008
DEPART ACC PO NUMBER IN VOICE N UMBER AMOUNT D
.1110 4358200 34176 171.00 SPECIAL INVESTIGATION
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PRODUCT 8760
PREFERRED TOWING ROAD
RECOVERY, INC.
16567 River Ave:
NOBLESVILLE, IN 46062 j
(317) 773 -7890
TIME OF CALL E (N j}AATE OUT TIME START TIME FINISH REQUESTED BY P.OJ_CASE 11 OFFICER NAME
A.M. X A.M. A.M.
P.M. P.M.
PHONE
NAME
ADDRESS
CITY
STATE ZIP
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M MODEL COLOR ODOMETER DRIVER
YEAR
D t v
REGISTERED OWNER
M AP PLATE# STAT
LOCATrON OF VEPCLE l L n
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TOWED To 5.4 4 y n CC �t
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INSPECTED BY INSURANCE CO. APPRAISER NAME DATE DRIVER
RELEASED BY DATE PHONE
a
REASON FOR TOW TYPE OF TOW PERSONALS TAKEN BY DATE PHONE-
ACCIDENT BREAK DOWN SLING/HOIST
VEHICLE STORAGE TIME
U ABANDONED UNREGISTERED FLAT BED /RAMP FROM TO _DAYS S____
NO START ❑OUT OF GAS ❑WHEEL LIFE INDICATE DAMAGED AREAS) ON VEHICLE:
KEYS LEFT
.J FLAT TIRE FIRE LANE a.� `\e Y N
TO PER ORDER O
LOCKOUT NO TRESPASS RADIO
STATE POLICE Y N
TOW ZONE ARREST
LOCAL POLICE TOWING
❑STOLEN IMPOUNDED MILEAGE CHARGE 25— SNOW dill
OWNER OF A CAR FINISH
F
ID REMOVAL MILEAGE Z
SPECIAL EQUIPMENT USED C1 DEALER -�•1 START
WINCH FLARES OTHER SERVICES LABOR 2 s
FIRST TOTAL
EP C) A I D
DOLLIES BLOCKS I SWEEP I EXTRA
REMOVE. LABOR TIME PERSON
]AXLE
RAMPS FINISH
SNATCH LOOSE PARTS EQ SPECIAL
UIPMENT
BLOCKS START
METHOD OF PAYMENT STO
TOTAL RAGE
I!) CASH CHECK DRIVER'S LIC. I
VNIll EXTRA PERSON
IJ EXP.DATE
FINISH
CREDIT SUBTOTAL
CARD
AUTHORIZED SIGNATURE -a DATE START
TAX
X '..r,� TOTAL
A m
DRIVER SIGNATURE >.DATE.;, DJIV T CK TOTA
P1998 AW Direct. Ill.
Vie cannot be responsible for damages caused by faulty tires; bumpertrackets. etc. This company assumes no responsibility THAT YOU
!or loss or damage by theft. fire or any other cause beyond ouccontrol; to any vehicle placed :vith them fo s to
gy rage or repair.
PRODUCT 8760
34176
n
.1
r Sep._
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
i 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))
9/20/08 34176 payment for towing vehicle 171.00
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
VQUCHER NO. WARRANT NO.
ALLOWED 20
r
Preferred Towing Recovery, Inc. IN SUM OF
16567 River Avenue
Noblesville, IN 46062
171.00
ON ACCOUNT OF APPROPRIATION FOR
police general fu
Board Members
PO# or INVOICE NO. ACCT #/TITLE AMOUNT
DEPT. I hereby certify that the attached invoice(s), or
1110 34176 582 171.00 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
September 24 20 08
-Azlma b•
Signature
Chief of Police
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund