HomeMy WebLinkAbout168157 01/21/2009 CITY OF CARMEL, INDIANA VENDOR: 353947 Page 1 of 1
ONE CIVIC SQUARE PREFERRED TOWING RECOVERY
CARMEL, INDIANA 46032 16567 RIVER AVE CHECK AMOUNT: $140.00
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NOBLESVILLE IN 46060
CHECK NUMBER: 168157
CHECK DATE: 1121/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
911 4351000 140.00 AUTO REPAIR MAINTEN
PREFERRED TOWING
f9 C gS VE R 0 N C
:6567 Iver av,
N06LESVII.E, IN 46061 SERVICE
(317) 773-7890 v
F E OF CALL DAT IN ATE OUT TIME START TIME FINISH RI-QUESTED BY P.O. /CASE OFFICER NAME
AM. A.M. A.M P.M. (J I t P.M. i I P.M. f t f ME f ,HONE #1
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ADDRESS t 5
C I STATE ZIP WIX
YE R M KE /MODEL Y COLOR ODOMET DRIVER
ar S 1
MAKER PLATE STATE VIN REGISTERED OWNER
i ID To
LOCATION OF VEHICLE J
TOWEDTO p j S j
iS iR A/ t 1 '01zG
INSPECTED BY INSURANCE CO. APPRAISER NAME DATE DRIVER
RELEASED BY DATE PHONE
REASON FOR TOW TYPE OF TOW PERSONALS TAKEN BY DATE PHONE#
ACCIDENT BREAK DOWN I❑ SLING /HOIST
VEHICLE STORAGE TIME
ABANDONED UNREGISTERED ISFLAT BED /RAMP FROM TO DAYS a S
NO START OUT OF GAS
I 'll
LIFT INDICATE DAMAGED AREA(S) ON VEHICLE:
FLAT TIRE ❑FIRE LANE KEYS LEFT
Y N
❑LOCK OUT NO TRESPASS TOWED PER ORDER 0
TOW ZONE ARREST STATE POLICE RADIO
Y N
XOCAL POLICE r
❑STOLEN IMPOUNDED Mi ULEA E TOWING
SNOW OWNER OF A CAR CHARGE
REMOVAL FINISH
SPECIAL EQUIPMENT USED ❑DEALER MILEAGE
START
WINCH FLARES OTHER SERVICES
SCOTCH
L) SWEEP A FIRST TOTAL LABOR
DOLLIES BLOCKS
REMOVE LmR®R g0NE EXTRA
RAMPS AXLE PERSON
SECURE FINISH
SNATCH LOOSE PARTS SPECIAL
BLOCKS START EQUIPMENT
METHOD OF PAYMENT STORAGE
CASH CHECK DRIVER'S LIC. TOTAL
VQ EXP. DATET�
CREDIT FINISH
CARD SUBTOTAL
AUTHORIZED SIGNATURE DATE START
x TAX
i a e to hob tha o a hamlw raa, da,�a sdoem.Ww o r. TOTAL
DRIVER SIGNATURE sa DATE DRI ER TRU K TOTAL
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We cannot be responsible for damages caused by faulty tires, bumper brackets, etc. This company assumes no responsibility ®fees 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. THANK YOU!
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Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
1
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))
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
D IN SUM OF
ON ACCOUNT OF APPROPRIATION FOR
f
�uCf �2no,�-9r �oc►�
Board Members
PO# or INVOICE NO. ACCT #/TITLE T
DEPT. I hereby certify that the attached invoice(s), or
9// S%O v 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
/I/S 20 D
ignature
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund