206386 02/14/2012 CITY OF CARMEL, INDIANA VENDOR. 00351300 Page 1 of 1
a 0 ONE CIVIC SQUARE PADDACK WRECKER SERVICE, INC CHECK AMOUNT: $612.00
CARMEL, INDIANA 46032 18702 US 31 NORTH
WESTFIELD IN 46074 CHECK NUMBER: 206386
CHECK DATE: 2/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4351000 131190 262.00 AUTO REPAIR MAINTEN
2201 4351000 544734 350.00 AUTO REPAIR MAINTEN
P DDACK°S
HEAVY TRANSPORT SERVICE
18702 US 31 N
WESTFIELD, INDIANA 46074
(317) 896 -3206
Fax: (317) 8657 0651.
D II' Tm* AM Pki 'Re-aL 'iad Sy W .o. No. t, a,
Name Phona
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hVii2 gas Stan 1 =v .�1 Tom y
Soww rrmo start utmit
Semcas Providad
Remove 'Drfwel ne Secure Air Ride 0 Gage Brakes 0
1.4ndoll Trailer Low Boy Trailer D HD Rollback 0.
STO FROM Transport Charge
Mileage Charge
TO DAYS 0 S
PAID BY Hr. Ch�.rge
DRIVER
0 GASH �_I CHECK uw Pao Permit Fees
0 CG►M CHECK 0 MC n VISA C AMEX o 'FE Labor Charge
Winch Charge
CC NO, Storage
OPEBATIOR "S SIGNAT' RE !3r'TE
TRUCK Nil.
At;-/ Subtotal 1 5 7- --0
i L SIGNATURE oA L
5447
VOUCHER NO. WARRANT NO.
ALLOWED 20
Paddack Wrecker Service
IN SUM OF
18702 US 31 North
Westfield, IN 46074
$350.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO# dept. INVOICE NO. ACCT #!TITLE I AMOUNT Board Members
2201 544734 43- 510.00 $350.00 1 hereby certify that the attached invoice(s), or
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
Wednesday Febr afy�08, 2012
VV t/j
r
StreetLnCommissioner -e,.
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))
01/25/12 544734 $350.00
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
PADDACK
WRECKER SERVICE, INC.
18702 US 31 North
WESTFIELD, 1NDIANA 46074
.F) (317) 896 -3206 O
Cr (317) 846 -3206 S ervice
P REOUEex V P.O. NO.
NAME PHONE
ADDRESS
�'a&A-
CITY STATE ZIP
LOCATION OF VEHICLE
Y A I"4 L �rll r 1 7 w 1 C� R MILEA
MILEAGE f c� I SERVICE TIME [_1 ACCIDENT
START START. 1 IMPOUND
BREAKDOWN
FINISH FINISH.
SERVICE CALL
TOTAL TOTAL W .—I
DESCRIPTION OF SERVICES SPECIAL EQUIPMENT
16 SINGLE LINE WINCHING
_1 DUAL LINE WINCHING
J SNATCH 13LOCKS
r e DOLLY
TYPE OF TOW TOWED PER ORDER OF VEHICLE TOWED TO
SLING /HOIST TOW STATE POLICE FIRSTTOW
FLAT BED /RAMP 1J LOCAL POLICECi1 r L/
El WHEEL LIFT El SHERIFF DEPT. secorlD.row
DEALER OWNER
STORAGE TOWING CHAR Es
To DAYS IL pGE C AR C
PAID LABOR CHARGE
DRIVER'S
CASH CHECK LJC.NO,
WINCH CHARGE
EXF
MC VISA D AMEX DISCOVER DATE SPILL
CONTAINMENT
SPECIAL
CC NO, EQUIPMENT
OPERA
IGNAT RE s•9AT` ,z CLEAN UP
UNIT NO.
I STORAGE
AUTHORIZED SIGNATURE DATE
SUB -LE
VEHICLE RELEASED TO DATE
TOTAL
13 q .16 1 9 0 Not i for loss or damage to vehicle .T hank You
A in case of fire, ire, th e f t or t or any other cause beyond our control,
�.ae�de• 7, G r NESS CUSTJyt1 priRiinq Semi(e 1 !n 8._ Lor L.gh,. NIi 031 6E NO C, 15,CD,'016
CUMO (ar.RM(Bass Form
Uability Relegise Form
I have requested`towing, transport recovery or roadside services that,
are not recommended by the company below,. It 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.
Date
Driver's License
Vehicle ID
Authorizing Signature
Operator Signature
VOUCHER NO. WARRANT NO.
ALLOWED 20
Paddack Wrecker Service, Inc.
IN SUM OF
18702 US 31 North
Westfield, IN 46074
$262.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO# Dept. INVOICE NO. ACCT #!TITLE AMOUNT Board Members
I hereby certify that the attached invoice(s), or
1110 I 43 510.00 I $262.00
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
Thursday, February 09, 2012
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))
02/04112 tow car 121 Goodman $262.00
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