217298 02/13/2013 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: $1,106.50
WESTFIELD IN 46074 CHECK NUMBER: 217298
CHECK DATE: 2/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351000 1, 106 . 50 AUTO REPAIR & MAINTEN
1-9 L;1 Pq V I I n P"11 i67 r-%J n I %">Q r1%V I V_
18 02 US 31 N
WESTFIELD.. INDIANA 46074
(311) 896-3206
Fax: (31 T) 867-0651 A I
D to AM PM Requewel By RIO NO
_7 E_ : —
NU1110 Phone
AUdiess 54:.
city state Zip
I y
Desihiaiton 2
C-r— ELU
CI- 14 Y SO C'P%, P_0�11Q
-3 Ic S-2- 6
3 9 3Rk-
49 0
Service Titro Sufs FOti!;h u 1"ZOAM
s(y,fica.4 Pmloided
le.�r 46
Remove Driveline ;7 Secure Air Ride El Cage Bralies
Landoll Ti'ailer F71 Low Boy`Trailer C1 HD Rollback M
STORAGE FROM -Transport Charge
Mileage Charge
PAID BY DAYS [b) -Hr. Charge
El CASH CHECK LIC' NO Permit Fees
p
F' OM CHECK '— '—
' MC VISA ' AMEX Ex DATE Labor Charge
Winch Charge
CC N10. Storage
OPIERA UNATU Dr;fE
TcrB
MUQK NO Subtotal
ALM40, R7TV S- f-INJA-TUFAL
Total
I %aL-V1vv160v-
18702 US 31 N
WESTFIELD, INDIANA 46074
(317 896-3206
Fax: (31 7) 867-0651
Time AM PM Re 4'estod By P-0, No
Phone
Address
City State zip
Lrjcakkj�'� /Y V- -f-- Location 2
1-7
Declination I Destination 2
-rill e--#3,&cp
C
Mileage Start nnish TOW
SBvice Tyr
Tuna Suqtt Fin 1!��A I V 4 ZU1J
,41.
services Providod 120 Pil-i-es ,,,5 v 4 —Ea
7'
Remove Driveline 0 Secure Air Ride ❑ Cage Brakes El
Landoll Trailer -7-1 1
J Low Boy Trailer 0 HO Rollback 0
STORAGE FROM Transport Charge
Mileage Charge
PAID BY TO DRIVER'S DAYS 0 Hr. Charge
C, CASH 17 CHECK LIC NO. Permit Fees-
Exp
C. COM CHECK 0 MC L7 VISA 0 AMEX Q-ATE Labor Charge,
Winch Charge
CC NO. Storage.
OPOATOWS,SIGNATURE DATE
TRUCK NO, Subtotal
-16KIegaa
AUTHORIZED SIGNATURE DATE Total
MtAV Y I H-ANZW UK Y 5F-RVICF-
'18702 US 31 N
WESTFIELD. INDIANA 46074
7 (317) *896-3206
Fax (317) 867-0651
Tim AM— Phi
-2 By
P01 Nf ,
tzi: r. -7- Phone
Ory
Zip
Location 2
0 D
estL
SN'
19 T
0'qop Tottal al
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Virttzt' Ak T
Tolat
S'Cfvlol-,�Pwrided
it
Remove Drivellne Secure Air IRIIcdfe [7 Cage Brakes 0
S '
Landoll Trailer Low &3),'Trailer 171 HD Rollback C]
STORAGE FROM
Transport Charge
Mileage Charge (?0
WAYS a -
PAID BY DRIVER S Hr. Charge
CASH CHECK LIC NO Permit Fees
EP
COM CHECK ! .1 MC VISA L� AMEX DATE Labor Charge
Winch Charge
cc NO Storage
DATE I.- Z3-(Z
rrqUCK NO
d Subtotal.
At RIM 0 AT E Total 2
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))
02/05/13 $1,106.50
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
IN SUM OF $
18702 US 31 North
Westfield, IN 46074
$1,106.50
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
2201 I I 43-510.00 j $1,106.50 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
Frida , eb 08, 01
Str �tcLRi 8her
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund