219855 05/07/2013 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: $125.00
WESTFIELD IN 46074 CHECK NUMBER: 219855
CHECK DATE: 5/7/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4358200 138665 125 . 00 SPECIAL INVESTIGATION
0 , PADDACK - -
WRECKER SERVICE, INC. (w
18702 US 31 North
WESTFIELD, INDIANA 46074 [Road
(317) 896-3206 0
(317) 846-3206 oce
DATE - / I TIME` .mil rPM REQUESTED BY PQ Q�r_ PO
NAME f ,I v` PHONE I! l'
ADDRESS`(//C
CITY STATE ZIP
LOCATION OF VEHICLE /
YEA A ODEL^ 'I E-V / _ ^A j/�f COLOq�-� MILEAGE
STATDD, eLATE y0; ry HI //IIYI/.�DIWH�L iVn�f TOW SLIP#
MILEAGE SERVICE TIME ❑ACCIDENT
START START N56MPOUND
❑BREAKDOWN
FINISH FINISH
❑SERVICE CALL
TOTAL TOTAL ❑ J
DESCRIPTION OF SERVICES SPECIAL EQUIPMENT
❑SINGLE LINE WINCHING
`r x- f /'�
G f f n. 9 1, 'rj/�7A &- ❑DUAL LINE WINCHING
V✓ !� 1 j r' El SNATCH BLOCKS
1 I-C C ❑DOLLY
TYPE OF TOW TOWED PER ORDER OF VEHICLE TOWED TO
❑SLING/HOIST TOW ❑STATE POLICE FIRST TOW
If FLAT BED/RAMP LOCAL POLICE
"ErWHEEL LIFT ❑SHERIFF DEPT. SECOND TOW
❑ ❑DEALER ❑OWNER
STORAGE TOWING CHARGE ' 2 5 ?��
Bd� a2 TO DAYS®$ MILEAGE CHARGE
1PAID LABOR CHARGE
DRIVER'S
❑CASH ❑CHECK' LIC.NO.
WINCH CHARGE +EXP El MC ❑VISA ❑AMEX El DISCOVER DATE SPILL '
CONTAINMENT
SPECIAL 5
CC NO. EQUIPMENT
OPERATOR'S SIGNATURE /�-_/ DATE CLEAN UP
UNIT NO. / � yl
n
L77 � o, STORAGE
UTHORIZ DSGNATURE DATE SUB-LET
VEHIC E RELEASED TO /��� t D TE TOTAL
q, ^ Not rgsponsible for loss y da ge to vehicle Thank You
!Q� t`�J in case of fire,theft or any oth r c ~aause beyond our control. ua
neorJ.->i.m NESS CUST{,-M"printing service . ,)aea-6327 Ref Nc:G 14604616
6
0 - 0
U ;aNMV RMease Form
| have requested towing, transport recovery p[ roadside services that
are not recommended hv the company below. |f damage 0rtheft of
nlyvehiC|e(S) occurs because O/this request, | release the company
below 0fall responsibility, both civil and CriOliD8|' in 8cOU[t of law.
Date ------- -------------------------
Driver's License
Vehicle# -- ------
Authorizing Signature
Operator Signature---- ---------''--------__-_____--_-_____.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Paddack Wrecker Service, Inc.
IN SUM OF $
18702 US 31 North
Westfield, IN 46074
$125.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Police Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
1110 I 138665 I 43-582.00 I $125.00 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, May 01, 2013
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))
04/04/13 138665 investigation $125.00
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