223135 08/13/2013 *f 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: $400.00
WESTFIELD IN 46074 CHECK NUMBER: 223135
CHECK DATE: 8/13/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1203 4359003 26822 548944 200 . 00 MOBILE STAGE TRANSPOR
1203 4359003 26822 548945 200 . 00 MOBILE STAGE TRANSPOR
PADDACK'S PADDACK'S
HEAVY TRANSPORT SERVICE HEAVY TRANSPORT SERVICE
18702 US 31 N 18702 US 31 N
WESTFIELD, INDIANA 46074 WESTFIELD, INDIANA 46074
(317)896-3206 (317)896-3206
Fax:(317)867-0651 Fax:(317)867-0651
Da' ,I r�,/`2 Time AM PM Requ�sted By PO.No. D�a � Time AM PM qu Ted By P.O.No.
Name - Phone Name Phone
Address Address
City State Zip City State Zip
Location 1 t Location 2 Location Location 2
Destination 1 Q { Destination 2 Destination 1 /C t Destination 2
C < /6-
Desc-dpt.n / Descr tion
Mileage Start "-'r �Oi,�RE Total Mileage Start 4'tniSiS ,Jot�l �� � ���;��•="
Service Time Start� Finish I i,/• �_ Total A_p } Service Time Start /', Finis I E`,D ��.1 !'• Total iy° -a6H'�tj C�.t✓
Services Provided /l .' "" Services Provided
('Cl -��t �✓ __ ic, �`4i a� l �� cc• !v C4
Lb a J 4) qa' c 1
Remove Driveline❑ Secure Air Ride❑ Cage Brakes❑ Remove Driveline❑ Secure Air Ride❑ Cage Brakes❑
Landoll Trailer❑ Low Boy Trailer❑ HD Rollback❑ Landoll Trailer❑ Low Boy Trailer E. HD Rollback❑
STORAGE FROM Transport Charge OCR L STORAGE FROM Transport Charge Qp.
��ts► +iP n TS Mileage Charge - Mileage Charge
r° TO DAYS @$ Hr.Charge ro DAYS @ S Hr.Charge
PAID BY; PAID BY
DRIVER'S DRIVER'S
❑CASH G(HECK LIC.NO Permit Fees ❑CASH ❑CHECK LIC.No. Permit Fees
❑COM CHECK El MC El VISA ❑AMEX DATE Labor Charge ❑COM CHECK ❑MC ❑VISA ❑AMEX DATE Labor Charge
Winch Charge Winch Charge
CC NO. Storage CC NO Storage
OPERATOR'S SIGNATURE qTE OPERATOR'S SIGN T" E DAT
�0"t 1U�� 3 l�
TRUCK NO Subtotal TRUCK Na Subtotal
O'/3
AUTHORIZED SIGNATURE DATE Total OG,. AUTHORLIfID SIG ..
Al RE DATE Total Qd
548945 548944
PADDACK'S TRANSPORT INC
18702 US 31 NORTH
WESTFIELD IN 46074
317-896-3206
BILL TO:
CARMEL REDEVELOPMENT COMMISSION CUST#: CRC
COMMUNITY RELATIONS DEPT. FAX# : 317-571-2789
ONE CIVIC SQUARE TERMS: NET 15 DAYS
CARMEL, IN 46032
STATEMENT OF ACCOUNT
DATE: 07/01/13
TICKET AMOUNT
DATE TICK # LOCATION AMOUNT OWING
06/03/13 548944 220 2ND AVE S/W - CARMEL 200.00 200.00
06/10/13 548945 MIDSTATES - FISHERS 200. 00 200.00
CURRENT PAID OUT CHARGES 0.00
1-30 DAYS 31-60 DAYS 61-90 DAYS >90 DAYS
CURRENT PAST DUE PAST DUE PAST DUE PAST DUE TOTAL DUE
400.00 0.00 0.00 0. 00 0.00 400.00
Page 01
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))
06/03/13 548944 $200.00
06/10/13 548945 $200.00
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
120
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Paddack's Transport, Inc.
IN SUM OF $
18702 U.S. 31 North
Westfield, IN 46074
$400.00
ON ACCOUNT OF APPROPRIATION FOR
Community Relations
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
26822 548944 43-590.03 $200.00_ I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
26822 548945 43-590.03 $200.00
materials or services itemized thereon for
which charge is made were ordered and
received except
Sunday,August 11, 2013
Director, Community Relations/Economic Development
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund