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Home My WebLink About224285 09/23/2013 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: $116.00 WESTFIELD IN 46074 CHECK NUMBER: 224285 CHECK DATE: 9/2312013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4351000 140735 58 . 00 AUTO REPAIR & MAINTEN 1125 4351000 140918 58 . 00 AUTO REPAIR & MAINTEN PADDACK WRECKER SERVICE, INC. 18702.US 31 North WESTFIEW, INDIANA 46074,,,-. Ro-ad (317)846-3206 ;., S, r v• e TE AM RE ESTE TIME PO a. PM C 5 s DG +Nf ... ..,. PHONE 1. ADDRESS CITY .STATE:-,.:;::'?:2.;zip .....,., LOCATION OF VEHICLE Yy_�R,MAKE,MODEL - COLOR MILEAGE- ' STATE PLATE NO. VEHICLE LD.NO. - - TOW SLIP# 14 S MILEAGE r SERVICE TIME ❑ACCIDENT START START ❑IMPOUND . ?`BREAKDOWN ' FINISH, '+ FINISH' Ll SERVICE CA ' � LL TOTAL _�� ,G ht I`e TOTAL ❑ ' DESCRIPTION OF SERVICES ' ' �' SP sCNALE QUI NT ❑ WINCHING ❑DUAL LINE WINCHING ❑SNATCH BLOCKS' ❑DOLLY TYPE OF TOW TOWED PER ORDER OF VEHICLE TOWED TO ❑SLING/HOIST TOW ❑STATE POLICE FIR 5r7ow �-FLAT BED/RAMP ❑LOCAL POLICE ❑WHEEL LIFT ❑SHERIFFDEPT. SECOND TOW ❑ DEALER ❑OWNER' f STORAGE TOWING CHARGE r 1O To onus MILEAGE CHARGE ;. PAID LABOR CHARGE DRIVER'S "&CASH: ❑CHECK LIC.NO. WINCH CHARGE EXP. we ❑VISA ❑AMEX ❑DISCOVER DATE SPILL CONTAINMENT SPECIAL CC No. EQUIPMENT OPERATOR'S SIGNATURE, DAT ' 5 ( D CLEAN UP UNIT NO. �-7 4 STORAGE AUTHORIZED St NATURE - - ' DATE SUB-LET VEHICLE RELEASED TO - DATE /r d ' TO 4L ,-YI1 Not responsible for loss or damage to vehicle O V �IYI tV! in case of fire,theft or any other cause beyond our control. P.O.0. Per G.L.0 Bud Une Purchaser .�cas� —Date - Approval - Customer Release Form -Liability.Release Form .I have requested towing, transport recovery or 'roadside services that are not recommended by the company below. if damage,or theft,of'. my vehicle(s) occurs because of this request, .1 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 _ DDAC WRECKER.SERVICE, INC. 18702 US 31 North ESTFIELD, INDIANA 46074 Road SEP 17 2m (317) 896-3206 (317) 846-3206 Service • _ TIME AM RE B ? P.O.NO. PM I AME PHONE A ADD CITY STATE ZIP LO(J�ALTION OF VEHICLE Y IJIi�M �(� f' - SL COLOR }c. M. U �.�.5" ti;' / STATE "P. T.E NO VENICE LD.NC�..' r .. TOW SLIP# T�. ryU4S --(�Sx�1�'� )5�(30�s�� 5 MILEAGE SERVICE TIME, ❑ACCIDENT START START i)IMPOUND =FINISH=== . . - BREAKDOWN 7[-]'SERVICE CAL L-'--a' TOTAL 162 ---_- - .� .GU M,i f TOTAL -. •❑.. DESCRI.��ERVIC t SPECIAL EQUIPMENT ❑SINGLE LINE WINCHING P.O.# or r ❑DUAL LINE WINCHING If G.L# ❑SNATCH BLOCKS ❑DOLLY Line Des ❑ TYPE OF 1VAhacef LE TOWED TO ❑SLING/f1,ISSTTOW. ❑STATE POLICE Date FIR/SST_TOW ,[']FLAT BEAAD/RAMP�aII LOCAL POLICE 7 /❑WHEEL LIFT ❑SHERIFF DEPT. SECOND TOW' ❑ ,i]DEALER ❑OWNER STORAGE TOWING CHARGE GG S� TO DAYS®S MILEAGE CHARGE 3 �c PAID LABOR CHARGE DRIVER'S , ❑CASH ❑CHECK LIC.NO. WINCH CHARGE EXP. ❑MC ❑VISA ❑AMEX ❑DISCOVER DATE SPILL CONTAINMENT SPECIAL CC NO, EQUIPM ENT OPERATOR'S SIGNATURE"-""'-'-"`—"-��----DATE'-"-"--' CLEAN UP JJ " lG I"3 NIT NO. �-7 STORAGE AUTHORIZED SIGNATURE DATE SUB-LET VEHICLE RELEASED TO DATE _TO L ICjC ® Not responsible for loss damage to vehicle (0 3 in case of fire,theft or any other cause beyond our control. n9 service 18'10-886-632? NFB,Inc.t'ete. orough,NH 03458 w,1w_1ecStom Rel.No G 15?504616 Customer Release Form Liability,Release Form have.requested towing, transport recovery-or roadside services that Are not recommended by the company below. If damage or theft of my vehicle(s) occurs because of this request, I release the company, below of all-responsibility, both.Icivihand•criminal,,'.in a court of law. Date Driver's License Vehicle ID# Authorizing Signature Operator Signature ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of 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. 00351300 Paddack Wrecker Service, Inc. Terms 18702 US 31 North Westfield, IN 46074 Invoice Invoice Description Date Number (or note attached invoice(s)or bill(s)) PO * Amount 8/23/13 140918 Tow M06 to PFM $ 58.00 9/16/13 140735 Tow M06 to Maintenance Office $ 58.00 Total $ 116.00 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 f, 20^ Clerk-Treasurer Voucher No. Warrant No. 00351300 Paddack Wrecker Service, Inc. Allowed 20 18702 US 31 North Westfield, IN 46074 In Sum of$ $ 116.00 ON ACCOUNT OF APPROPRIATION FOR 101 -General Fund PO#or Board Members Dept# INVOICE NO. ACCT#/TITL AMOUNT 1125 140918 4351000 $ 58.00 1 hereby certify that the attached invoice(s), or 1125 140735 4351000 $ 58.00 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 19-Sep 2013 Signature $ 116.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund