224614 09/25/2013 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: $250.00
WESTFIELD IN 46074 CHECK NUMBER: 224614
CHECK DATE: 9/25/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351000 250 . 00 AUTO REPAIR & MAINTEN
a oc�rav o a av-aa av1 va e a va..a o e ew.ro_
18702 US 31 N
WESTFIELD, INDIANA 46074
(317) 896-3206
Fax: (317) 867-0651
Datp, Time AM PM Requested Ay _ P.O. No. mrA
�
o-13 W11
Name df Phone
A Sit,
Address r.
3 �' s
City State Zip
v6� 1
Location y� t Location 2
s�Off? r`' - ����•� t f
Dest1ailott t � T t De titian 2
rj C.r...�
Description
Mileage Start Finish Total
Service Time Start Finish Total
Services Provided
i A-)
Remove Driveline ❑ Secure Air Ride ❑ Cage Brakes ❑
Landoll Trailer ❑ Low Boy Trailer ❑ HD Rollback ❑
STORAGE FROM Transport Charg '-) U
Mileage Charge
T(7 DAYS ® S
PAID BY Hr. Charge
DRIVER'S
❑ CASH ❑ CHECK LIC, NO. Permit Fees
EXF.
❑ COM CHECK ❑ MC ❑ VISA ❑ AMEX DATE Labor Charge
Winch Charge
CC No. Storage
OPERATOR'S SIGNATU . DATE
TRUCK NO, Subtotal
AUTHORIZED SIGNATURE DATE Total �j
VOUCHER NO. WARRANT NO.
ALLOWED 20
Paddack Wrecker Service
IN SUM OF $
18702 US 31 North
Westfield, IN 46074
$250.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
2201 I 1 43-510.001 $250.00 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
F yA 2013
W V V %--*v ,--r "U
Strg%, 9PMAR@%er
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))
09/16/13 $250.00
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