Loading...
HomeMy WebLinkAbout228098 1/14/2014 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: $2,039.00 WESTFIELD IN 46074 CHECK NUMBER: 228098 CHECK DATE: 1/14/2014 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2201 4351000 2 , 039 . 00 AUTO REPAIR & MAINTEN Q�G�Y i Q Q M1'q%7r-%Jn 1 %,3QnvQ�>G 18702 US 31 N WESTFIELD, INDIANA 46074 (317) 896-3206 Fax: (317) 867-0651 Dat Time AM PM R quested By P.O. No. .% !' Nan* Phone Address City State Zip Lo ation 1 Location 2 Destination 1 Destination 2 Description C9 Gy t- Mileage Start Finish Total Service Time Start Finish Total Services Provided CV Remove Driveline ❑ Secure Air Ride ❑ Cage Brakes ❑ Landoll Trailer CI Low Boy Trailer ❑ HD Rollback ❑ STORAGE FROM Transport Charge Mileage Charge TO DRIVER'S DAYS ® � PAID BY Hr. Charge ❑ CASH ❑ CHECK LIC. NO, Permit Fees EXP. ❑ COM CHECK ❑ MC ❑ VISA ❑ AMEX DATE Labor Charge Winch Charge 7clo Cc NO, Storage O F TOR'S SIGNATURE: DATE �� gl �.rT TRUCK NO. Subtotal AUTHORIZED SIGNATURE DATE Total ?(;tU a r`r%e I o nr%IIs•ar vn t v`n v ova. 18702 US 31 N WESTFIELD, INDIANA 46074 (317) 896-3206 Fax: (317) 867-0651 Date Time AM Requested By P.O. No. Name � Phone Address V6 c� met Sz cityState Zip tV Location I Location 2 oc Destinatior 1 Destination 2 Description _ ..1 Mileage Start Finish Tta Service Time Start Finish Total Services Provided AI- 69 k- e e Remove Driveline ❑ Secure Air Ride ❑ Cag Brakes ❑ Landoll Trailer ❑ Low Boy Trailer ❑ Hl/Rollback ❑ STORAGE FROM Tra sport Charge ileage Charge I 0 TO DRIVER'S DAYS ® $PAID BY Hr. Charge E) CASH ❑ CHECK LIC.NO. Permit Fees EXP? ❑COM CHECK F-1MC ❑ VISA ❑ AMEX DATE L. Charge o Winch Charge CC NO. Storage OPERATOR'S SIGN Z6 DATE TRUCK NO. Subtotal AUTHORIZED SIGNATURE DATE Total r ra..rsv a a s rv'r ava- vra a r va—a a v ava- 18702 US 31 N WESTFIELD, INDIANA 46074 (317) 896-3206 Fax; (317) 867-0651 to r Time AM PM �uesteti y , .� P.O. No. Name �� `S Ph"733 y -Q� Address t City State Zip Location 2 etinctionji /"� Destination 2 1) lion Et�,-7 70611 MileaFini`3 'V Total Service Time Start Finish Total Services Provided } ^ . ' Remove Driveline ❑ Secure Air Ride ❑ Cage Brakes ❑ Landoll Trailer ❑ Low Boy Trailer ❑ HD Rollback ' STORAGE FROM Transport Charge Mileage Charge L f TO DRIVER'S DAYS �? S PAID BY Hr. Charge ❑ CASH ❑ CHECK LIC,NO. Permit Fees EXP ❑ COM CHECK ❑ MC ❑ VISA ❑ AMEX DATE Labor Charge Winch Charge CC NO. Storage O&WS SIGNATURE A'Jc, T +4p O Subtotal A IZ 1®�TURE rETotal /7--f c li J v/ I /L.P V 1" / I IPiIaVr`VII 1 VL�YI®IV6w' 18702 US 31 N WESTFIELD, INDIANA 46074 (317) 896-3206 Fax: (317) 867-0651 Da Time AM PM Requested By PO. No. Nle � Phone c� Address City State Zip �� �•b� ""`' ©!� �G.is•. Location 2 Destination 1 /_ j , h j, Destination 2 Description �,/ *••', l0 T ' 73 Miieage Start Finish Total Service Time Start Finish Tota! , Services Provided Remove Driveline ❑ Secure Air Ride ❑ rakes ❑ Landoll Trailer ❑ Low Boy Trailer HVRollback ❑ STORAGE FROM Transport Charge Mileage Charge TO DAYS @ $ Hr. Charge PAID BY DRIVER'S ❑ CASH ❑ CHECK LIC, NO. Permit Fees EXP ❑ COM CHECK ❑ MC ❑ VISA ❑AMEX DATE Labor Charge Winch Charge CC NO Storage OPERATOR'S SIGNATURE DATE TRUCK NO. Subtotal AUTHORI SIGDATE Total S� r 18702 US 31 N WESTFIELD, INDIANA 46074 (317) 896-3206 Fax: (317) 867-0651 Dat 5 ., j Time AM PM Requested By P.Q. No. Name / / G Phone Address City state Zip Destination-1 Destination 2 DescriptionSZ> a e- -� aJal-ee Mileage Start Finish Total Service Time Start Finish Total J Services Provided Se l Remove Driveline.❑ Secure Air Ride ❑ Brakes D Landoll Trailer FI Lew Boy Trailer El Rollback El STORAGE FROM Transport Charge Mileage Charge TO DAYS e s Hr. Charge PAID BY DRIVER'S ❑ CASH Ci CHECK LIC. NO. Permit Fees EXP. ❑ COM CHECK ❑ MC ❑VISA ❑ AMEX DATE Labor Charge Winch Charge �Z CC NO. Storage OPERATOR'S SI 'A Ft / ' 1 DATE S / TRUCK NO. n Subtotal AUTHORIZED SIGNATURE ,LTE S_J Total S VOUCHER NO. WARRANT NO. ALLOWED 20 Paddack Wrecker Service IN SUM OF $ 18702 US 31 North Westfield, IN 46074 $2,039.00 ON ACCOUNT OF APPROPRIATION FOR Carmel Street Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 2201 43-510.00 $294.00 1 hereby certify that the attached invoice(s), or 2201 43-510.00 $350.00 bill(s) is (are) true and correct and that the 2201 43-510.00 $525.00 materials or services itemized thereon for 2201 43-510.00 $170.00 2201 43-510.00 $700.00 which charge is made were ordered and received except v F ida 2014 St AQT8 Okq[We r 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)) 01/03/14 $294.00 01/05/14 $350.00 01/05/14 $525.00 01/06/14 $170.00 01/06/14 $700.00 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