HomeMy WebLinkAbout228658 1/28/2014 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: $870.00
�•', .� WESTFIELD IN 46074
CHECK NUMBER: 228658
CHECK DATE: 1/28/2014
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
2201 4351000 870 . 00 AUTO REPAIR & MAINTEN
Y Nam P7® ■ t.a ln410Vn V■.0 ■ VO-9 t IN FVRm
18702 US 31 N
WESTFIELD, INDIANA 46074
(317) 896-3206
Fax: (317) 867-0651
ta
Nf Time AM PM q . sted 8 S�� P.O. No,
Name Phone
LtU��� �.
Address
City State Zip
L ' Location 2
Destination 2
/M.
bes0i i10 Vo U
6 �j
Mileage St01- Finisty^ 36
Total
Service Time Start Finish% Total
Services Provided
v DOI+ J
Remove Driveline ❑ Secure Air Ride ❑ Cage Brakes ❑
Landoll Trailer ❑ Low Boy Trailer❑ HD Rollback' -
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
OP RJFs SIGNATURE 1 DAT iy
�j
TRLVKxNO....i Subtotal
[`�U-
HORIZED SIGNATURE DATE Total
18702 US 31 N
WESTFIELD, INDIANA 46074
(317) 896-3206
Fax: (317) 867-0651
Date me AM PM Requested P,0. No.
Name one
Address
city State Zip
Location Location 2
Destination I/ Destination 2
Description
Mileage Start Finish Total
Service Time Stan Finish Total
Services Provided 6,17) 1�0 0 W
Ll�rp
w4h
at �ff-j— 2ere t 4K—
F- 1 k,
Remove Driveline F1 Secure Air Ride 0 Cage Brakes D
Landoll Trailer 0 Low Boy Trailer 0 HD Rollback 2.1'
STORAGE FROM Transport Charge -Z
Mileage Charge
TO DAYS @ $ Hr. Charge
PAID BY DRIVER'S
C3CASH 0 CHECK LIC, NO, Permit Fees
EXP
0 COM CHECK E) MC Cl VISA E3 AMEX DATE Labor Charge
Winch Charge
CC NO. Storage
OPERATOR'S AjaN
D7
TRUCK N
,Pe"' oV 7 Subtotal
AUTHORIZED SIGNATURE DATE Total
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18702.US 31 N
WESTFIELD,,INDIANA 46074
(317) 896-3206
Fax: (317) 867-0651
Dat Time AM PM R® sted By POI No.
Name// _ Phone
Address
City State zip
Location 1 location 2
i
Destination 1 Destination 2_
Description
Mileage Start Finish Total
.i
Service Time Start Finish Total '
Services Provided
i
i
I
i
Remove Driveline Secure Air Ride ❑ Cage Brakes ❑
I-6n8oll Trailer ❑ Low Boy Trailer ❑ HD Rollback'D
1
STORAGE FROM Transport Charge
Mileage Charge i
TO DAYS Q $
PAID BY Hr. Charge
❑ CASH ❑ CHECK uc Nos
Permit Fees i
EXR `
❑ COM CHECK ❑ MC ❑ VISA ❑ AMEX DATE Labor Charge }
Winch Charge
k"
CC NO; Storage
OPE s SIGNATURE DATE
TRUCK NO,
Subtotal
AH101Z_ stGP DATE Total
3
VOUCHER NO. WARRANT NO.
ALLOWED 20
Paddack Wrecker Service
IN SUM OF $
18702 US 31 North
Westfield, IN 46074
$870.00
ON ACCOUNT OF APPROPRIATION FOR
Carmel Street Department
PO#/Dept. INVOICE NO. ACCT#!TITLE AMOUNT Board Members
2201 43-510.00 $170.00 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 $350.00
materials or services itemized thereon for
which charge is made were ordered and
received except
W es
Gast Ge ss;;n
Street Commissioner
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))
01/08/14 $170.00
01/16/14 $350.00
01/16/14 $350.00
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
20
Clerk-Treasurer