HomeMy WebLinkAbout234844 07/16/14 (9,
CITY OF CARMEL, INDIANA VENDOR: 00351179
ONE CIVIC SQUARE FIRESTONE COMPLETE AUTO CARE CHECK AMOUNT: $'""""*`24.99'
CARMEL, INDIANA 46032 1314 S RANGELINE ROAD CHECK NUMBER: 234844
CARMEL IN 46032 CHECK DATE: 07/16/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4351000 143492 24.99 AUTO REPAIR & MAINTEN
L40R . ORDER. FIRESTONE COMi'LETE.AUTO CARE . SERVICE ADVISOR
1434.92 131.4 S.RANGE LINE ISD 02 JACQUELINE
OG/25/201.4 CARMEL, IN. 46032-2932 31.7.848.5886
2008' FORD t.SCWE HYBRID
CITY OF .CARREL, BUILDING .& CODE 2N �L, L4 FI ELECTRIC_/GAS Vll-,l H DOHC
1 CIV1C Q LIC. # 59979 IN VIN # 9.17I*ICU59H1.8045504
CARMEL,- IN 46032-2584 IN 06/25/14 12:18P EST., 11ILEAGE 45,000
317.57102418 xLISA , DIJE:, 05.-001-'N 06/25 D•roti Off APPT.- No
POO.
ore � _ INITIAL ESTIMATE _w
Article Extended Tab
-----------------NLUpb _�__ l _ qty_-----�'ar'_t-_ Labor Price Total
COOLI11G .SYSTEM PRESSURE TEST '24.99
Sym Otani._...
PRESSURE TEST COOLING SYSTEM 037044954 1 24099 24.99
COURTESY CI-IECI'. 0,.00
COURTESY CHECK09.7046930 1. N/C N/C
L"
ORDR'MOTES ( .
Driving-Conn itiOns '1ti16ict lb NOftiMAL
1r - r 1 _ _�'_� .�._ _ 1 .�' r 1-m,
f � I
P1 J1 - r 1 i 1 4
Summary
Flat 'rate-' charged 'per internal & Nitct7ell labor manuals1='arts 0.00
Time In: 12e18F'I*I 06/25/2014 f'a'rts Return: No Mounting instructions Labor 24.9`
C7_tst ,S'Lit,tra� I};y-EcaI�I7Jt3 F�,t1Pp�t: No [il'a> =T�%�;i�n�t4�s<�;r����Wheelr�rftit��i � LF . RF Stta(�Su(�Pl.y 0.00
Ir r Sl.tb 24.99
,CiES� itiCstl Tax 00
OE-. F'2;35/70R16 PSI 35
Torque 100 Total w....,. SP 2
4.99
I ACKNOWLEDGE THAT I HAVE REVIEWED THIS ESTIMATE OF REPAIR AND SERVICE WORK.1 HEREBY AUTHORIZE THE ABOVE WORK TO BE DONE,INCLUDING THE INDICATED,
PARTS AND LABOR,AND PROMISE TO PAY FOR ALL SUCH WORK.I GRANT PERMISSION TO OPERATE THE REFERENCED CAR,TRUCK OR VEHICLE ON STREETS,HIGHWAYS
OR ELSEWHERE FOR THE PURPOSE OF INSPECTION AND/OR TESTING.I UNDERSTAND THAT ALL CLAIMS MUST BE ACCOMPANIED BY AN INVOICE.I UNDERSTAND IF ADDITIONAL
WORK IS REQUIRED,YOU WILL OBTAIN MY VERBAL OR WRITTEN AUTHORIZATION BEFORE ANY ADDITIONAL WORK IS BEGUN,UNLESS OTHERWISE SPECIFIED ON THIS ESTIMATE.
X y Please do not leave Cell Phones;CDs,Money,Jewelry,or any other valuables in your vehicle.
Firestone Co tete�uto Care isnot and Will not be held responsible for missing or stolen items.
�''�4qe o't 1' 'f4f 're�e'rl 13069..403009.
VOUCHER NO. WARRANT NO.
ALLOWED 20
Firestone Complete Auto Care
IN SUM OF$
P.O. Box 403727
Atlanta, GA 30384
$24.99
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#IrITLE AMOUNT Board Members
1192 143492 43-510.00 $24.99
I hereby certify that the attached invoice(s), or
I
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
i
I
Monday, July 14, 2014
i
Titl
Cost distribution ledger classification if
claim paid motor vehicle highway fund
I
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))
06/25/14 143492 $24.99
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