241279 01/22/15 y pi.Coq* .
J-' .� CITY OF CARMEL, INDIANA VENDOR: 00351179
j; ® ' ONE CIVIC SQUARE FIRESTONE TIRE&SERVICE CENTER CHECK AMOUNT: $*****1,020.60*
CARMEL, INDIANA 46032 PO BOX 403727 CHECK NUMBER: 241279
98„��aN :` ATLANTA GA 30384-3727 CHECK DATE: 01/22/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 145450 156.00 OTHER EXPENSES
651 5023990 145495 864.60 OTHER EXPENSES
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Customer Invoice FIRESTONE COMPLETE AUTO CARE Service Advisor:
145495 1314 S RANGE LINE RD Nick Morrison
9/15/2014 CARMEL,IN 46032 (317)848-5886
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Duplicate Invoice
2007 Ford F-250 Super Duty Xlt
Carmel Water Dept
1301 St Ave Sw Lic#:70019 IN Vim:
Carmel,In 46032-2009 In:9/11/2014 9:51:00 AM Mileage:99403_
(317)571-2634 Out:9/15/201412:50:50 PM
Store# 20753 COMMERCIAL Reg#
Description Article T# TY Unit Extended Job
Number QTY Price Total
STANDARD OIL CHANGE UP TO 5 QTS 12.99
5.0 QTS. 0 0 0 0.00 0.00
API-SAE 5W-30(Below 100Deg.F),1 0 0 0 0.00 0.00
The Manufacturer recommends an Oil[Mileage=3000][TimeMonths=0][Indicator=0] 0 0 0 0.00 0.00
OIL FILTER 7048720 300 1 4.99 4.99
5W30 SYNTHETIC BLEND UP TO 5QTS 7000614 300 1 25.00 25.00
OIL CHANGE LABOR 7029718 300 1 5.00 5.00
Regional Promotion 7001674 300 -1 18.86 -18.86'
Regional Promotion 7001674 300 -1 3.14 -3.14
COURTESY CHECK 0.00
COURTESY CHECK 7046930 300 1 0.00 0.00
Technician(s):
BRADY, JAXSON
Payment History:
Charge Tendered 12.99 289
Summary:
Remit to:Firestone,P.O.Box 403727,Atlanta,GA 30384-3727 Parts 761.08
Labor 103.52
THANK YOU Shop Supp. 0.00
Sub-Total 864.60
Tax(7.00%) 0.00
Total 864.60
hhite 12/26/2014
Page 1 of 1
Customer Invoice FIRESTONE COMPLETE AUTO CARE Service Advisor:
145450 1314 S RANGE LINE RD Nick Morrison
9/15/2014 CARMEL,IN 46032 (317)848-5886
Duplicate Invoice
Cary Out
Carmel Water Dept
1301St Ave Sw Llc#: Vin#:1facp50u6ng143340
Carmel,In 46032-2009 In:9/11/2014 9:51:49 AM Mileage:0
Out:9/15/2014 12:50:16 PM
Store# 20753 COMMERCIAL Reg#
Description Article Up Extended glob
Number QTY Price Price Total
STANDARD TIRE INSTALL PACKAGE 156.00
TIRE INSTALLATION 7015016- 304 4 4.00 16.00
18-8.50X8 CARLYLE FAIRWAY PRO 7099285 304 4 35.00 140.00
Technician(s):
BRISTOL, NICK '
Payment History
Charge Tendered 156.00 301
Summary:
Remit to:Firestone,P.O.Box 403727,Atlanta,GA 30384-3727 Parts 140.00
Labor 16.00
THANK YOU Shop Supp. 0.00
Sub Total 156.00
Tax(7.00%) 0.00
Total r-- 156.00
hhite 12/26/2014
VOUCHER # 146438 WARRANT # 1, ALLOWED
00351179 j
IN SUM OF $
FIRESTONE COMPLETE AUTO CARE
PO BOX 403727
ATLANTA, GA 30384-3727
Carmel Wastewater Utility
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ON ACCOUNT OF APPROPRIATION FOR
,y I�
Board members
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PO# INV# ACCT# AMOUNT I Audit Trail Code
145495 01-7502-06 $864.60 '1
i�IS -ISS Oro 156,00 I
'1
Voucher Total 60
Cost distribution ledger classification if
claim paid under 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 of service rendered, by whom, rates per day, number of units,
price per unit, etc.
Payee
00351179
FIRESTONE COMPLETE AUTO CARE Purchase Order No.
PO BOX 403727 Terms
ATLANTA, GA 30384-3727 Due Date 12/30/2014
Invoice Invoice Description
Date Number (or note attached i'nvoice(s) or bill(s)) Amount
12/30/201d 145495 $864.60
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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
Date Officer