HomeMy WebLinkAbout241499 1 /27/2015 JY �,qf. CITY OF CARMEL, INDIANA VENDOR: 00351179
1 ONE CIVIC SQUARE FIRESTONE TIRE&SERVICE CENTER CHECK AMOUNT: S*******430.14*
9� ?� CARMEL, INDIANA 46032 PO BOX 403727 CHECK NUMBER: 241499
�'��r`oii�°' ATLANTA GA 30384-3727 CHECK DATE: 011/27/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4351000 148084 404.65 AUTO REPAIR & MAINTEN
1192 4351000 149269 25.49 AUTO REPAIR & MAINTEN
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Customer In_voice FIRESTONE COMPLETE AUTO CARE Service Advisor:
148094 CARMEL 02 OLIVIA
12/17/2014 1314 S RANGE LINE RD 317.848.5886
CA IN. 46032-2932
2008 FORD ESCAPE HYBRID
CITY OF CARMEL, BUILDING & CODE 2.3L L4 FI ELECTRIC/GAS VIN H DOHC
1 CIVIC SQ Lic M 74797-2 IN Vin#: 1 FMCU59H48KB58554
CARMEL, IN 46032-2584 In: 12/16/14 10:40AM Mileage: 15,133
317.571.2418 xLISA Out: 12/17/14 12:14PM
Store#020753 COMMERCIAL
Rev Hist Unit Extended Job
Description _ /Article# ID Qt y Price _Price__ Total
COMPLETE VEHICLE INSPECTION 02 18.69
Symptom:-
REAR BRAKES ARE FEELING OFF. CANT REALLY HEAR MUCH. BUT CAN FEEL
VEHICLE INSPECTION 7028789 12NN 1 18.69 18.69
STANDARD BRAKESERVICE REAR 1 02 326.47
PD1055 CERAMIC DfSC BRAKE PADS_. 700.7531 A2NN = 1 50 99 50 99-
BASIC BRAKE JOB REAR '' 7087076 ;12NN!,', 1 93.50 93:50
YH145566 BRAKE ROTOR'1 EA`.WREVR 7020435 12NN 2 181`98
BRAKE FLUID EXCHANGE, �- -^1 -, 1 1�1- i. s� 02 �I�, � / �- 71„ 59.49
BRAKE FLFUID EXCHANGE 1 s ` �C_i ''E ��'� �'i f Z � 1 16 699
BRAKE FLUID EXCHANGE-"LABO"FV 7086967 12NN 1 42.50 42.50
Technician(s):
12 NICK BRISTOL
Payment History: Summary:
Comm/Dlr Acct 404.65 Parts 249.96
Total Tendered 404.65 Labor 154.69
Shop Supplies 0.00
Sub-Total 404.65
Tax Exempt(31201660) 0.00
Total $404.65
1 have received the above goods and/or services. If this is a credit
card purchase, I agree to pay and comply with my cardholder
agreement with the issuer.
Rev
Revision History: Amt Init
Customer Signature 1) 12/16/2014 01:04PM 385.96 CITY OF CA 317.571.2418 Ext.LISA
All parts are new unless otherwise specified.
I acknowledge notice and oral approval of an
increase in the original estimated price.
Signature or Initials
PLEASE TELL:US ABOUT.-YOU RSERVICE EXPERIENCE TODAYI:;
Gef:$10 off your next total purchase of$25 or,more.and be.:entered into°a drawing f6r,$500 m services
Call 1 800 859 9203 or=go to www FirestoneSurvey com, Enter,Code020753 148084"
Offer expires 15Aays.from datepf invoice Good a tall,participating locations Redemption code
MOTORIST www.FirestoneCompleteAutoCare.com r' t�
r f We Suppal t ASS
t ssURANCE
°1��5'R� STD FCACLASER 7008335-48110392 REV 11/11
Pages 16£1.x;�_.�.-�_.-�-_� �5
""O '. '. . r, - Cel't1,IC2tI0I1
. ':M4 3s:rr,a:9nra�i= � prd;r: .R'PP mvin on CIfiP fnr WI rrnntV Infnrmntinn m_ Inv1 140826.404001
Jan.23.2015 03:34 PM PAGE. 2/ 2
Customer Invoice FIRESTONE COMPLETE AUTO CARE Sere'a Advisor: j
149269 CARAMEL Oi CK
01/2312015 1314 S RANGE LINE RD 317. .5886
CARMEL, IN. 46032.2932 f`
CITY OF CARMEL, BUILDING&CODE CORRECTION j I
1 CIVIC SQ Lic#: VIn#: ;.
CARMEL, 1N 46032-2584 In: 01/23115 2:13PM Mileage: 0
Cut: 01/23116 2:13PM
Store#020753
COMMERCIAL
Rev Hist Unit Exte dad Job
Description /Article# In Qty Price rice Total
EXPENSES 01 25.49
AR TRANSFER 7001111 NN 1 25.49 5.49
Payment History: 5umm
Comm/DIr Acct 25.49 Parts 25.49
Total Tendered 25.49 Labor 0.00
Shop Sup lies 0.00
Sub-Total . 25.49
Tax Exempt(31 07680) 0.00
Totml $25.49
I have received the above goods and/or services. If this is a credit
card purchase, I agree.to pay and comply with my cardholder
agreement with the.,Issuer.
Rev
Revision HhAo : Amt Init
Customer Signature
Alf parts are new unless otherwise specified.
PLEASE TELL US ABOUT YOUR SERVICE EXPERIENCE TODAY]
Get$10 off your next total purchase of$25 or more and be entered into a drawing for$600 in Sep ces
Call 1-800-859-9203 or go to www.FirestoneSLirvey.com; Enter Code020753-149269
Offer expires 15 days from date of Invoice. Good at all participating locations- Redemption code:.
www.FirestoneCompleteAutoCam.com
SI U FCAr 1.A r-R M08335-403103W(3F:1 i 1111
1':Ig��lf V •i;.; I 'i :�;i',;�l ;'w i: .. .i�t'� I I(IV•l 140820.404001
VOUCHER NO. WARRANT NO.
ALLOWED 20
Firestone Complete Auto Care
IN SUM OF$
P.O. Box 403727
.I
Atlanta, GA 30384 r
$430.14
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ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT
Board Members
I hereby certify that the attached invoice(s), or
1192 149269 43-510.00 $25.49
y bill(s) is (are)true and correct and that the
1192 148084 43-510.00 $404.65
materials or services itemized thereon for
kl
{ which charge is made were ordered and
j received except
Monday, January 26, 2015
I
1
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
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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
I
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s)or bill(s))
01/23/15 149269 $25.49
12/17/15 148084 $404.65
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f
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