246296 06/17/15 0�/ � CITY OF CARMEL, INDIANA VENDOR: 00351179 CHECK AMOUNT: $*"""'*606.72'
{; ® ONE CIVIC SQUARE FIRESTONE TIRE&SERVICE CENTER
r. _�; CARMEL, INDIANA 46032 PO BOX 403727 CHECK NUMBER: 246296
, �:'� ATLANTA GA 30384-3727 CHECK DATE: 06/17/15
F��ON�
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 153111 606.72 OTHER EXPENSES
Customer Involo FIRESTONE COMPLETE AUTO CARE Sorvice Advisor: +�
153111 CARMEL 11 SCOTT
06101312015 1314 S RANGE LINE RD 317,848,5886
CARMEL, -IN. 46032-2932
2007 FORD P-150 XI.
CITY OF CARME- UTIL 4,6L V8 FI GAS VIN W 80HC
• 9609 HAZEL DEL' PKWYt e)6_S �,,, Lie M 72597 IN Vin#: 1 FTRX14W47FB28885 }
INDIANAPOLIS, I 46280-293.1 _57 / cp In: 06/08/15 8:26AM Mileage: 124,871
317.716. 3435 xlarP Out; 06/08/15 12;01P'M
PO#S15182
Store#0207..53 COMMERCIAL PfdW5182
Rev Hist Unit Extended Job
Description ; lArticie# ID Qty Price Price Total
FIRESTONE TIR5 PACKAGE 11 606,72
077563 DESTINATION A/T P-METRIC OWL P245/751117 077563 14NN 4 1:36.56 546,24
1105
DOT# VNN ).A24114
DOT# VNN A24114 + ,
DOT# VNNL A24114 4 i'
DOT# VNN A24114 �
INDIANA TIRE ' E 7095834 14NN 4 0.25 1.00 i
NEW TIRE WHO EL BALANCE LABOR 7013632 14NN 4 11.04 44.16 +:
RUBBER VALV STEM 7015040 14NN 4 1,70 6.80 l
SCRAP TIRE R CYCLING FEE 7075078 14NN 4 2,1' 8.52
TIRE INSTALL ION 7015016 14NN 4 NIC N/C
COURTESY CHE K 11 .0
Ed-18 Batton, Inspection Results:Battery passed voltage, CCA capacity, and temperature;tests.
Return it to s' vice.
COURTESY CHCK 7046930 14NN 1 NIC N/C
Techniclan(s):
14 JONATHAN MOORMAN i
Payment History: Summary;
Comm/DIr Acct 606.72 Parts 553.04
Total Tendered 606,72 Labor, 53.68 $
Shop Supplies 0.00
Sub-Total 606.72,`+1 .,
Tax Exempt(0031201660) 0.00"'1 j
Total $606.72,1
I have reoeivod th above good;, and/or services, If this is a credit iR
card purchase. I a Iree to pay and comply with my cardholder
agreement with 91 issuer, i
Cust• mer Sigr7aturc; d' '
Initial hem tos ndicate you have received
the Tire Warranty Maintenance and
Safety Mnnu'I,
All parts are new. nless otherwise specified.
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Visit www.Firestone$urvey,com within 4 days and enter Code 020753.153111
'
www.FirestoneCompleteAutoCare.com
V.111 rcanc;i ASrn runn;+;r:, I nfana 10 v+u+i �
• i end M3164(44014.' i
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VOUCHER # 155694 WARRANT # ALLOWED
00351179 i IN SUM OF $
FIRESTONE COMPLETE AUTO CARE
PO BOX 403727
ATLANTA, GA 30384-3727
i
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
7
PO# INV# ACCT# AMOUNT Audit Trail Code
153111 01-7502-06 $606.72 --- —— — — — —
i
a
i
I
l
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Voucher Total $606.72 +
Cost distribution ledger classification if
claim paid under 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 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 6/9/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
6/9/2015 153111 $606.72
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