HomeMy WebLinkAbout249249 09/09/15 ',.�,,4f CITY OF CARMEL, INDIANA VENDOR: 00351179
s ® i. ONE CIVIC SQUARE FIRESTONE TIRE& SERVICE CENTER CHECK AMOUNT: S'""'""998.78'
f, _� CARMEL, INDIANA 46032 PO BOX 403727 CHECK NUMBER: 249249
>.g�,nN�� ATLANTA GA 30384-3727 CHECK DATE: 09/09/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4351000 153929 206.34 AUTO REPAIR & MAINTEN
1192 4351000 155403 25.48 AUTO REPAIR & MAINTEN
651 5023990 155460 766.96 OTHER EXPENSES
Customer Invoice FIRESTONE COMPLETE AUTO CARE Service Advisor:
153929 CARMEL 11 SCOTT
07/08/2015 1314 S RANGE LINE RD 317.848.5886
CARMEL, IN. 46032-2932 '4
4
CITY OF CARMEL UTIL CARRY OUT
i
9609 HAZEL DELL PKWY Lic#: Vin #:
INDIANAPOLIS, IN 46280-2935 In: 07/08/15 12:30PM Mileage: 0
Out: 07/08/15 12:30PM
Store#020753 COMMERCIAL a
Rev Hist Unit Extended Jobs
Description /Artic_le_ #_ ID Qty Price Price Total'
PRIMEWELL TIRE PACKAGE 11 206.34
003554 PRIMEWELL VALERA H/T LTR OWL 003554 11 NN 2 102.92 205.84
LT265/75R16 E123R
INDIANA TIRE FEE 7095834 11 NN 2 0.25 0.50
Technician(s):
11 SCOTT BLAKE
Payment Ha istory: ` _ Summa
_ Comm/DIr-Acet-------- _."_206.34 Parts ,n� 205.$4 it
Total Tendered LMCn� �9t�-" n 2063 Q�! j' T1 P-.7, 1 1 UT
1 Q) �(L'ati� 0.5 _
Sh/op Supplies 0.0„ .
i
Sub-Total 206.3 R
Tax Exempt(0031201550) 0.00;'
Total $206.344
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 '..t
agreement with the issuer.
'l� ) Rev
Revisio_i History: Amt Init - n
Customer Signature
Initial here to indicate you have received
the Tire Warranty Maintenance and
Safety Manual.
All parts are new unless otherwise specified.
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_- __ _._.__-- -- -- -. - - HOW ARE WE DOING?--
Tell us about your experience today!
Complete a 4-minute survey for a chance to win-$500 in store services
Visit www.FirestoneSurvey.com within 4 days and enter Code 020753-153929
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STD FCAC LASER 7008335-48110392 REV 11/11
See reverse side for Warranty Information �"L/V\I Inv1 150316.405
c.
EuY1C7s"i. in,id5 C'�.'. 97?1C1S.2CJY;tgC 6;..,P.S9Ca
Customer Invoice FIRESTONE COMPLETE AUTO CARE Service Advisor:
155403 CARMEL 02 OLIVIA
08/24/2015 1314 S RANGE LINE RD 317.848.5886
CARMEL, IN. 46032-2932
2015 SUBARU FORESTER 2.51
CITY OF CARMEL, BUILDING & CODE 2.5L H4 FI GAS FB25BA
1 CIVIC SO Lic#: 68556 IN Vin #:
CARMEL, IN 46032-2584 In: 08/24/15 1:21 PM Mileage: 5,558
317.509.9182 xADAM Out: 08/24/15 2:31 PM
Store#020753 COMMERCIAL
Rev Hist Unit Extended Job
Description /Article#_ ID__ Qty Price_ _ Price_ _ Total
COURTESY CHECK 02
COURTESY CHECK 7046930 09NN 1 N/C N/C
FLAT REPAIR & BALANCE 55 SERIES AND ABOVE W/TPMS 02 25.48
(Front-Left) _
VS950 TPMS-VAL"VE6- 02 7A 7l/ — �— 7009357 09NNL, 5 9.5 5-95
FLAT REPAIR - PATCH-PLUG,-'�� �. ( ��7020060 09NN' r�,F 1.69
TPMS VALVE SERVICE KIT LABORC�-70081.90,09NN 1-' 2.541 I 2.54
FLAT REPAIR BALANCE LABOR ) — \ '_7013645 09NN \-6-65' \\ -5.95
FLAT REPAIR LABOR rr� _f "i 'r / r„-- F"_-J7019488 09NN-1 z -1i ;` 9;35,•x' F_6`99.35t-'
iJlrCC u1�.lJ j ��"_'/ u!-,;_ L Wit_ Ll L� ,\. j ��_1� �_i
Technician(s) ------__ J
09 BRAYTON
Payment History: Summary:
Comm/Dlr Acct 25.48 Parts 7.64
Total Tendered 25.48 Labor 17.84
Shop Supplies 0.00
Sub-Total 25.48
Tax Exempt(31201660) 0.00
Total $25.48
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.
Customer Signature r /
All parts are new unless otherwise specified.
f
HOW ARE WE DOING?
Tell us about your experience today!
Complete a 4-minute survey for a chance to win $500 in store services
Visit www.FirestoneSurvey.com within 4 days and enter Code 020753-155403
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t„SSURZANC d lcs6n �1?d
�y I� STD FCAC LASER 7008335-48110392 REV 11/11 >� `
_- Certification
Pal
�5FAC9pAt�6DS ff�S9 duY 2'1S3'50V�:w,r^.u=:3:A See reverse side for Warranty Information -w,.rs Irv1 150527501004 -
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))
07/08/15 153929 chipper repair $206.34
08/24/15 155403 tire repair $25.48
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
120
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Firestone Complete Auto Care
IN SUM OF $
P.O. Box 403727
Atlanta, GA 30384
$231.82
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 153929 43-510.00 $206.34
bill(s) is(are)true and correct and that the
1192 155403 43-510.00 $25.48
materials or services itemized thereon for
which charge is made were ordered and
received except
Thursday, gepte7berg, 2015
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Customer Invoice FIRESTONE COMPLETE AUTO CARE Service Advisor:
155460 CARMEL 02 OLIVIA
08/27/2015 1314 S RANGE LINE RD 317.848.5886
CARMEL, IN. 46032-2932
2003 FORD F-350 SUPER DUTY XL
CITY OF CARMEL UTIL 6.OL V8 FI DIESEL VIN P OHV
9609 HAZEL DELL PKWY Lic#: 64530 IN Vin #:
INDIANAPOLIS, IN 46280-2935 In: 08/26/15 8:59AM Mileage: 92,223
317.650.4127 Out: 08/27/15 1:40PM
Store#020753 COMMERCIAL
Rev Hist Unit Extended Job
Description /Article# ID_ Qty Price_ Price_ _Total
FIRESTONE TIRE PACKAGE 02 694.72
196858 TRANSFORCE A/T OWL LT265/75R16 El 23R 196858 04NN 4 158.56 634.24
No Mileage Warranty
DOT# 8XW8TRJO514
DOT# 8XW8TRJO514 �-
DOT#' 8XW8TRJ0514
DOT#' 8XW8TRJO514 _
INDIANA TIRE FEE '7095834 04NN 4 025 1.00
(03`. NEW TIRE"WNEELBALANCE-L-ABOiR �h�r� I 701:3632 04NN �I f41 11;0,4J Il 044:16-, j
RUBBER VALVE S:TEIVI�� SJ R ( ��/�1� IV��70�15040. 04NNjD I_,4(0 1.-70
SCRAP TIRE RECYCLING-FEES 7075078 04NN 4 2.13 8.52
TIRE INSTALLATION 7015016 04NN 4 N/C N/C
COURTESY CHECK 02
COURTESY CHECK 7046930 04NN 1 N/C N/C
ALIGNMENT SERVICE 1 08 72.24
ALIGNMENT SERVICE 7004578 04NN 1 72.24 72.24
TECHNICIAN ADJUSTMENT 7019119 04NN 1 N/C N/C
JACKING COMPENSATION
Technician(s):
04 CARL
Payment History: Summary:
Comm/Dir Acct 766.96 Parts 641.04
Total Tendered 766.96 Labor 125.92
Shop Supplies 0.00
Sub-Total 766.96
Tax Exempt(0031201550) 0.00
Total $766.96
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 i
agreement with the issuer.
Rev
Revision History: Amt Init
Customer Signature 1) 08/26/2015 01:48PM 72.24 CITY OF CARMEL UT 317.650.4127
___Initial here to indicate you have received
the Tire Warranty Maintenance and
Safety Manual.
All parts are new unless otherwise specified.
I acknowledge notice and oral approval of an increase in the
original estimated price.
Signature or Initials
!C r'r� lh� Wesupport,kslI.
' SCJ:3Aj�I`'E j� STD FCAC LASER 7008335-48110392 REV 11/11Pal ��(�-4,c�' TeSiltl 87113
�{ _� — t�� fCiYa a. T) Certification
7®R AaaTOMOVE112 REPAM See reverse side for Warranty Information nv1 15052750100
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 9/1/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
9/1/2015 155460 $766.96
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
VOUCHER # 156205 WARRANT # ALLOWED
00351179 IN SUM OF $
FIRESTONE COMPLETE AUTO CARE
PO BOX 403727
ATLANTA, GA 30384-3727
Carmel Wastewater Utility
ON ACCOUNT OF APPROPRIATION FOR
Board members
PO# INV# ACCT# AMOUNT Audit Trail Code
155460 01-7502-06 $766.96
i
Voucher Total $766.96
Cost distribution ledger classification if
claim paid under vehicle highway fund