249686 09/23/15 oi.
CITY OF CARMEL, INDIANA VENDOR: 00351179
ONE CIVIC SQUARE FIRESTONE TIRE& SERVICE CENTER CHECK AMOUNT: $.....1,126.64'
CARMEL, INDIANA 46032 PO BOX 403727 CHECK NUMBER: 249686
ATLANTA GA 30384-3727 CHECK DATE: 09/23/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4351000 155910 1,126.64 AUTO REPAIR & MAINTEN
Customerinvoice FIRESTONE COMPLETE AUTO CARE Service Advisor:
155910 CARMEL 11 SCOTT
09/11/2015 1314 S RANGE LINE RD 317.848.5886
CARMEL, 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#: 59979 IN Vin #: 1 FMCU59H18KB45504
CARMEL, IN 46032-2584 In: 09/10/15 1:59PM Mileage: 57,695
317.571.2418 xLISA Out: 09/11/15 2:31 PM
Store#020753 COMMERCIAL
Rev Hist Unit Extended Job
De_scri tion . _ _——__ /Article# ID _— Qty _ Price Price_ _Total
COMPLETE VEHICLE INSPECTION 11 18.69
EXHAUST HAS COME APART
VEHICLE INSPECTION 7028789 07NN 1 18.69 18.69 '
EXHAUST 1 01 1,107.95
53760 MUFFLER AND PIPE ASSEMBLY. '.7021059., 07NN 1 198:99_,, 1-98:99
54373 RESONATOR AND PIPE ASSEMBLY ' ' (,_'___7039775-07NN; 1146.99 146.99
31632 EXHAUST GASKET �, -J7030724.07NN> `., 2',/ �5 99!; \ 11-:98
REMOVE AND REPLACE CENTER CAT TO TAIL PIPE 7041599 07NN 1--
y 330.00 330.00
N.A. CATALYTIC CONVERTER�(-"_I /;�,� 1/- r J i 7_�7703071,6 07NN' i = """1�'; 419:99%,`` --41-9:99'`'
ORDER NOTES_ - ` j
Driving Conditions Ilude-Invoice#"143492 Date 6/26/2014, NORMAL
nc
Technician(s):
07 MARK
Payment History: Summary:
Comm/Dlr Acct 1,126.64 Parts 777.95
Total Tendered 1,126.64 Labor 348.69
Shop Supplies 0.00
Sub-Total 1,126.64
Tax Exempt(31201660) 0.00
Total $1,126.64
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) 09/10/2015 04:59PM 1107.95 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
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 020753-155910
www.[FO[restonecompoeteAuftocalre.com
I rk ,yt{I g" Ade Szpprt ASi.
'Isting and
STD FCAC LASER 7008335-48110392 REV 11/11 -
I :r !2Q�{Fa, . „ — Certification
Paye=l=of=1=+-- _�--�__ -- �
:i411�t1iDnC�Ab3 rOLtiSee reverse side for Warranty Information `"1,�./�JJ �rn1 150527501004
r
LOflffli MEDD MAVOGINIMi BE SERVOC LE Mff&RfRQ(n 7V
Your ComplIete Satisfaction is Ompopta nt to us:
Thank you for your purchase.At Firestone Complete Auto Care, our goal is complete customer satisfaction. If you have any questions
or concerns regarding the service you received or our nationwide limited warranty, p1leaase contact the Manaaor of the store listed on the
front of this document.You may also contact Bridgestone Retail Operations, LLC Customer Retention toll free at 1-800-3R7-3872 or visit our website
at vvvvw.F'irestoneCompOeteA utoCaare.coana.
Fixed Right Guarantee.
We promise that the services we perform will be fixed right the first time. If the automotive repair or service was performed improperly, then
we will re-perform the service at no additional charge to you, during the established warranty period.
On Time Guarantee.,
We value your time. If your vehicle is not ready at the time we romised, we will offer a 10% discount on your next purchase (discount
cannot exceed $25.00) which is valid at any company-owned Firestone Complete Auto Care Store. The subsequent second visit must
occur within one year of the original service. This discount cannot be used to reduce outstanding debt.
What is Wanrranntied and for how gong:
Most parts and services purchased at Firestone Complete Auto Care are covered by a minimum of twelve(12)months or 12,000 miles,whichever
comes first, with some parts and services carrying a different warranty. Some exclusions may apply; please see details below. Warranties apply
to parts installed and service performed on private passenger vehicles. This warranty is valid at company-owned Firestone Complete Auto Care
locations.
Auto parts which prove to be unserviceable during the warranty period, will be replaced free of any additional charge for parts or labor, except as
noted under"Exclusions", below.
SERVICE PARTS LABOR
Oil Change and Oil Filter 3 Months/3,000 Miles(4) 3 Months/3,000 Miles(4)
Air,Fuel,Cabin Air and Transmission Filters(for workmanship and material related issues) 6 Months/6,000 Miles(4) 6 Months/6,000 Miles(4)
New or Remanufactured Starters and Alternators 24 Months/24,000 Miles(4) 12 Months/12,000 Miles(4)
Standard Brake Service-Brake Shoes,Disc Pads(1) Lifetime(1) 12 Months/12,000 Miles(4)
Standard Brake Service with Brake Fluid Exchange -Brake Shoes,Disc Pads(1)
Service includes:Brake Fluid Exchange/Adjust Rear Brakes(if applicable) Lifetime(1) 24 Months/24,000 Miles(4)
Lifetime Brake Service-Brake Shoes,Disc Pads,Calipers and/or Wheel Cylinders,
and Brake Installation Hardware(1) Lifetime(1) Lifetime(1)
Shocks and Struts Lifetime 12 Months/12,000 Miles(4)
Steering&Suspension Parts Lifetime 12 Months/12,000 Miles(4)
Lifetime Alignment Service(2) N/A(2) Lifetime
Lifetime Wheel Balance(3) Lifetime(3) Lifetime(3)
ALL LIFIETUME WARRANTIES ARE ONLY VALID FOR AS LONG AS THE ORIGINAL CUSTOMER OWNS THE VEHICLE.
(1) Costs of additional brake system components,including master cylinders,rotors,drums and all additional labor,are warrantied for a period of twelve(12)months
or 12,000 miles,whichever comes first.
(2) Every 6,000 miles,or whenever needed,for as long as you own the vehicle.if parts are required to restore vehicle to manufacturer's specifications,then those parts
and the labor required to install them are not covered.
(3) Lifetime balance is only warrantied so long as originally balanced tire remains on wheel.If needed,additional charge may apply for resetting the Tire Pressure
Monitoring System(TPMS).
(4) Whichever comes first.
Other Service Warranty Exclusions:Replacement of anti-freeze or clamps is not included in the warranty on belts/radiator hoses.Cost of refrigerant and recharging of
the air conditioning system is not included with the warranty on air conditioner parts or air conditioner compressors.Cost of additional brake system components, including
rotors and drums and/or labor to restore Brake System to its safe proper operation is not included with the warranty on Brake Shoes, Disc Pads, Calipers and/or Wheel
Cylinders and all other hardware.Batteries are covered by a separate warranty from the manufacturer.
Tire Warranty Oanfforlvaantion:
Tires purchased at Firestone Complete Auto Care are covered by a Manufacturer's Limited Warranty from workmanship and material related issues.
Tires may also be covered by a Sauppxiennentaal Miieaage Limited Warranty which varies by tire brand and model. Information about these tire
warranties is provided separately at the time of purchase.
GENERAL PROVISIONS(Applicable to all warranties)
WHO IS COVERED BY THE WARRANTIES LISTED IN THIS DOCUMENT?This warranty covers only the original purchaser of the installed parts and/or services.
WHERE WILL THE WARRANTIES BE HONORED?Take your vehicle to the Firestone Complete Auto Care Store which sold the warrantied parts and/or service work,or any
other company-owned Firestone Complete Auto Care Store in the United States.Call 1-800-LOCATE-US to find a company owned location.
HOW CAN A CLAIM BE MADE UNDER THE WARRANTIES?The original invoice from the store at which the original work was performed must be presented in
order to get the benefit of the warranty.
WHAT OTHER CONDITIONS APPLY?The obligations undertaken in these warranties are offered only on the above items and conditions,and may not be enlarged or altered
by anyone.This warranty document does not apply to products or vehicles used for commercial,racing,or off-road purposes,or to damage caused by abuse or accident.
TO THE EXTENT PERMITTED BY LAW,BRIDGESTONE RETAIL OPERATIONS,LLC,AND ITS FIRESTONE COMPLETE AUTO CARE STORES DISCLAIM LIABILITY
FOR INCIDENTAL AND CONSEQUENTIAL DAMAGES. Some states do not allow the exclusion or limitation of incidental or consequential damages, so the above
limitation or exclusion may not apply to you.
CONSUMER RIGHTS:This warranty gives you specific legal rights,and you may also have other rights which vary from state to state.
GIVEN BY:Firestone Complete Auto Care Stores identified in stamp or,if none,by Bridgestone/Firestone North American Tire,LLC, 535 Marriott Drive,Nashville,TN 37214.
FCAC Laser"ii"-7008335-48110392 REV 11111
'
`
WORK ORDER FIRESTONE COMPLETE AUTO CARE SERVICE ADVISOR
155910 1314 S RANGE LINE RD 11-
��EL, IN. �03���
2009 FORD ESCAPE HYBRID
CITY OF CARMEL, BUILDING & CODE 2.5L 1-4 FI ELECTRIC/GAS VIN 3 DOHC
1 CIVIC SQ LIC # VIN #
| CARMEL, IN 46032-2584 IN 09/10/15 01:59P EST. MILEAGE 55,000
/ 317.571.2418 -LISA
PO#:
INITIAL ESTIMATE
D i ti Numbel� T#_ QtvP��tLab�� Price Total_
COMPLETE VEHICLE INSPECTION 18.69
EXHAUST HAS COME APART
VEHICLE INSPECTION 037028789 1 18.69 A.0,D�j
|
\ T91 |
/ K °\iUUYYUC�'�_�� LITuuuu ��c=
| -
�
'
Flat rate charged per internal 8 Mitchell labor manuals Mounting Instructions Parts 0.00
Time In: 01:59PM 09/10/2015 Parts Return: No Labor 18.69
Cust Status: Drop Off Appt: No Pay Type: Unspecified ShopSupply 0.00
Wheel Lock:
HYB Sub 18.69
^ We SupportA6�
OE: Tax 0.00
URANCE Tcadn&xoJ
TorTotal 18.69
P ` Certification
a,aND^mmapOR AvnwMmrmaRee^^a
I ACKNOWLEDGE THAT I HAVE REVIEWED THIS DOCUMENT OF REPAIR AND SERVICE WORK.I 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
^^o�. ..`�. Ss OF INSPECTION IF
AND/OR .^~..,...~,~^ ...~.~ .. ` '^^.^~..~ ..~. ~^.~~~-.' `.^~~. ~,.,,~..^..~--^ .... .~. '~~...~,.^ /
WORK ISWRITTEN AUTHORIZATION BEFORE ANY ADDITIONAL WORK IS BEGUN,UNLESS OTHERWISE SPECIFIED ON THIS DOCUMENT.
00, Please do not leave Cell Phones,CDs,Money,Jewelry,or any other valuables in your vehicle. �
Firestone Complete Auto Care ionot and will not beheld responsible for missing o,stolen items.
�—\ Page 1 of 1 Wo-6--.0rder1 150527.501004
��\
WORK ORDER FIRESTONE COMPLETE AUTO T*'--!--' SERVICE ADVISOR
155910 13�4 S RA�GE LINE RD 11�
09/10/2015 CARMEL, IN. 46032-2932 31��848.5886
2009 FORD ESCAPE HYBRID
CITY �F CARMEL, BUILDING & CODE 2.5L L4 FI ELECTRIC/GAS VIN 3 DOHC
1 �IVI[ SQ LIC # VIN #
CARMEL, IH 46@32-258� IN 09/10/15 01:59P EST. MILEAGE 55,000
317.571.2416 xLISA
_____- ...... .............________.........________
Descri tion____�_____________________________N��b1g-_____Prx��___ T�t�l_
COMPLETE VEHICLE INSPECTI<�N 18.69
EXHAUST HAS COME APART
VEHICLE IN�PECTIOM 037028789 1 18.69 18.69
| ' ��� ��r | r*
' � � ������ � �� �� �WF�- - '—
- -- ' - �; °,,�u�m°^ noc�: � vi",
ummar
Flat rate charged per internal 8 Mitchell labor manuals Parts 0.00
Mounting Instructions
| Time In: 01:59PM 09/1@/2015 Parts Return: No Labor 18.69
/ Cust Status: Drop Off Appt: No Pay Type: Unspecified ShopSupply 0.00
Wheel Lock:
HYB Sub 18.69
ai�x�px�A�l
OE: Tax 0.00
Ds�in�v'ti
Tor Total 18.69
�z�U,z6m
�n^=wvmoo,rs^or���rn�
/ACKNOWLEDGE THAT/HAVE REVIEWED THIS DOCUMENT OF REPAIR AND SERVICE WORK.I 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 SsoF INSPECTION /on TESTING.I UNDERSTAND THAT ALL CLAIMS MUST BE ACCOMPANIED BY AN INVOICE.I UNDERSTAND IF ADDITIONAL
WORK IS REQtIRN,Y B;ASPIY VERBAL OR WRITTEN AUTHORIZATION BEFORE ANY ADDITIONAL WORK IS BEGUN,UNLESS OTHERWISE SPECIFIED ON THIS DOCUMENT.
Please do not leave Cell Phones,CDs, Money,Jewelry,or any other valuables in your vehicle.
LX Firestone Complete Auto Care is not and will not be held responsible for missing or stolen items.
Page 1 of 1 WorkOrder1 150527.501@04
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))
09/11/15 155910 $1,126.64
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
VOUCHER NO. WARRANT NO.
ALLOWED 20
Firestone Complete Auto Care
IN SUM OF $
P.O. Box 403727
Atlanta, GA 30384
$1,126.64
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1192 ( 155910 I 43-510.00 I $1,126.64 1 hereby certify that the attached invoice(s), or
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
Monday Sept9mbpril, 2015
i
Directo
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund