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250673 10/21/15 9;% ;� CITY OF CARMEL, INDIANA VENDOR: 00351179 ® l ONE CIVIC SQUARE FIRESTONE TIRE & SERVICE CENTER CHECK AMOUNT: $.....1,617.23" �._ CARMEL, INDIANA 46032 PO Box 403727 CHECK NUMBER: 250673 9��I�N-L�`` ATLANTA GA 30384-3727 CHECK DATE: 10/21/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4351000 15644 56.63 AUTO REPAIR & MAINTEN 651 5023990 156713 1,560.60 OTHER EXPENSES Customer Invoic ` FIRESTONE COMPLETE AUTO CARE Service Advisor: 156645 CARMEL 08 JACK 10/07/2015 'R 1314 S RANGE LINE RD 317.848.5886 CARMEL, IN. 46032-2932 2014 FORD F-150 XL CITY OF CARMEL, BUILDING & CODE 5.OL V8 FI FLEX VIN F DOHC 1 CIVIC SQ Lic#: 74793 IN Vin#: 1 FTFX1 EF2EKG35094 CARMEL, IN 46032-2584 In: 10/06/15 8:52AM Mileage: 5,758 317.571.2491 xbrent Out: 10/07/15 8:49AM Store#020753 COMMERCIAL Rev Hist Unit Extended Job Description _ __—————— /Article# ID———Qty _ Price Price Total --- --------- — — ------- FLEET MAINTENANCE PKG ( CVI, ROTATE, BRAKE INSP ) 08 12.74 FLEET MAINTENANCE PACK 7011932 05NN 1 12.74 12.74 COURTESY CHECK 08 COURTESY CHECK 7046930 05NN 1 N/C III STANDARD OIL CHANGE UP TO 5 QTS 1 08 43.89 7.7 QTS. MOTORCRAFT SAE 5W-20 Motor Oil'or equivalent The Manufacturer recommends an Oil Change when an associated dash board indicator light is lit...See-Ownee's manual for specific regdi,rements. ` i ���� i PH500 OIL FILTERG nl 7008994 05NN 1 G (4 24 '424 5W20 SYNTHETIC-BL-END UP TO 5 QTS 7023809 05NN 1 21.25 21.25 ADDITIONAL OIL REQUIRED 2.7 QTS @ $0.43 PER 7008658 05NN 27 0.43 11.61 1/10 QTS USED OIL FILTER RECYCLING CHG (1) 7075051 05NN 1 2.54 2.54 OIL CHANGE LABOR 7.029718 05NN 1 4.25 4.25 Technician(s): 05 TYREE Payment History: Summary: Comm/Dlr Acct 56.63 Parts 37.10 Total Tendered 56.63 Labor 19.53 Shop Supplies 0.00 Sub-Total 56.63 Tax Exempt(31201660) 0.00 Total $56.63 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) 10/07/2015 08:28AM 7.31 CITY OF C 317.571.2491 Ext.brent 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 020753-156645 www.[FO[restoneC�ompgoteAutoCare.com MOZCRiS _W.-Support sup}>artAsF Ass�7 ice_ D Ftesting and y ��,+ STCAC LASER 7008335-48110392 REV 11/11 j(,Z Certification STANDARDS FOR A6DT©:".95:i"�':?L:=.: .; See reverse side for Warranty Information 15°527.5°'°04 Your Compge�e SaUsfactilon �s [Importaint 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, please contact the Mana er of the store listed on the front of this document. You may also contact Bridgestone Retail Operations, LLC Customer Retention toll free at 1-800-3F-3872 or visit our website at wwvv.[FiirestoneCompOeteAutoCaire.com. Fiiized Right Guairantee- 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 promised, 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. �fflha� �s bftrranUed and for hov-v liong: 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 I 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 LOFETOME UUARRAM70ES 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 oftwelve(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 oniv warrantied so long as originally balanced tire remains on wheel.If needed,additional charge may apply for resetting the Tire Pressure Monitoring System JP�MS). (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. Tilire narranty Ongormation- 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 Supplemental Migeage 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 I-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. 0 ICAC Law"11"-7008335-48110392 REV 11/11 0 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)) 10/07/15 15644 $56.63 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 $56.63 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 1192 15644 43-510.00 $56.63 I hereby certify that the attached invoice(s), or I 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 Thursday, Oct ber , 2015 Directo Title Cost distribution ledger classification if claim paid motor vehicle highway fund Customer Invoice FIRESTONE COMPLETE AUTO CARE Service Advisor: 156713 CARMEL 01 NICK 10/08/2015 1314 S RANGE LINE RD 317.848.588x, CARMEL, IN. 46032-2932 CITY OF!CARMEL Ul'IL CARRY OUT 9609 HAZEL DELL PKWY Lic#: Vin#: INDIANAPOLIS, IN 46280-2935 In: 10/08/15 2:07PM Mileage: 0 Out: 10/08/15 3:1'8PM Store#020753 _TM COMMERCIAL Rev Hist Unit Extended Job Description /Article# ID Qty Price Price Total MISCELLANEOUS TIRE RELATED ITEMS 1 01 1,560.60 LT 7.5/16.5 TRAILER TIRES (14 PLY) 7099390 05NN 4 209,83 839,32 SCISSOR LIFTITIRES -SOLID TIRE= PRESSED ON 7099264 05NN 4 152.00 608.00 METAL WHEEL 6.9/600-9 NHS FORKLIFT TIRE 7099:390 05NN 2 5664 113.28 NON-SYSTEM SERVICES 1 01 TECHNICIAN ADJUSTMENT 7019119 05NN 1 N/C N/C it Technician(s): Ii 05 TYREE Payment 1-I1story:j1 Summary. Comm/Dir Acc 1,560.60 Parts 1,560.60 Total Tendered 1,560.60 Labor 0.00 Shop Supplies 0.00 Sub-Total 1,560.60 Tax Exempt(0031201550) 0.00 Total $1,560.60 I have received the above goods and/or services. If this is a credit card purchase, 16gree to pay and comply with my cardholder agreement with the issuer. 1) 10/08/2015 02:09PM 0,00 CITY OF CARMEL UT IN PERSON i Customer Signature Initial here to indicate you have received the Tire Warranty Mainlenance and Safety Manual. All parts are now.unless otherwise spccificd. I acknowledge notice and oral approval of an increase in the original estimated price. f SignOture or Initials I I i is HOW ARE WE DOING? II Tell us about your experience today! Complete a 4-minute survey fora chance to win$500 in store services Visit www.FirestoneSurvey.com within 4 days and enter Code 020753-156713 www.FirestoneCompleteAutoCare.corn ! � �iirC.44�n:_hk 7]fitl];fSdanOh� r'tCVtV�t Page 1 01,1 i, „vt t5osa%.8010)4 h T /T wd L6 :E0 5T0Z'80 •q30 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 10/13/2015 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 10/13/201! 156713 $1,560.60 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 i VOUCHER # 156463 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 156713 01-7502-06 $1,560.60 Voucher Total $1,560.60 Cost distribution ledger classification if claim paid under vehicle highway fund