252279 12/08/1 5 °�'C,Nb
t� CITY OF CARMEL, INDIANA VENDOR: 00351179
ONE CIVIC SQUARE FIRESTONE TIRE& SERVICE CENTER CHECK AMOUNT: S""`1,624.77`
?Q CARMEL, INDIANA 46032 PO BOX 403727 CHECK NUMBER: 252279
�„iroN�o, ATLANTA GA 30384-3727 CHECK DATE: 12/08/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 157972 83.29 OTHER EXPENSES
651 5023990 158342 707.36 OTHER EXPENSES
651 5023990 158343 834.12 OTHER EXPENSES
Customer Invoice FIRESTONE COMPLETE AUTO CARE Service Advisor:
158343 CARMEL 02 OLIVIA
11/30/2015 1314 S RANGE LINE RD 317.848.5886
CARMEL, IN. 46032-2932
2007 FORD F-250 SUPER DUTY XLT
CITY OF CARMEL UTIL 5AL V8 FI GAS VIN 5 SOHC
9609 HAZEL DELL PKWY Lic#: TK IN Vin#: 1 FTNF21537EA90834
INDIANAPOLIS, IN 46280-2935 In: 11/30/15 8:41AM Mileage: 84,440
317.716.5882 xjeff Out: 11/30/15 5:31PM
Store#020753 COMMERCIAL
Rev Hist Unit Extended Job
_De_scription___ ____ ____ _____ /Article# ID___Qty __ Price __ Price Total
FIRESTONE TIRE PACKAGE 02 761.88
200190 TRANSFORCE A/T OWL LT265/70R17 E121 R 200190 05NN 4 175.35 701.40
No Mileage Warranty
DOT# VNAHTR54015
DOT# VNAHTR54015
DOT#- VNAHTR54015
DOT# VNAHTR54015
INDIANA TIRE FEE „ 7095834 05NN 4 0.25 1.00
NEW TIRE WHEEL BALANCE LABOR 7013632 05NN 1.1:04;-� 44-16'
RUBBER VALVE STEM 7015040 05NN,_ 1 '4,,, ; X1.70 '; '6:80
SCRAP TIRE RECYCLING FEE 7075078 05NN 4 2.13 8.52
TIRE INSTALLATION 7015016 05NN 4 N/C N/C
COURTESY CHECK 02
COURTESY CHECK 7046930 05NN 1 N/C N/C
ALIGNMENT SERVICE (12-MONTH WARRANTY) 02 72.24
ALIGNMENT SERVICE 7004578 05NN 1 72.24 72.24
Technician(s):
05 TYREE
Payment History: Summary:
Comm/Dir Acct 834.12 Parts 708.20
Total Tendered 834.12 Labor 125.92
Shop Supplies 0.00
Sub-Total 834.12
Tax Exempt(0031201550) 0.00
Total $834.12
1 have received the above goods and/or services. If this is a credit
card purchase, l agree to pay and comply with my cardholder
agreement with the issuer.
Customer Signature
Initial here to indicate you have received
the Tire Warranty Maintenance and
Safety Manual.
All parts are new unless otherwise specified.
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 020753-158343
www.[FO[PestansCompgete&utoCaire.com
-�. - � _- 4c'',L,�( .•:.1-moi
STD FCAC LASER 7008335-48110392 REV 11/11
Page I of I !i CDliu.1
See reverse side for Warranty Information nv1 150527.501004
yotulr composc s S.aHzgac con 0S gm(p®lrganq �0 us,
'T ha nft your ffo❑ ouir (paoircclha�ss.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, p0ease contract the Ma naep of the store listed on the
front of this document.You may also contact Bridgestone Retail Operations, LLC Customer Retention toll free at 1-800-367-3872 or visit our website
ate�.f o���4orrn�600srn(p0�4�1�1an4oC��p�.000vn.
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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 `Mme (Oua lram ae-
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.
Mn7(hat 6S Csanralnued and goer hoes Oonge
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.
be unserviceable during the warranty period, will be replaced free of any additional charge for parts or labor, except as
noted X)6er Lxctusions'. 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) Lifetime(1) 24 Months/24,000 Miles(4)
Service includes:Brake Fluid Exchange/Adjust Rear Brakes(if applicable)
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 LOIFIEVOKE WAORtIR{f M71I[ES ARE OMLY VALOD FOR AS LOMG AS THE OR1160MAL CUS70M ER ODUMS 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) 'Aftchever comes first.
Replacement of anti-freeze or clamps is not included in the warranty on beltsiradiator 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.
461re Wou-Ma Uen.
Tires purchased at Firestone Complete Auto Care are covered by a(,illian0act upeor's dBmmil2ed U frim ey from workmanship and material related issues.
Tires may also be covered by a SuppOemr ental] 4t ilgeage Limited Nrftnraunty 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 9-800-D_OOA7IE-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.
Aft
I-C Laser'11"-7008335-48110392 REV 11111
Customer Invoice FIRESTONE COMPLETE AUTO CARE Service Advisor:
158342 CARMEL 02 OLIVIA j
12/01/2015 1314 S RANGE LINE RD 317.848.5886
CARMEL, IN. 46032-2932
2002 CHEVROLET SILVERADO 2500 HD BASE
CITY OF CARMEL UTIL 6.OL V8 FI GAS VIN U OHV
9609 HAZEL DELL PKWY Lic#: 59373 IN Vin #: 1 GCHK24U92E134677
INDIANAPOLIS, IN 46280-2935 In: 11/30/15 8:40AM Mileage: 92,494
317.716.5882 xjeff Out: 12/01/15 8:59AM
Store#020753 COMMERCIAL
Rev Hist Unit Extended Job
Description /Article# ID Qty Price Price Total
FIRESTONE TIRE PACKAGE 02 635.12
SAVE OLD TIRES PUT IN THE BACK OF TIRE TRUCK
189582 TRANSFORCE A/T BL LT245/75R16 Ell 20R NO 189582 04NN 4 143.66 574.64
MILEAGE WARRANTY
DOT# 8X11 TR72014
DOT# 8X11 TR71814
DOT# 8X11 TR72014
DOT# 8X11 TR71814
INDIANA TIRE FEE 7095834 04NN 4 0.25 1.00
NEW TIRE WHEEL BALANCE LABOR 7013632 04NN 4 11.04 44.16
RUBBER VALVE STEM 7015040 04NN 4 1.70 6.80
SCRAP TIRE RECYCLING FEE 7075078 04NN 4 2.13 8.52
TIRE INSTALLATION 7015016 04NN 4 N/C N/C
ALIGNMENT SERVICE (12-MONTH WARRANTY) 02 72.24
TAGGED MANAGER ON ALIGNMENT BECAUSE CARMEL WILL BRING TRUCK BACK FOR
REALIGNMENT AFTER REPLACING FRONT END PARTS THEMSELVES
ALIGNMENT SERVICE 7004578 01 NN 1 72.24 72.24
COURTESY CHECK 02
COURTESY CHECK 7046930 04NN 1 N/C N/C
Technician(s):
01 NICK 04 CARL
Payment History: Summary:
Comm/Dlr Acct 707.36 Parts 581.44
Total Tendered 707.36 Labor 125.92
Shop Supplies 0.00
Sub-Total 707.36
Tax Exempt(0031201550) 0.00
Total $707.36
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.
i
Customer Signature
Initial here to indicate you have received
the Tire Warranty Maintenance and
Safety Manual.
All parts are new unless otherwise specified.
I
Declined Work:
BALL JOINTS (Upper-Front,Right)
TIE ROD ENDS (Right-Outer)
Page 1 of 2
Inv1 150527 501004
i
Nov.25.2015 12:37 PM PAGE. 1/ 1
Service Advisor:
FIRESTONE COMPLETE AUTO CARE 02 OLIVIA
Customer Invoice CARMEL 317.848.5886
157972 1314 S RANGE LINE RD
11/1812015 CARMEL, 1N. 46032-2932
2008 FORD F-250 SUPER DUTY XL
5.41- V8 FI GAS VIN Vin#OH NF21598ED88149
CITY OF CARMF-L UTIL Lie#; TEMP IN 73,94.6
9609 HAZEL DELL PKWY In: 11118115 8:15AM Mileage:
INDIANAPOLIS, IN 46280-2935 Out: 11/18115 5:01PM
317,518.5009
COMMERCIAL Unit Extended Job
�• Store#020753 Rev Hist Price Total
/Article# ID aty Price
A Description 02
it COURTESY CHECK NIC NIC
TIRE PRESSURE LIGHT ON 7046930 16NN 1 15.30
ve COURTESY CHECK02
N1 FLAT REPAIR&BALANCE 55 SERIES AND ABOVE WITPM8 1.2 5.95
7% (Rear-Right) 7013645 1 5N 1 5.95 ') 9 35
o FLAT REPAIR BALANCE LABOR 7019488 1 8N 1 9.35
FLAT REPAIR LABOR 2 02 67.99
TPMS(FRONT) 7011263 15NN 1 67.99 Ij 67.99
IIqn�a DVT1002H TPMS SENSOR i
7 Technician(s):
15 TYLER Summary'
�;
Payment History: Parts 67.99
' Comm/Dlr Acct 83.29 Labor 15.30
ry` Total Tendered 8329 Shop Supplies 0.00
Sub-Total 83.29
Tax Exempt(0031201550) 0.00
spE
Total $83.29
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
Juag
-- agreement with the issuer.
a; Rev
rem Revision Histo Amt Init
ere: 1 11/18/2015 12:06PM 95.29 CITY OF CARMEL UT 317.518.5009
Customer Signature )
for 2) 11!18/2015 04:06PM -12.00 CITY OF CARMEL UT IN PERSON
All parts are new unless otherwise specified.
I acknowledge notice and oral approval of
an increase in the original estimated price.
nem
Signature or Initials
9rm
HOW ARE WE DOING? '
Tell us about your experience today! j
Complete a 4-minute survey for a chance to win$500 in store services
visit www.FirestoneSurvey.com within 4 days and enter Code 020753-157972
closet www.FirestoneCornpleteAutoCare.com
Adores:
TcomhNG I RTO FGAt:1 A5En'7W ;.15-ANI tu:492 lit--V+1111
I� 1r,, +5(1527 solou<
Fuge I of I for Wiirli]Ilty Information
INSPE El)aY F
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 12/3/2015
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) Amount
12/3/2015 158343 $834.12
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
S ��- d'�✓vl—
Date Officer
VOUCHER # 156782 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
158343 01-7502-06 $834.12
r
153 3y a o 1 --7soa -oe
15797a of - �SDo--oa ,d'3. a�
Voucher Total
Cost distribution ledger classification if
claim paid under vehicle highway fund