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Home My WebLink About305551 11/28/16 4�x CITY OF CARMEL, INDIANA VENDOR: 00351179 l ONE CIVIC SQUARE FIRESTONE TIRE&SERVICE CENTER CHECK AMOUNT: $"'**'"•264.59' �=4 CARMEL, INDIANA 46032 PO BOX 403727 CHECK NUMBER: 305551 ATLANTA GA 30384-3727 CHECK DATE: 11/28/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4351000 168501 112.12 AUTO REPAIR & MAINTEN 651 5023990 168545 125.94 OTHER EXPENSES 651 5023990 168856 26.53 OTHER EXPENSES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) FIRESTONE TIRE &SERVICE CENTER ALLOWED 20 ACCOUNTS PAYABLE VOUCHER PO BOX 403727 IN SUM of$ CITY OF CARMEL --- 1 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service ATLANTA, GA 30384-3727 rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $112.12 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Dept of Community Service Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 168501 43-510.00 $112.12 1 hereby certify that the attached invoice(s),or 11/14/16 168501 2 new tires-2014 Subarus Forester $112.12 1192 101 1192 101 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 Tuesday, November 15,2016 Mike Hollibaugh Director 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 5-11-10-1.6 120— Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Customer Invoice FIRESTONE COMPLETE AUTO CARE Service Advisor: 168501 CARMEL 03 RYAN 11/04/2016 1314 S RANGE LINE RD 317.848.5886 CARMEL, IN. 46032-2932 2014 SUBARU FORESTER 2.51 CITY OF CARMEL, BUILDING & CODE 2.5L H4 FI GAS FB25BC 1 CIVIC SQ Lic#: 90 IN Vin#: CARMEL, IN 46032-2584 in: 11/03/16 10:15AM Mileage: 15,143 440.856.6909 xDAVE Out: 11/04/16 9:55AM Store# 020753 COMMERCIAL Rev Hist Unit Extended Job Description /Article# ID___ Qty _ Price_ _ Price Total FLAT REPAIR& BALANCE55 SERIES AND ABOVE VWTPMS 1 03 (Front-Right) NOT REPAIRABLE - COURTESY CHECK ��—^` %" _ f \ 03 Ed-18 Battery Inspection Results:.Battery passed voltage, CCA capacityand'temperatut etre ests Returns it to service. __, ✓ 't ��.0=, �, 1 COURTESY CHECK s /� 7046930 16NN- 1 N/ N/C PRIMEWELL-TIRE-PACKAGE -x f 1 03� - F f - , � TPA 112.12 003439 PRIMEW_ E`ECI VAL�ERA�TO JRING�BL22.5/60R�17 003439 16NN J J 2 5581%=� 1�11�c62 99H DOT# Y9H1CLHX3116 DOT# Y9H1CLHX3116 INDIANA TIRE FEE 7095834 16NN 2 0.25 0.50 TIRE INSTALLATION 7015016 16NN 2 N/C N/C Technician(s): 16 JOHN Payment History: Summary: 112.12 Parts 111.62 Total Tendered 112.12 Labor 0.50 Shop Supplies 0.00 Sub-Total 112.12 Tax Exempt(31201660) 0.00 Total $112.12 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) 11/03/2016 06:05PM 86.64 CITY OF CARMEL, B IN PERSON 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 www.FirestoneCompleteAutoCarexom l�C�TC3�IST P�'L WeSapportASETestinASSURANCE STD FCAC LASER 7008335-48110392 REV 11/11 g and PROGRAM Paee=LOf�--• 6 �STANDARDS FOO AUTOMOTIVE UEPAIP. See reverse side for VV1/�Iarranty Information . V VOUCHER # 166584 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 168545 01-7500-02 125.94 Voucher Total 125.94 Cost distribution ledger classification if claim paid under vehicle highway fund Customer Invoice FIRESTONE COMPLETE AUTO CARE Service Advisor: 168545 CARMEL 03 RYAN 11/05/2016 1314 S RANGE LINE RD 317.848.5886 CARMEL, IN. 46032-2932 CITY OF CARMEL UTIL 9609 HAZEL DELL PKWY Lic M Vin M INDIANAPOLIS, IN 46280-2935 In: 11/04/16 1:32PM Mileage: 1 317.716.5882 xjeff out: 11/05/16 1:24PM Store# 020753 COMMERCIAL Rev Hist Unit Extended Job Description /Article# ID Qty Price_ Price Total TRAILER TIRE 03 125.94 7099265 TRAILER TIRE 7099265 10NN 1 125.69 125.69 ST235/80R16 GOOD YEAR RADIAL TRAIL MARATHON 1 PLY - DOT# 2VUN12HV0816`T` �' �' f ,-. INDIANA TIRE FEE �,l r 7095834�.1,oNN 1 '0.25 0 25\ TIRE INSTALLATION l 7015 NN ` 1 N�/C NIC 10 JAIME `�(� (' Q)� RjqLLL" V I � ,1� �U Q) : Payment History: Summary: 125.94 Parts 125.69 Total Tendered 125.94 Labor 0.25 Shop Supplies 0.00 Sub-Total 125.94 Tax Exempt(0031201550) 0.00 Total $125.94 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. 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 020753-168545 y www.FirestoneCompleteAutoCare.com MOTORISTWeSupport ASE 7i, ASSURANCE � STD FCAC LASER 7008335-48110392 REV 11/11 3 �IestIRg and Pagc�l�— PROGRAM Inv1{?6030 .4d:F1 1 STANDARDS FOR AUTOMOTIVE REPAIR See reverse side for Warranty Information VOUCHER # 166625 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 168856 01-7502-06 26.53 Voucher Total 26.53 Cost distribution ledger classification if claim paid under vehicle highway fund Customer Invoice FIRESTONE COMPLETE AUTO CARE Service Advisor: 168856 CARMEL 03 RYAN 11/15/2016 1314 S RANGE LINE RD 317.848.5886 CARMEL, IN. 46032-2932 CITY OF CARMEL UTIL 9609 HAZEL DELL PKWY Lic#: Vin#: INDIANAPOLIS, IN 46280-2935 In: 11/14/16 1:53PM Mileage: 0 317.571.2648 Out: 11/15/16 11:52AM Store# 020753 COMMERCIAL Rev Hist Unit Extended Job Description /Article# ID Qty Price Price Total — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — — —Total REPAIR&BALANCE 55 SERIES AND ABOVE W/TPMS 03 26.53 (Rear-Right) CHECK ALL TIRES 6-213 6-213 TPMS REPLACEMENT VALVE 7014674 04NN 1 7:00 7.00 FLAT REPAIR-PATCH-PLUG 7020060 04NN 1 1.69 1.69 TPMS VALVE SERVICE KIT LABOR 7008190 04NN 1 2.54 2.54 FLAT REPAIR BALANCE LABOR 7013645 04NN 1 5.95 5.95 FLAT REPAIR LABOR 7019488 04NN 1 9.35 9.35 Technician(s): 04 CARL Payment History: Summary: 26.53 Parts 8.69 Total Tendered 26.53 Labor 17.84Shop Supplies 0.00 Sub-Total 26.53 Tax Exempt(0031201550) 0.00 Total $26.53 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 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 020753-168856 Page 1 of 1 Inv1 160301.502001