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Home My WebLink About308527 02/28/17 ^�''`'"*° CITY OF CARMEL, INDIANA VENDOR: 00351179 4� 4� 1 ONE CIVIC SQUARE FIRESTONE TIRE&SERVICE CENTER CHECK AMOUNT: S"•"'1,337.96• fQ; CARMEL, INDIANA 46032 PO BOX 403727 CHECK NUMBER: 308527 vM„ � ATLANTA GA 30384-3727 CHECK DATE: 02/28/17 «OH� DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 171275 190.47 OTHER EXPENSES 651 5023990 171362 150.49 OTHER EXPENSES 651 5023990 171397 537.69 OTHER EXPENSES 1192 4351000 171416 459.31 AUTO REPAIR & MAINTEN VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 00351179 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER ' FIRESTONE TIRE&SERVICE CENTER. IN SUM OF$ CITY OF CARMEL PO BOX 403727 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. ATLANTA, GA 30384-3727 'Payee $459.31 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 171416 43-510.00 $459.31 1 hereby certify that the attached invoice(s),or 2/20/17 171416 Oil Change and New Tires $459.31 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, February 21,2017 Mike Hollibaugh Director 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— Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Customer Invoice FIRESTONE COMPLETE AUTO CARE Service Advisor: 171416 CARMEL 15 TYLER 02/10/2017 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 SQ -Lic#: 68556 IN Vin#: JF2SJAAC8FH536484 CARMEL, IN 46032-2584 In: 02/08/17 3:02PM Mileage: 19,493 317.571.2435 xadam Or 317.509.9182 xADAM Out: 02/10/17 9:14AM Store# 020753 COMMERCIAL Rev Hist Unit Extended Job _Description ___ __ /Article# ID_ ___Qty_ Price Price _Total FULL SYNTHETIC OIL CHANGE UP TO 5 QTS 15 58.72 5.1 QTS. ILSAC GF-4 or GF-5, API -SN or SM, OW-20 Synthetic Oil The Manufacturer-recommends an Oil Change based on mileage of 3750 miles:..See Owner's manu for specific requirements. Cc` r PZ182 OIL FILTER ' I -�`7094005'`04NN 1 4.24 {424 OW-20 RZL PLAT FULLSYNTHETIC OIL U:)-TO ` ='7034622' 04NN �1 4.6:75 .46J5 ADDITIONAL OIL REQUIRED 0�,QTS @x$0:94 ER 1J/10 L703462-3 04NN 1 0.94 0.9 uoQTS '� X45 PREMIUM OIL CHANGE-L-ABOR 7003355 04NN 1 USED OIL FILTER RECYCLING CHG (1) 7075051 04NN 1 2.54 2.54 COURTESY CHECK 15 COURTESY CHECK 7046930 04NN 1 N/C N/C FIRESTONE TIRE PACKAGE 1 15 328.35 084856 FR710 BL P225/60R17 98H 084856 06NN 3 87.54 262.62 DOT# 8X79CKD4616 DOT# 8X79CKD4516 DOT# 8X79CKD4516 INDIANA TIRE FEE 7095834 06NN 3 0.25 0.75 NEW TIRE WHEEL BALANCE LABOR 7013632 06NN 3 11.04 33.12 TPMS VALVE SERVICE KIT LABOR 7008190 06NN 3 2.54 7.62 6-207A TPMS VALVE VS-950-15 7009357 06NN 3 5.95 17.85 SCRAP TIRE RECYCLING FEE 7075078 06NN 3 2.13 6.39 TIRE ASTALLATION 7015016 06NN 3 N/C N/C ALIGNMENT SERVICE (12-MONTH WARRANTY) 2 01 72.24 ALIGNMENT SERVICE 7004578 06NN 1 72.24 72.24 Technician(s): 04 CARL 06 DRAKE Payment History: Summary: 459.31 Parts 332.40 Total Tendered 459.31 Labor 126.91 Shop Supplies 0.00 Sub-Total 459.31 Tax Exempt(31201660) .- 0.00 Total $459.31 I have received the above goods and/or services. If this is a credit card purchase, I agree to pay and comply with my c dholder agreement with the issuer. Rev _ "Reyision`History. Amt Init- Customer Signature 1) 02%08/2017 06O2PM 109.45 CITY OF CA 317.509.91.82 Ext.ADAM` 2) 02/09/2017 12:1'33PM 72.24 CITY OF CA 317.571.2435 Ext.adam_ www.FirestoneCompleteAutoCarexom !� MOTORIST We Support ASE �- AssURANCE STD FCAC LASER 7008335-48110392 REV 11/11 - Te-stinlyand Pae ROGRAtv4 i � §a iso oo1 STANDARDS FOR AUTOMOTIVE nEPAIR See reverse side for Warrantv Information Customer Invoice FIRESTONE COMPLETE AUTO CARE Service Advisor: 171397 , CARMEL 05 TISH 02/08/2017 1314 S RANGE LINE RD 317.848.5886 CARMEL, IN. 46032-2932 2011 FORD E-250 BASE CITY OF CARMEL UTIL 5AL V8 FI FLEX VIN L SOHC 9609 HAZEL DELL PKWY Lic#: 2130 IN Vin#: 1 FTNE2EL8BDA52641 INDIANAPOLIS, IN 46280-2935 In: 02/07/17 4:02PM Mileage: 30,739 317.650.4127 xduane Out: 02/08/17 3:50PM Store# 020753 COMMERCIAL Rev Hist Unit Extended Job _Description _______ _ ___ _ _ /Article#__ID,__ _ Qty Price_ Price_ Total ALIGNMENT SERVICE (12-MONTH WARRANTY) 05 72.24 Recent repairs New tires ALIGNMENT SERVICE 7004578 04NN 1 72.24 72.24 FIRESTONETIRES-WITH-UNCKAGE .� f 465.45 189769 TRANSFORCE HT BLILT245/+75R16! E1{201R No \189�769t�09NN ( 3 135.37. 406.T1 �7f Mileage Warranty �-' C DOT# E211TH92516OLJ ` o DOT# E219TH92616"�_., a U�� %' _VjDOT# E211 TH926+16' -�, rU7111 L= IR1-9 INDIANA TIRE FE 7095834 09NN 3 0.25 0.75 NEW TIRE WHEEL BALANCE LABOR 7013632 09NN 3 11.04 33.12 TPMS VALVE SERVICE KIT LABOR 7008190 09NN 3 2.54 7.62 6-207A TPMS VALVE VS-950-15 7009357 09NN 3 5.95 17.85 TIRE INSTALLATION 7015016 09NN 3 N/C N/C COURTESY CHECK 05 COURTESY CHECK 7046930 09NN 1 N/C N/C Technician(s): 04 CARL 09 TIM Payment History: Summary: 537.69 Parts 423.96 Total Tendered 537.69 Labor 113.73 Shop Supplies 0.00 Sub-Total 537.69 Tax Exempt(0031201550) 0.00 Total $537.69 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. P 1 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? Tellus,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 020753-171397 �T l l www.FirestoneCompleteAutoCarexom WeSupportASE [Z7 �SSLJt ( CE STD FCAC LASER 7006335-48110392 REV 11/11 Testing and Page ltio RC Ci;Fa"v1 _� InVrlij&CV09001 STANDARDS FOR AUTOMOTIVE REPAIR See reverse side for Warranty Information Customer Invoice FIRESTONE COMPLETE AUTO CARE Service Advisor: 171275 CARMEL 01 NICK 02/03/2017 . 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: 02/03/17 11:04AM Mileage: 1 317.716.5882 xjeff Or 317.571.2634 x1640 Out: 02/03/17 - 3:04PM Store# 020753 COMMERCIAL Rev Hist Unit Extended Job Description ___— — /Article# ID_ Qty Price Price Total ------------- - - -- - -- --- - FLAT REPAIR& BALANCE 55 SERIES AND ABOVE (Rear-Lef 1 01 FLAT REPAIR - PATCH-PLUG 7020060 06NN 1 1.69 1.69 FLAT REPAIR BALANCE LABOR 7013645 06NN 1 5.95 5.95 FLAT REPAIR LABOR 7019488 06NN 1 9.35 9.35 PRT-DISC Customer-Experience,Cr""edit- ' 7001665 06N -1 1.69 -1.69 LBR-DISC-Customer Experience Credit" i J't 7001665 06N FIRESTONE TIRE PACKAGE I ( i '1- b1 i 190.47 200190 TRANSFORCEA/T OWL L1265/70R17"E121R'No -- 200190.-06NN.-'` `1-_.,%`175.35 1.7.5.35% Mileage Warranty / 1 ,.--, y-1 _ r- ,C--= , -� r---TV: DOT# VNAHTR551�16 - , I i __ i � - ' INDIANA TIRE FEES- - — 7095834 06NN 1 0:2'5 0.25 NEW TIRE WHEEL BALANCE LABOR 7013632 06NN 1 11.04 11.04 RUBBER VALVE STEM 7015040 06NN 1 1.70 1.70 SCRAP TIRE RECYCLING FEE 7075078 06NN 1 2.13 2.13 TIRE INSTALLATION 7015016 06NN 1 N/C N/C Technician(s): 06 DRAKE Payment History: Summary: 190.47 Parts 177.05 Total Tendered 190.47 Labor 13.42 Shop Supplies 0.00 Sub-Total 190.47 Tax Exempt(0031201550) 0.00 Total $190.47 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) 02/03/2017 12:39PM 173.48 CITY OF CA 317.716.5882 Ext.jeff 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_...___----- .___---- . -_ PJ�-,flTOIN - -j www.FirestoneCompleteAutoCare.com L�iT - •___� �'deS�1p}1arkASE '' -J ASSURANCE 'resting 4134 y STD FCAC LASER 7008335-48110392 REV 11111 e, Page I oF2jL::+✓--- P1zoGl2A,M u Al� _ r: - -- - _----- —�'I �' Inv{-16034i 020D1 STANDARDSFonaU7 ONIO F t;EPAIR - See reverse side for Warranty Information -Js Customer Invoice FIRESTONE COMPLETE AUTO CARE Service Advisor: 171362 .. CARMEL 05 TISH 02/06/2017 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: 02/06/17 10:09AM Mileage: 1 317.571.2634 x1640 Out: 02/06/17 4:01 PM Store# 020753 COMMERCIAL Rev Hist Unit Extended Job Description /Article# ID____—.-Qty Price_ -Price. Total FLAT REPAIR& BALANCE50 SERIES AND BELOW W/TPMS 05 (Front-Left) NAIL IN TIRE!!! FIRESTONE TIRE WITH UNI-T, PACKAGE 1 05 150.49 TIRE IS 7 YEARS-OLD;3/32ND,NAIL IN SHOULDER 189769 TRANSFORCE HT BL�I A5/�5.R16 E120R NO� 189769:; VOUCHER # 157128 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 171397 01-7500-02 537.69 1"713(OQ 0( ---):500,09 1150, �9 111915 01 --7Soo. oa 5C) . 7 g-7 Voucher Total Cost distribution ledger classification if claim paid under vehicle highway fund