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312387 06/13/2017 CITY OF CARMEL, INDIANA VENDOR: 00351179 e ONE CIVIC SQUARE FIRESTONE TIRE& SERVICE CENTER CHECK AMOUNT: $*******937.40* =a; CARMEL, INDIANA 46032 PO BOX 403727 CHECK NUMBER: 312387 ATLANTA GA 30384-3727 CHECK DATE: 06/13/17 MTON DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1205 4232000 174648 937.40 TIRES & TUBES / -0 � 3 55 CD C Ch M O E o m M p § 22 2 > @ q f C � ° n > / 0 ^ k 0 o S A q m K - CD 4 z k W 4 / \ O ƒ { k $ ® k = m @ O I q g Po coD =h -4 ƒ ] g 5 / > R e § CL w m m m 2 ° M z \ ? 2 f 4A2 - O / O § / m { A Z $ J a & 3 9 - 2 # e % E ° - I ? r < = E 3 @ 2 % E g � 7 § m k m , / ? ; -n o CD A 2 , f a _ r / q / 7 2 CD E C 3 w ( § C , $ f E ± Z 7 0 g M CD \ § ) o E g + / k » k } % 2 F3* k E 7 - k I 3 § ° 0 7 � [Z / q � i ƒ CD a CY in \ j ) \ ( \ D CD / # E §® ) \ � 7 k � \ a ' 0-4 C o / ] ƒ} § k it k 0 2 C o ) / OD 06 k 0) / 0 Z \ 2 k k M } �00 > eo % ■ D )_ X ) a a E � 03 � ƒ . } # n / j U / \ \ r- 0 E ¥ ? § } E coC C / % C } q § \ 2 ƒ CD ] # U) 8 m 8 ( C itz /\ \ § } k k CD -4� k ® k Customer Invoice FIRESTONE COMPLETE AUTO CARE Service Advisor: 174648 CARMEL 01 NICK 05/23/2017 1314 S RANGE LINE RD 317.848.5886 CARMEL, IN. 46032-2932 • 2012 FORD F-250 SUPER DUTY XL CITY OF CARMEL, BUILDING &CODE 6.2L V8 FI FLEX VIN 6 SOHC 1 CIVIC SQ Lic#: 11924 IN Vin#: 1 FT7X2B63CEB84459 CARMEL, IN 46032-2584 In: 05/23/17 7:51AM Mileage: 48,103 317.339.8392 xchrsy Or 317.416.4154 xjeff Out: 05/23/17 11:46AM Store# 020753 COMMERCIAL Rev Hist Unit Extended Job Description /Article# ID Qty Price Price Total BRIDGESTONE TIRE PACKAGE 01 865.16 206531 DUELER A/T REVO 2 - LT OWL L1265/70R17 206531 79NN 4 194.38 777.52 El 21 S No Mileage Warranty DOT# 9BAHRV41617 DOT# 9BAHRV41517 DOT# 9BAHRV41617 DOT# 9BAHRV41617 INDIANA TIRE FEE 7095834 79NN 4 0.25 1.00 NEW TIRE WHEEL BALANCE LABOR 7013632 79NN 4 11.04 44.16 TPMS VALVE SERVICE KIT LABOR 7008190 79NN 4 2.54 10.16 6-207A TPMS VALVE VS-950-15 7009357 79NN 4 5.95 23.80 SCRAP TIRE RECYCLING FEE 7075078 79NN 4 2.13 8.52 TIRE INSTALLATION 7015016 79NN 4 N/C N/C ALIGNMENT SERVICE (12-MONTH WARRANTY) 01 72.24 ALIGNMENT SERVICE 7004578 79NN 1 72.24 72.24 COURTESY CHECK 01 COURTESY CHECK 7046930 79NN 1 N/C N/C Technician(s): 79 JUSTIN c� Payment History: Submitted To Summary: 937.40 Parts 801.32 Total Tendered 937.40 Labor 136.08 .JUN 0 6 2017 Shop Supplies 0.00 Sub-Total 937.40 Clerk Treasurer Tax Exempt(31201660) 0.00 Total $937.40 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 [Department uilding Maintenance Initial here to indicate you have received ount # .3,20 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 020753-174648 www.FirestoneCompleteAutoCare.com Page 1 Of I STD FCAC LASER 7008335-48110392 REV 11/11 111111110Inv1 160324.503001 See reverse side for Warranty Information