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312648 06/16/17
,n coq ''•• CITY OF CARMEL, INDIANA VENDOR: 00351179 k R""""■ ONE CIVIC SQUARE FIRESTONE TIRE& SERVICE CENTER CHECK AMOUNT: $ 107.63" _�; CARMEL, INDIANA 46032 PO BOX 403727 CHECK NUMBER: 312648 +y. ATLANTA GA 30384-3727 CHECK DATE: 06/16/17 ` /fUN�. DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4232000 175378 133.11 TIRES & TUBES 1192 4232000 257886 -25.48 TIRES & TUBES n o > -o -n $ < 06 z z k m CL� 0 R U 0 k m \ 2 C D / / 2 0 § \ o z / w q - O g 90 co k 2 9 _ 2 § \ T 4 k / S 0 - � -n 3 0 ¢ $ § 2 § 222 7 q m 2 4 m z 3 ■ O 0 ■ O a 2 k 0 / § ' m E m | } o r 2 t 3 - z R . £ A/ ° CO 0 g P CL 0 § k a 2 f ; O . §OL § m - . _ � - ■ � f / CL c E v - & � \ 0 o E N 0) c w o E O co m 2 CL - o k CL % 2 4 E f I \_ § c | o (D © - ƒ e ) a Q 2 q § � e $ \$ k \ 2 m k { E @ > J � J � 7 � .« 00 7 � k 0w c o £ 7 / Cl) m k C o . _ e # f t F § k %E § k C g } co f- f� k ? / 0 D 90 7£ R £ o £ E > gm & f §\ 'o m ƒ ] 3 47 o CD Q © =r 47 2. \ 0 \ r 0 }7 < z E ] R £ _ = E $ C \ � ° B ® $ E ) / • - 0 / IR M¢ ( 7 B ° & . f 2 A § 7 { § ACCOUNT STATEMENT Iritsestone Toll Fro* (800)949-1902 535 MARRIOTT DRIVE Fox (727)446-5214 NASHVILLE,TN 37214 ADDRESS SERVICE REQUESTED 3 � 04/30!17 060272956 _ SEND PAYMENTS TO: PAYMENT CENTER CITY OF CARMEL BLDG INSP DEPT PO BOX 403727 1 CIVIC SQ ATLANTA GA 303843727 CARMEL IN 46032-2584 RE:0001 PLEASE DETACH.TOP MtlI 1M TOP PORTION ADD RERTN YOUR PAYMENT .................. ............................................................................................................................................................................................. ........................................................................... IMPORTANT MESSAGE: PAGE 1 OF 1 -396 G5;'C6,'16 Payment 28.9y- 25.48- x_1=4268? 04,29,'17 02C-53 !"3815'C44 5X.52 52G.52 TOTAL BALANCE 4106.04 FUTURE CURRENT JlII DUE DUE 1-30 rt 31.60 Ovor 60 S AMOUNT 520.52 0.00 0.00 0.00 25.48- 25.48- USD C00-f-, Customer Invoice FIRESTONE COMPLETE AUTO CARE Service Advisor: 175378 CARMEL 05 TISH 06/12/2017 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: 06/12/17 10:36AM Mileage: 15,071 317.509.8239 xBRENT Or 317.509.8239 xBRENT Out: 06/12/17 3:52PM Store# 020753 COMMERCIAL Rev Hist Unit Extended Job Description /Article# ID Qty Price Price Total COURTESY CHECK 05 Ed-18 Battery Inspection Results:Your battery is in good condition At your next oil change, we'll check it again for free. COURTESY CHECK 7046930 09NN 1 N/C N/C STANDARD OIL CHANGE UP TO 5 QTS 05 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 Owner's manual for specific requirements. PZ173 OIL FILTER 7057290 09NN 1 4.24 4.24 5W-20 QS ADV DUR GF5 OIL UP TO 5 QTS 7034653 09NN 1 21.25 21.25 ADDITIONAL OIL REQUIRED 2.7 QTS @ $0.43 PER 1/10 7034654 09NN 27 0.43 11.61 QTS USED OIL FILTER RECYCLING CHG (1) 7075051 09NN 1 2.54 2.54 OIL CHANGE LABOR 7029718 09NN 1 4.25 4.25 TIRE ROTATION 05 18.72 TIRE ROTATION 7015032 09NN 4 4.68 18.72 MINI BULB REPLACEMENT 1 05 12.74 LEFT REAR BRAKE LIGHT 4057LL SMALL BULB 7010279 09NN 1 2.54 2.54 SMALL BULB LABOR 7009268 09NN 1 10.20 10.20 AIR FILTER 1 05 22.94 DIRTY AF5642 AIR FILTER PZA517 7008962 09NN 1 22.94 22.94 AIR FILTER LABOR 7001062 09NN 1 N/C N/C BATTERY CORROSION PACKAGE 1 05 9.34 CORROSION ON POSITIVE TERMINAL CORROSION PROTECTION PACKAGE 7052329 09NN 1 9.34 9.34 FLAT REPAIR& BALANCE55 SERIES AND ABOVE WTPMS 1 05 25.48 (Rear-Right) 6-207A TPMS VALVE VS-950-15 7009357 09NN 1 5.95 5.95 FLAT REPAIR - PATCH-PLUG 7020060 09NN 1 1.69 1.69 TPMS VALVE SERVICE KIT LABOR 7008190 09NN 1 2.54 2.54 FLAT REPAIR BALANCE LABOR 7013645 09NN 1 5.95 5.95 FLAT REPAIR LABOR 7019488 09NN 1 9.35 9.35 Technician(s): 09 TIM Payment History: Summary: 133.11 O D Parts 70.22 Total Tendered 133.11 �� , Labor 62.89 Shop Supplies 0.00 Sub-Total 133.11 Tax Exempt(31201660) 0.00 Total $133.11 www.FirestoneCompleteAutoCare.com STD FCAC LASER 7008335-48110392 REV 11/11 Page I of 2 1nv1 160324.503001 Customer Invoice FIRESTONE COMPLETE AUTO CARE Service Advisor: 175378 CARMEL 05 TISH 06/12/2017 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: 06/12/17 10:36AM Mileage: 15,071 317.509.8239 xBRENT Or 317.509.8239 xBRENT Out: 06/12/17 3:52PM Store# 020753 COMMERCIAL Rev Hist Unit Extended Job Description /Article# ID Qty Price Price Total 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. Rev --. Revision History: Amt Init Customer Signature 1) 06/12/2017 12:28PM 70.50 CITY OF CARMEL, B IN PERSON All parts are new unless otherwise specified. I acknowledge notice and oral approval of an increase in the original estimated price. I verbally approved any change to the original estimate, including price ror services. 4' 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 020753-175378 www.FirestoneCompleteAutoCare.com Pale 2 Of 2 STD FCAC LASER 7008335-48110392 REV 11/11 Invt 160324.503001 l Courtesy Inspect AllItems inTop Section Year�I y Make s Model '�' t Sa .Size J`b c ❑HYBOHV ❑DIESEL Trans o En V 9 ❑ YBRID Type Manual Hubcap Missing--YZ Missing--YWindshield Cracked Y 46 Scratches(Denb D N N MILEAGE: I $ D I1 ( I I Uc.# 3 State Ins ion Due Month Maintenance Services/Starting Tires and Tire Maintenance Inspect VAI fJel Sohea. + Why Recommended + Tire Size: Speed Run Flat Y Im OK SUG REQ Maint. - RS$18 Wiper Blades ❑ m ❑ Front F + lJ 1 I_, R WVS TPMS Q) N Head Lights i Mini Lights rake Si nal ❑License e� ❑Parking Inspect OK UGI Tread Mini In orpth ❑FWD �❑RWD O4WD/AWD Air Filter Left Front el ❑ Edg•w••r " EL:1 Cabin PSI In: PSI Out: 11 cupping Air Fitter o �5 ieft PCV Valve Right Front ❑ Edgewe•r Washer Fluid /PPSI In: PSI Out: :) cupping ❑ N•is On Level Z ?)� ❑ tura ❑ Repayable ClIn wWrlly s Power Ste. luid Level Right ar Re ", ❑ Edgewear F Master Cyl.Fluid PSI In: PSI Out: ❑ cupping ❑ NW Level ❑ Brake Inspection 2-9 !jS ❑ cute ❑ a.par.a. E Brake Flub Flush ❑ Ine•u� Copper parts Per million ` Trans.Service ❑Flush Left Rear [I Edg•wesr Auto/Manual ❑ Pan Service PSI In: PSI Out .1) ❑ cupping ❑ Neh Coolant �� ❑ cute ❑ Repayable Level/Flush TYPe J ❑ In•gurmy Coolant Hoses ❑Upper ❑Lower ❑Bypass ❑Heater SPra ❑ Eagerre■r 'V' ALT PS Betts PSI In: PSI Out: l ❑ cuppingBetts ❑ r1aY Se A/C AP 1 2 3 4 ❑ cuts ❑ EDt18Tast El Good El Marginal 11 Replace 11 A�•ries EI Cable Ends/Cables N8 El Hold Downs Tire Maintenance ❑Roteaion ElLj i Battery Gard Corrosion ElPreventive AlignmentCheck ❑Maintenance ❑Tire Wear f Complete /StartingIn Addition to The Above Inspect All Items Below Maintenance Services Brakes APS 0 YES M Inspect oK soot ; Why Recommended + ,: emmtDl.a)orshoapr..art Start/Charge 11 Pal illim rthen3mmarMatlhantrmr(Dlac)orShowsgnirthanl9nnarlMaM>tA1ep Tnni�1 I t CEJ Ll c � I a _ Belt Tensioner a Spark Plugs LF Pad Raw Fuel Fitter $grvioe MMAGIeI � ,.- .. MMAcluel Ignition Wires Valve Cover Gasket Power Steering ❑ Pressure ❑ Return LR Pod/Shoo = = RR Pad/Sias Hose m i Timing Belt � MMAduel MAExhaust A�eI . Exhaust System ❑Intermediate Pipe ❑ Muffler ❑TailpipeExhaust Steering . • Suspension Rear Clean/Ad) UJoint ❑Front ❑Rear Brake Hose(s) Idler/Phman Ann ❑Idler ❑Pitman Parking Cables Center Unk Other Brake Hardware Caliper Wheel Repack Bushings [I Control Arm El Sway Bar 8 From Services ® CvIInder Link Pins FrurN Left Ri�M Rear N�'� Cr'k'r' TWfHe CJC ! r�l EjRear ypy b Tie Rod Ends ❑L Out [:]L In E]R In ❑R Out ElSleeve(s) A � ❑L Upper El Upper Bit loinL4 ❑L Lower ❑R Lower Sow _ Actual_ sinion Assembly CV Boots ❑L Out ❑Lin ❑R In ❑R Out CV Joints I ❑❑LOut ❑Q❑LIn ❑❑R In ❑ROut Left Struts LJ Rear LJ Left ❑R'9ht Shocks ❑Front Left Rear Left i R•p•ir/R•N•e•meM3•la•sf•9 d 1)Close to end of useful Ifle 1 Co1p461e 2)Address customer request/need/convenience 3)Comply with manufacturer recommendation STEP 5 STEP 7 4 Technician recommendation from experience INSPECTED BY RE-INSPECTED BY