313712 7/18/2017 a u.Coq*
CITY OF CARMEL, INDIANA VENDOR: 00352025
ONE CIVIC SQUARE P F M CAR &TRUCK CARE CENTER CHECK AMOUNT: $*******250.73*
CARMEL, INDIANA 46032 4902 W 106TH ST CHECK NUMBER: 313712
+y ZIONSVILLE IN 46077 CHECK DATE: 07/18/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4351000 41710 5029238 250.73 TIRE REPLACEMENT INST
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Carmel- 1441 S Guilford Rd,Carmel,IN 46032 317-571-8777
Car&Truck Care Center Castleton-9501 Corporation Dr,Indianapolis,IN 46256 317-577-7777
l Truck&Car Care Center South-1402 W Hanna Ave,Indianapolis,IN 46217 317-784-7777
OnSite Services Zlonsvlle-4900 W 1061h St,Zionsville,IN 46077 317-733-7777
PFMAutomotive.com PLEASE REMIT TO: 4902 W 1061 St.•Zionsville,IN 46077.317-733-3977
FAST FRIENDLY QUALITY SERVICE AT A FAIR PRICE
Customer: CARMEL PARKS AND RECREATION Vehicle :2008 Ford F250 super duty Invoice# 5029238
Address : 1411 E 116TH ST Unit#: P08 IIIIIIIIINIIIIIIIIIIIIIiIIIUIIill�ilIIIIIIII
City: CARMEL, IN 46032- VIN : 1 FTSX215X8ED38577 Date:7/7/2017 Page 1 of 1
Phone 1 : ( 317 ) 573-4044 LicP : 74807 Engine:V8-330 5.41-SOHC Orig Est M Center: 1
Phone 2 : (317 ) 573-4026 Trans : AUTO Mileage : 1 PO#:48710
Tech Job Description
Price
Qty Part Description List Disc Price Net Reason for Replacement Labor Parts Subtotal
Service Requests:
DROPPED OFF
1. LOOSE TIRE HAS SIDEWALL PUNCTURE ON BACKSIDE
5027 MOUNT 6 BALANCE ONE TIRE under 19.5 16.00 234.73 250.73
1.00 BF GOODRICH RUGGED TRAIL 268.49 227.53 227.53
1.00 TIRE DISPOSAL 5.84 4.95 4.95
Warranty: 0
Size: 2457517
M343DP4117
M343DP4117
1.00 LD WHEEL WEIGHT 2.36 2.00 2.00
1.00 INDIANA STATE TIRE TAX 0.30 0.25 0.25
1000 Declined 0.00
1.00 WRL AT ADV KEVLAR Declined
Warranty: 60000
Size: LT245/75R17
Not on File
1.00 LD WHEEL WEIGHT Declined
1.00 INDIANA STATE TIRE TAX Declined
1001 Declined 0.00
1.00 EDGE AT Declined
Warranty: 50000
Size: LT245/75R17
Not on File
1.00 LD WHEEL WEIGHT Declined d
1.00 INDIANA STATE TIRE TAX Declined 2�1�
--------------------
JULPayments:
(On Account) , $250.73, on 07/07/17 Y:.................. ......
As owner or authorized agent,I authorize the services along with necessary
parts and materials and grant PFM employees permission to operate the vehicle Labor: .00
Parts: $229229.78
herein described on streets,highways or elsewhere,at your discretion,for Sublet' $0.00
the purpose of testing and/or Inspection.I acknowledge an express mechanics Other Fees: $4.95
lien on the vehicle to secure all outstanding charges.I understand that PFM Supply Charges : $0.00
is not responsible for delays consequences.Not esponsible for damage or Subtotal: $250.73
articles left In car In case of fire,theft or any other cause beyond our Sales Tax: $0.00
direct control.A 2%service charge will be added to the monthly account
Balance.Storage charge after 21 days of$5.00 a day.Warranty is limited to Total• $250.73
original Invoice amount and must be performed by PFM or preapproved.
Paid: $0.00
Due: $250.73
Signature X