315400 08/29/2017 �� CITY OF CARMEL, INDIANA VENDOR: 00351179
ONE CIVIC SQUARE FIRESTONE TIRE&SERVICE CENTER CHECK AMOUNT: $*******381.88*
! ,_�; CARMEL, INDIANA 46032 PO BOX 403727 CHECK NUMBER: 315400
;���oN.�. ATLANTA GA 30384-3727 CHECK DATE: 08/29/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 177578 381.88 OTHER EXPENSES
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ustomer Invoice FIRESTONE COMPLETE AUTO CARE Service Advisor:
177578 CARMEL 03 RYAN
08/12/2017 1314 S RANGE LINE RD 317.848.5886
CARMEL, IN. 46032-2932
2005 CHEVROLET EQUINOX LT
CITY OF CARMEL UTIL 3.41- V6 FI GAS VIN F OHV
9609 HAZEL DELL PKWY Lic#: INDY IN Vin M
INDIANAPOLIS, IN 46280-2935 In: 08/11/17 11:11AM Mileage: 80,052
317.650.4127 xduane Or 317.650.4127 xduane Out: 08/12/17 5:19PM
Store# 020753 COMMERCIAL
Rev Hist Unit Extended Job
Description /Article# ID Qty Price Price Total
FIRESTONE TIRE PACKAGE 03 381.88
006505 FR710 BL P235/60R17 100T NO MILEAGE 006505 09NN 4 95.47 381.88
WARRANTY
DOT# W20U7121517
DOT# W201.17121517
DOT# W20U7121517
DOT# W20U7121517
TIRE INSTALLATION 7015016 09NN 4 N/C N/C
Technician(s):
09 TIM
Payment History: Summary:
381.88 Parts 381.88
Total Tendered 381.88 Labor 0.00
Shop Supplies 0.00
Sub-Total 381.88
r
C Tax Exempt(0031201550) 0.00
Total $381.88
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.
—tustomer Signature
Initial here to indicate you have received
the Tire Warranty Maintenance and
Safety Manual
All parts are new unless otherwise specified.
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,:3f'e re;VerSB slide C;r',,iVarranty information 1nv1 160324.503001