316218 9/26/2017 CITY OF CARMEL, INDIANA VENDOR: 00351179
O
ONE CIVIC SQUARE FIRESTONE TIRE&SERVICE CENTER
CHECK AMOUNT: S"***"*36.58*
�o. CARMEL, INDIANA 46032 A°OX 403727
30384-3727 CHECK NUMBER: 316218
CHECK DATE: 09/26/17
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4231500 178461 36.58 OIL
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Customer Invoice FIRESTONE COMPLETE AUTO CARE Service Advisor:
178461 CARMEL 05 TISH
09/08/2017 1314 S RANGE LINE RD 317.848.5886
CARMEL, IN. 46032-2932
2014 FORD F-150 XLT
CITY OF CARMEL, BUILDING &CODE 5.OL V8 FI FLEX VIN F DOHC
1 CIVIC SQ Lic#: IND IN Vin M
CARMEL, IN 46032-2584 In: 09/07/17 11:47AM Mileage: 19,441
317.695.2812 xdarre Or 317.695.2812 xdarre Out: 09/08/17 8:47AM
Store# 020753 COMMERCIAL
Rev Hist Unit Extended Job
Description /Article# ID Qty Price Price Total
COURTESY CHECK 05
COURTESY CHECK 7046930 06NN 1 N/C N/C
STANDARD OIL CHANGE UP TO 5 QTS 05 36.58
6.0 QTS.
MOTORCRAFT SAE 5W-30 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 06NN 1 4.24 4.24
5W-30 QS ADV DUR GF5 OIL UP TO 5 QTS 7034655 06NN 1 21.25 21.25
ADDITIONAL OIL REQUIRED 1.0 QTS @$0.43 PER 1/10 7034656 06NN 10 0.43 4.30
QTS
USED OIL FILTER RECYCLING CHG (1) 7075051 06NN 1 2.54 2.54
OIL CHANGE LABOR 7029718 06NN 1 4.25 4.25
Technician(s):
06 DRAKE
Payment History: Summary:
36.58 Parts 29.79
Total Tendered 36.58 Labor 6.79
Shop Supplies 0.00
Sub-Total 36.58
Tax Exempt(31201660) 0.00
Total $36.58
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.
1) 09/08/2017 08:46AM 0.00 CITY OF CARMEL, B 317.695.2812
Customer Signature
All parts are new unless otherwise specified.
Declined Work: I acknowledge notice and oral approval of an increase in the
FIRESTONE TIRE PACKAGE original estimated price.
ALIGNMENT SERVICE (12-MONTH WARRANTY) I verbally approved any change to the original estimate,
STANDARD OIL CHANGE UP TO 5 QTS including
price or services.
Signature or Initials
t hv, A t Cast com
�1,
Page 1 of 2 1nv1 160324.503001
Customer Invoice FIRESTONE COMPLETE AUTO CARE Service Advisor:
178461 CARMEL 05 TISH
09/08/2017 1314 S RANGE LINE RD 317.848.5886
CARMEL, IN. 46032-2932
2014 FORD F-150 XLT
CITY OF CARMEL, BUILDING &CODE 5.01- V8 FI FLEX VIN F DOHC
1 CIVIC SQ Lic#: IND IN Vin#:
CARMEL, IN 46032-2584 In: 09/07/17 11:47AM Mileage: 19,441
317.695.2812 xdarre Or 317.695.2812 xdarre Out: 09/08/17 8:47AM
Store# 020753 COMMERCIAL
Rev Hist Unit Extended Job
Description /Article# ID Qty Price Price Total
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 020753-178461
.e, U1%, Care.el-0rn
Page 2 of 2 int 160324.503001
WORK ORDER# FIRESTONE COMPLETE AUTO CARE SERVICE ADVISOR
178461 1314 S RANGE LINE RD 05 TISH
09/08/17 08:47AM CARMEL, IN. 46032-2932 317.848.5886
CITY OF CARMEL, BUILDING 8,CODE 2014 FORD F-150 XLT
1 CIVIC SQ 5.OL V8 FI FLEX VIN F DOHC
CARMEL, IN 46032-2584 LIC# IND IN VIN#
317.695.2812 xdarre Or 317.695.2812 xdarre IN 09/07/17 11:47AM EST. MILEAGE 5,000
Store# 020753 Recommended Services not Authorized by Customer
Unit Price Extended Price
Status Description Qty Parts Labor Job Total Cat.Total Total
Recmd STANDARD OIL CHANGE UP TO 5 QTS 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.
Oil Filter 1 4.24 0.00
5W-20 QS ADV DUR GF5 OIL UP TO 5 QTS 1 21.25 0.00
ADDITIONAL OIL REQUIRED 2.7 QTS @ $0.43 27 0.43 0.00
PER 1/10 QTS
USED OIL FILTER RECYCLING CHG (1) 1 0.00 2.54
OIL CHANGE LABOR 1 0.00 4.25
Preventive Maintenance - Suggested _______________________________________> 43.89 43.89
Recmd FIRESTONE TIRE PACKAGE 324.74
054239 DESTINATION A/T P-METRIC OWL 2 140.46 0.00
P235/75R17 108S
INDIANA TIRE FEE 2 0.00 0.25
NEW TIRE WHEEL BALANCE LABOR 2 0.00 11.04
TPMS VALVE SERVICE KIT LABOR 2 0.00 2.54
6-207A TPMS VALVE VS-950-15 2 5.95 0.00
SCRAP TIRE RECYCLING FEE 2 0.00 2.13
TIRE INSTALLATION 2 0.00 0.00
Recmd ALIGNMENT SERVICE (12-MONTH WARRANTY) 76.49
Steering, Suspension, Alignment Symptoms Sheet
ALIGNMENT SERVICE 1 0.00 76.49
Improved Performance - Suggested ________________________________________> 401.23 445.12
Recommended Parts: 329.92
Labor: 115.20
Subtotal: 445.12
Shop Supplies: 0.00
Tax(7.00%): 0.00
Total 445.12
THESE PRICES ARE VALID FOR 30 DAYS
Labor charges are based on 'Menu Items'of a predetermined amount or the flat rate
charged per the Mitchell Labor Manual @ Skill Rate.
ALL PARTS ARE NEW UNLESS NOTEta.QTHEtZI ... ' . t om " d,DaYi
Page 1 of 1 Recommendations 150317
i Check
.- .. Section
Year L� Make f Model1-6O
❑OHV [:1DIESEL Trans. uto
Eng.Size ❑DOHC ❑HYBRID Type ❑Manual
N' j.X .F E Hubcap Missing Y Windshield Cracked Y Scratches/Den N
MILEAGE: I I OL Irl Lic.# State Ins ion Due Month Year
Maintenance Services/Starting Tires and Tire Maintenance
Inspect mow + Why Recommended + Tire Size: Speed Run Flet
[IElY N
OK SUki Maint.
` Wiper Blades Front Rear F
R � � —7 `J /7 TPMS Y N
Head Lights Tread Depth
Mini Lights ❑Brake ❑3i nal ❑P e e� ❑Parking Inspect OK sV Lia outer Inner
❑ D ❑RWD ❑4WD/AWD
Air Filter Lett Front t ❑ Edginmiu
Cabin PSI In: PSI Out: ❑ cupping 13 rt.Ns
Air Filter ( ?Q ❑ cw ❑ nap.lrad.
PCV Valve J!J ❑ trroguwny
Right Front ❑ Edgewear
Washer Fluid PSI In: I out: ✓
Q ❑ Cupping ❑ N•Ns
Oil Level J ❑ Cur° ❑ nep'i u°
21 ❑ Irregu4ray
Power Ste. Right Rear. ❑ Edgin~
Fluid Level
MBq,e.�.�lkl PSI In: PSI Out: ❑ cupping
❑ naW
L,y,l ❑ Brake Inspection ❑ cud ❑ a•P•leai•
Brake Fluid Flush � ❑ Ir"g
Copper million
Trans.Service Flush Lett Rear ❑ Eag°"'e°r
Auto/Manual Pan Service PSI In: P I Out: ❑ CuppingCoolant ❑ New
, P
Level/Flush Type ❑ Cuts ❑ HeWireDb
❑ Inegutamy
Coolant Hoses ❑Upper ❑Lower ❑Bypass ❑Heater Spm ❑ Edgmeer
Belles 00'V' ALT PS Belts psI in: Psl out: ❑ Cupping ❑ near
Se A/C AP 1 2 3 4 x ❑ curs ❑ Repei eai•
EDt18Test ❑ Good ❑Marginal ❑ Replace ❑ ineguted�
Aoasryaories ❑ Cable Ends/Cables [:]Nos ❑Hold Downs Tire Maintenance ❑Rotation ❑Balance
Battery Ger ❑Corrosion eg
❑Preventive Angnment Check ❑Maintenance ❑Tire Wear
Complete
StartingIn Addition to The Above Inspect All Items Below
Maintenance Services/ Brakes AB S YES NO
Inspect OK suol + Why Recommended + ,. a dean er1Nm(Digo)or shos gnian msn�.rpalpli>'" a;
Start/Charge ii Padagraslt OM3nienorkaelhstBmm(DYc)orShosaglasler9renl.b—orkesethen?Atm(Dtut)ilj
Test
I I
Belt Tensioner
Spark Plugs LF Pad RF Pad
r
Fuel Filter
uel
Senrbe MM Adiel MM Aolaal
Ignition Wires
Valve Cover
M
Power Steering ❑ Pressure ❑ Return Ped/ShOe RR Pad/shoe
Timing Belt
MMAt1d MMAdAre1
Exhaust
Exhaust System ❑Intemtediate Pipe ❑Muffler ❑Tailpipe
_ SPec
Steering • • . Rear Clean/Adj
U.loird ❑Front ❑Rear Brake Hose(s)
Idler/Pltman Ann ❑Idler ❑Pibnan
Parking Cables
Center Unk
BFront OthrerBrvicesake Hardware Caliper Wheel Repack
Bushings ❑Control Arm ❑Sway Bar Cylinde
Rear
Notes:
Unk Pine a FrontLeft 8 Right
Rear Left RI ht
Tie Rod Ends ❑L Out ❑L In ❑R In ❑R Out ❑Sleeve(s)
Bell Joints L UpperS R Upper
L Lower R Lower Spec _ Actual
Rack&Pinion
Assembly
CV Boots ❑L Out ❑L In ❑R In ❑R Out
CV Joints ❑L Out ❑L In ❑R In ❑R Out
struts8 Front ❑Left ❑Right
Rear ❑Left ❑Right
Shocks Front Left Right
Rear Left Ri ht
-.Ra•alr/Ralaam•m 8••srald
1)Close to end,of useful life
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