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317281 10/11/2017
9*� CITY OF CARMEL, INDIANA VENDOR: 00351179 CHECK AMOUNT: $""*****190.46" ONE CIVIC SQUARE FIRESTONE TIRE& SERVICE CENTER �? 4; CARMEL, INDIANA 46032 Po BOX 403727 CHECK NUMBER: 317281 +,M. ATLANTA GA 30384-3727 CHECK DATE: 10/11/17 t ��oN�O DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4231500 179214 190.46 OIL 0 m � « « 2 2 q k C ■ ■ 2 0 ® ° 0 0 > ® m \ O q Q co 7 q m z @ c D N g CA) 2 � . < _ 2 C w m O § g 0 � w m 14 E a m a OD 90 46 o © o k @ 5 ] > co w m . § 2 CD k k m / g k § meq Cl) 2 m X § e ■ 2 CL B 0X ® O 2 fo 2 g 2 q . � « ■ $ � � - � � © £ 2 r f ƒ gE + a c 2 a CL g E J § m E 2 k o C $ § J - O p aC ' ElF Q CO; A 9 a CL 8 w ° E E @D9 M c o o . = CL � § � CCL D ■ \ = t 2 - k CL Er - k C o I f c | K= m K a � § m > ■ W CD § m k § � I2 § n _ � < 0 § m } 2g » am CD Z 0 %k 2 | at 9f 2 \° D � SD ° cD j/ i 22 2 $ ; CU 2 n , $ co n ' 2 j < $ k (f f z ] / A f c # Go to 0 47 CL (D k G - / 7 \ z [ > k 40 o ® 7 a i C)) ® k Customer Invoice FIRESTONE COMPLETE AUTO CARE Service Advisor: 17921'4 CARMEL 01 NICK 10/04/2017 1314 S RANGE LINE RD 317.848.5886 CARMEL, IN. 46032-2932 2015 SUBARU FORESTER 2.51 CITY OF CARMEL, BUILDING & CODE 2.5L H4 FI GAS FB25BA 1 CIVIC SQ Lic#: 68556 IN Vin#: JF2SJAAC8FH536484 CARMEL, IN 46032-2584 In: 09/29/17 3:07PM Mileage: 25,378 317.571.2417 xadam Out: 10/04/17 8:04AM Store# 020753 COMMERCIAL Rev Hist Unit Extended Job Description /Article# ID Qty Price Price Total FULL SYNTHETIC OIL CHANGE UP TO 5 QTS 01 58.72 5.1 QTS. ILSAC GF-4 or GF-5, API -SN or SM, OW-20 Synthetic Oil The Manufacturer recommends an Oil Change based on mileage of 3750 miles...See Owner's manu for specific requirements. PZ182 OIL FILTER 7094005 79NN 1 4.24 4.24 OW-20 PZL FU._L_Syhll„IjETICOIL UP TO 7034622 79NN 1 46.75 46.75 ADDITIONAL OIL REQUIRED 0.1 QTS @$0.94 PER 1/10 7034623 79NN 1 0.94 0.94 QTS PREMIUM OIL CHANGE LABOR 7003355 79NN 1 4.25 4.25 USED OIL FILTER RECYCLING CHG (1) 7075051 79NN 1 2.54 2.54 COURTESY CHECK 01 REAR TAIL/BRAKE LIGHT COURTESY CHECK 7046930 79NN 1 N/C N/C RIGHT BRAKE LIGHT BULB REPLACEMENT 1 03 55.25 REMOVE & REPLACE BRAKE LIGHT BULB-ONE SIDE 7009268 79NN 1 55.25 55.25 ALIGNMENT SERVICE (12-MONTH WARRANTY) 1 03 76.49 -UNEVEN TIRE WEAR No Symptoms ALIGNMENT SERVICE 7004578 79NN 1 76.49 76.49 Technician(s): 79 JUSTIN Payment History: Summary: 190.46 Parts 51.93 Total Tendered 190.46 Labor 138.53 Shop Supplies 0.00 Sub-Total 190.46 Tax Exempt(31201660) 0.00 Total $190.46 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. Rev - v Revision History: Amt Init Customer Signature 1) 10/02/2017 09:18AM 141.94 CITY OF CA 317.571.24q7 Ext.adam All parts are new unless otherwise specified. Declined Work: I acknowledge notice and oral approval of an increase in the STANDARD BRAKE SERVICE-REAR original estimated price. BRAKE FLUID EXCHANGE I verbally approved any change to the original estimate, including price or services. www.FirestoneCompleteAutoCare.com STD FCAC LASER 7008335-48110392 REV 11/11 `)3`�` ' °'` See reverse side for Warranty Information 1nv1 160324.503001 Customer Invoice FIRESTONE COMPLETE AUTO CARE Service Advisor: 179214 CARMEL 01 NICK 10/04/2017 1314 S RANGE LINE RD 317.848.5886 CARMEL, IN. 46032-2932 2015 SUBARU FORESTER 2.51 CITY OF CARMEL, BUILDING & CODE 2.51- H4 FI GAS FB25BA 1 CIVIC SQ Lic#: 68556 IN Vin#: JF2SJAAC8FH536484 CARMEL, IN 46032-2584 In: 09/29/17 3:07PM Mileage: 25,378 317.571.2417 xadam Out: 10/04/17 8:04AM Store# 020753 COMMERCIAL Rev Hist Unit Extended Job Description /Article# ID Qty Price Price Total 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 020753-179214 www.FirestoneCompleteAutoCare.com i Ilk STD FCAC LASER 7008335-48110392 REV 11/11 Page Z Of 2 � See reverse side for Warranty Information nv1 160324503001 WORK ORDER# FIRESTONE COMPLETE AUTO CARE SERVICE ADVISOR 179214 1314 S RANGE LINE RD 01 NICK 10/04/17 08:04AM CARMEL, IN. 46032-2932 317.848.5886 CITY OF CARMEL, BUILDING & CODE 2015 SUBARU FORESTER 2.51 1 CIVIC SQ 2.5L H4 FI GAS FB25BA CARMEL, IN 46032-2584 LIC# 68556 IN VIN# JF2SJAAC8FH536484 317.571.2417 xadam IN 09/29/17 3:07PM EST. MILEAGE 26,555 Store# 020753 Recommended Services not Authorized by Customer Unit Price Extended Price Status Description Qty Parts Labor Job Total Cat.Total Total Recmd STANDARD BRAKE SERVICE-REAR 288.97 PD1 114 ORGANIC BRAKE PAD SET 1 50.99 0.00 BASIC BRAKE JOB REAR 1 0.00 102.00 48880962 BRAKE ROTOR-DIH PARKI 2 97.99 0.00 PRT-DISC$60 Off Standard Brake Service -1 42.46 0.00 LBR-DISC$60 Off Standard Brake Service -1 0.00 17.54 Recmd BRAKE FLUID EXCHANGE 57.79 BRAKE FLUID EXCHANGE 1 16.99 0.00 BRAKE FLUID EXCHANGE LABOR 1 0.00 51.00 PRT-DISC fall event -1 2.55 0.00 LBR-DISC fall event -1 0.00 7.65 Preventive Maintenance - Suggested _______________________________________> 346.76 346.76 Recommended Parts: 218.95 Labor: 127.81 Subtotal: 346.76 Shop Supplies: 0.00 Tax(7.00%): 0.00 Total 346.76 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 Date. ALL PARTS ARE NEW UNLESS NOTEW%M40 neComAIr pleteAutoCare.com STD FCAC LASER 7008335-48110392 REV 11/11 See reverse Src@gf0i`)Kalrranty Information Recommendations 150317 Courtesy Inspect All Items in .. Section Year Make Model Eng. ❑SOHc ❑OHV El DIESEL Trans. ❑Auto v 9 ❑DOHC ❑HYBRID Type ❑Manual ` t Hubcap Missing Y N Windshield Cracked Y N Scratches/Dents Y N N MILEAGE: L_JZI Lic.# State Inspection Due Month Year Maintenance Services/Starting i Tires and Tire Maintenance Inspect 01Visual REQ Maint. + Why Recommended + Tire Size: SpNd Run Flat Y Wiper Blades ❑Rear �' R>�lg ❑ R Z j w (J! l TPMS Y N Head Lights m Inspect OFWD ❑RWD License Inspvi.wl Tread Depth Mini Lights ❑4WD D Bra ❑ ❑ ❑Parking SU(i Outer Inner SiTunal Plate Air Filter Lett Fran ❑ Eder Cabin PSI In: PSI Out: ❑ cupping ❑ N.h AlrFilter D j. 0 cuts ❑ R°wluoi° rmpla r PCV Valve Right Front ,. ❑ Edge r Washer Fluid, PSI In: PSI ut: ❑ Cupping ❑ wr Oil Level ❑ C. ❑ A•P•M•bi• ❑ Irregubdly Power Ste. Right Rear k,e ❑ Edg• r Fluid Level i PSI In: PSI ut: A ❑ Cupping ❑ �• Master Cyl.Fluid Level ❑ Brake Inspection ❑ cut. ❑ nepaY.de Brake Fluid Flush ' 'r ❑ I1iBa' r parts per million Trans. N'°'r Service ❑Flush Left Rear ❑ Edg° Auto/Manual ❑Pan Service PSI In: PSI ❑ cuppingCoolant 10 ❑ Nar. ` Level/Flush Type ❑ cut.0 "" Aewk+•i• . ❑ 1.0"" Coolant Hoses ❑Upper ❑Lower ❑Bypass ❑Heater spse ❑ Edge _ 0 ALT ❑PS Belts PSI In: PSI Out: SeI MA/C EIAP 1 2 3 40e ❑ uw. cub ❑ npWEls EBaft18 Test El Good El Marginal El Replace El Awe sones El Cable Ends/Cables Ne ❑Hold Downs lire Maintenance ❑ ElBalance Battery Gard ❑Corrosion ❑Preventive Alignment Check ❑ 'ntenance ❑Tire Wear Complete • I StartingIn Addition to The Above Inspect All Items Below Maintenance Services/ Viwal Brakes ' Inspect oK suo Malotd: + Why Recommended + •: ':. eRrx tom)w Sttoss Start/Charge II Padayeirtm3mmerbm mGmm(Oleg orSho•ag torilArrnalessihm Anlrn�luM t I enumt vshleft sinsaillice 1 1 Belt Tensioner • 111EM • Spark Plugs LF - RF Pad Fuel Filter Fuel System 'n Service NMAcLeI MMAkl�I Ignition Wires Valve Cover Power Steering ❑ Pressure ❑ Return FIR Psd/Sltoa Timing Belt MMExhaust Aks al E Ihaust Sysle ❑Intermediate Pipe ❑ Muffler ❑Tailpipe M Spec —Steering and ension Rear Clean/Adj UJoint ❑Front ❑Rear Brake Hose(s) Idler/Pihnan Arm ❑Idler ❑Pitman Parking Cables Canter Link Other E]Control Arm Front Serums Brake Hardware Caliper Wheel Repack Bushings ❑Sway Bar Rear Notes: Link Pins ❑Front ❑Lek 8 Right ❑Rear ❑Leh Right Tie Rod Ends ❑L Out ❑L In ❑R In ❑Rout ❑sleeve(s) Ball Joints ❑L Upper ❑R Upper ❑L Lower ❑R Lower S - Actual Rack&Pinion Assembly CV Boots ❑L Out ❑L In ❑R In ❑R Out CV Joints ❑❑L Out ❑L In ❑❑❑R in C1 Out Struts Front Left R ❑Rear ®eft ❑Right Shooks Front U Left Right Rear Left RMIr/Replacement Se�afM i ' 1)Close to end of useful rde eppeq)IAU 2)Address customer request/need/convenience 3)Coin*with manufacturer recommendation STEP 5 STEP 7 INSPECTED BY R4 Technician recommendation from experience ECTED BY Year: 10 Date 10/2117 5:45 PM Subaru : Forester : 201416 Before Measuremerris Left Frortt Right Front tr Camber Camber Caster cow Front IYA Toe Toe Total Toe Steer Ahead Left Rear Right Rear Camber Camber t Rear Toet> Toe Total Toe Thrust Angle Current Measuremerrts Left Front Right Front t aa► , r 4w 'ter �aiir Camber Camber T � � Caster Vaster Front _ Toe yw Toe Total Toe fid' Steer Ahead Left Rear RighttRear Camber Camber „ t Rear tib Toe -..�.:�:, a;po• T�� "�".. Toe -.. .. Total Toe Thrust Angle