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317376 10/11/17
'' CITY OF CARMEL, INDIANA VENDOR: 00351179 ONE CIVIC SQUARE FIRESTONE TIRE&SERVICE CENTER CHECK AMOUNT: $......**77.44* :? ?�; CARMEL, INDIANA 46032 PO BOX 403727 CHECK NUMBER: 317376 _,,y. ATLANTA GA 30384-3727 CHECK DATE: 10/11/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4351000 179384 77.44 AUTO REPAIR & MAINTEN D -o -n « ■ mT O ® om a O § � ■ k q �M CL° o ° n . m z m > � / m 2 < — 2 � w m T O o CA) -4 g 2 k q D T90 co ° § > q -4 m 0 2 t 2 k_ Z0 ¢ g § 2 � 2 m X § e ■ 2 & m 2 -i k 2 » -n O \ z q R t ® | . � 2 ■ 3 7 FL M. U k g © E I § k 0 k g } $ G , / CD 0 ED. @ $ c � o g C? $ k } o -4 % ( g CL ID f § o o | ; _k0 o k o $ J r k § -qA $ ` 3a ° \ C7 § ƒ E > 5 _ 0 g � \ coZ Q K e 2 2 q 0) 2 C § n © kk 2 Cl) ( � � � ■ \� k Q § ƒ a C3 § ® ' « , _ £ - . a� 22 + E 2 0 / M � � Q \ 8 0 R / r r- 0 ■ , z ■ g E S C ° O 0 . w 2 £ & ■ 7 0 OL k k 2 ƒ m § CD ] K 2 ( , ■ � CL 2 > i ® o A ■ @ 14E ' D Customer Invoice FIRESTONE COMPLETE AUTO CARE Service Advisor: 179384 CARMEL 05 TISH 10/05/2017 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#: 68557 IN Vin M JF2SJAAC5FH524258 CARMEL, IN 46032-2584 In: 10/04/17 1:59PM Mileage: 22,384 440.856.6909 xDAVE Out: 10/05/17 10:04AM Store# 020753 COMMERCIAL Rev Hist Unit Extended Job Description /Article# ID Qty Price Price Total COURTESY CHECK 05 COURTESY CHECK 7046930 09NN 1 N/C N/C FULL SYNTHETIC OIL CHANGE UP TO 5 QTS 05 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-FtLTER 7094005 09NN 1 4.24 4.24 OW-20 PZL FULL SYNTHETIC OIL UP TO 7034622 09NN 1 46.75 46.75 ADDITIONAL OIL REQUIRED 0.1 QTS @ $0.94 PER 1/10 7034623 09NN 1 0.94 0.94 QTS PREMIUM OIL CHANGE LABOR 7003355 09NN 1 4.25 4.25 USED OIL FILTER RECYCLING CHG (1) 7075051 09NN 1 2.54 2.54 TIRE ROTATION 05 18.72 TIRE ROTATION 7015032 09NN 4 4.68 18.72 Technician(s): 09 TIM Payment History: Summary: 77.44 Parts 51.93 Total Tendered 77.44 Labor 25.51 Shop Supplies 0.00 Sub-Total 77.44 Tax Exempt(31201660) 0.00 Total $77.44 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. Customer Signature All parts are new unless otherwise specified. HOW ARE WE DOING? Tell us about your experience today! Complete a 4-minute survey for a chance to win $500 in store services Visit www.FirestoneSurvey.com within 4 days and enter Code 020753-179384 www.FirestoneCompleteAutoCare.com STD FCAC LASER 7008335-48110392 REV 11'1', Parc 1111 1 ee reverse side for Warranty Informatilli 1nv1160324503001 Courtesy Check Inspect All Items in Top Section ❑$OHC ❑OHV ❑DIESEL Trans. o Year Make�rvl'-1- - Model , Eng.Size Z r DOHC ❑HYBRID Type ❑Manual Hubcap Mussing Y indshield Cracked Y Scratches/Dents id N MILEAGE: I'ZI �f 7 I I"{ I I Lic.#(°D State Ins ion Due Month Year Maintenance Services/Starting Tires and Tire Maintenance Inspect casual + Why Recommended + Tire Size: Speed Run Flat Y OK SUG REG Maint J F R Wiper stades [:1 Front El Rear �ZZ 5/ >d Q� �7 Q b T 1 TPMS N R Head Lights Jj ((( Mini Lights Tum License Inspect Visual Tread Depth ❑FWD ❑RWD �WD/AWD g ❑Brake ❑sisalSi nal ❑Plate ❑PaAung SU6 Outer Inner Air Fitter Left Front _ ❑ Eaysweer Cabin Psi art: ❑ CZ ng ❑ w r. Air Finer � SI 2 ❑ curs ❑ Aap.r.w PCV Valve Right Front ❑ Edgewe•r Washer Fluid Psl�n� Psi art: /7�/ ❑ CuPWnW ❑ NYs Oil Level 7 ❑ Com° ❑ ., ❑ Inegulanty Power Ste. Right Rear ❑ Edg•vre•r Fluid Level Master Cyl.Fuld PSI In• PSI Out: ❑ Cupping - ❑ NeY Levi 11 ❑ Brake Inspection 1 � 7 Z ❑ cuts ❑ p,pr„q, Brake Rudd Flusht7lItV "111=11111low— ❑ I—gu"oy CoDw Darts Der million Trans.Service ❑Flush Left Rear ❑ Edg• r Auto/Manual Pan Service PSI art: ❑ cupping Coolant S ❑ cut. Leve /Flush Type 5z piffegutsmy ❑ car ❑ Coolant Hoses ❑Upper ❑Lower ❑Bypass ❑Heater Spas ` ❑ Eagsws•r Betts ❑ A/C HzPS Be23 4 PSI In: PSI Out: ❑ cupping ❑ nws ❑ cuts ❑ Rap�tras ED,e Test ❑Good ❑Marginal ❑ Replace ❑ lrno"* Batterrysories El Cable Ends/Cables ❑01 nos ❑Hold Downs Tire Maintenance ❑RotationElBalance Acceseci Battery Gard ❑Corrosion ❑Preventive Alignment Check ❑Maintenance ❑Tire Weer Complete Inspection aIn Addition t• The Above Ins•- All • Starting R'r� Inspect weu.l sahed: + Wh Recommended + ;. , Ylrann Oman(�)or Shoes fNMMr OK SUG Why y o• s -...,. ., • Start/Charge tt3mmcrk�s Vm&rrn(DNc)orShn gradwtrml9ntrm norbnlm2An tt r�r Test Ben Tensioner Er • Spark Plugs LF Ped � ...: RF Pad Fuel Fitter Fuel System Service MMAclusl MMAdtel Ignition Wires Valve Cover Gasket M Power Steering ❑ Pressure ❑ Retum LR Pad/Shos �4 ' ,' RR Pad/Shoo Hose - Timing MMPdei MMArLaI Exhaust Exhaust System ❑Intermediate Pipe ❑Muffler ❑Tailpipe M —Steering and Suspension Rear Clean/Adi U,loint ❑Front ❑Rear Brake Hose(s) Idler/Pitman Arm ❑Idler ❑Pitman Parking Cables Center Link Other Brake Hardware Caliper Wheel Repack Bushings E]Control Ann El Sway Bar Front Services ❑ ❑ Rear Notes: Link Pins ❑Rear ®Left ❑Right Tie Rod Ends ❑L Out ❑L In ❑R In ❑R Out ❑ Sleeve(s) Ball Joints ❑L Upper El Upper ❑L Lower ❑R Lower S — Actual Rack 8 Pinion Assembly CV Boots ❑L Out ❑L In ❑R In ❑R Out CV Joints ❑❑L Out ❑❑L In ❑R In ❑R Out Struts ❑Rear ❑eft Left ®Rightht Shocks ❑Front ❑Left ❑Right Rear Left Reefir/Reelepmeel3aloesMd "t #" 1)Cktise to end of useful life euC�pplllla.. 2)Address customer request/need/convenience q 3)Comply with manufacturer recommendation STEP 5 1 SUPT 4 Technician recommendation from experience INSPECTED BY RE-INSPECTED BY