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317725 10/19/2017 CITY OF CARMEL, INDIANA VENDOR: 00351179 ONE CIVIC SQUARE FIRESTONE TIRE& SERVICE CENTER CHECK AMOUNT: S''"`""•.25.48' _ CARMEL, INDIANA 46032 Po Sox 403727 CHECK NUMBER: 317725 ATLANTA GA 30384-3727 CHECK DATE: 10/19/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4232000 179581 25.48 TIRES & TUBES 0 � 3 < k q � 0 7 > ® k ® # A 2 m E n o o m c D \ 9 2 z CA) � D / ° S m o 0 q 90 CC) k © 0 -n © t ® k \ :ph, k E c co § _ 0 0 % g eoq Cl) 7 q m ■2 C � m R B p 2 . > -n O g / q & � | . � ■ 2 7 Z 2 § c0 FL , g E m , c o ax 0 3 k o c cok E Q R g § 2 / E \ k C co. 0 k o CL � o ' 0 k 7 § � 4 g 3 § o o c | . � OL � $ m 7 J CL co \ m ( % k cr IE 9 0) 2 0 . o _ -4 C < 0) 0) k � 0 � C ( z A K) \ k| Cl) `�- # cp2. D § ; ®£ w E $ k � � 0- & @ o D �E % \ > & 0 � © M 0 R $ } n A 0 U I § & r- 0 £ $ z E ] i FCD § c E \ o E ® $ 2 / o ` ■ / M ; U 8 (D7 ] k # ( ; ' # § CL > � E \ 01k 2 ■ ° � \ Customer Invoice FIRESTONE COMPLETE AUTO CARE Service Advisor: 179581 CARMEL 03 RYAN 10/1]/2017 ,. 1314 S RANGE LINE RD 317.848.5886 CARMEL, IN. 46032-2932 2014 FORD F-150 XL CITY OF CARMEL, BUILDING & CODE 5.OL V8 FI FLEX VIN F DOHC 1 CIVIC SQ Lic M 74793 IN Vin#: 1 FTFX1 EF2EKG35094 CARMEL, IN 46032-2584 In: 10/09/17 1:10PM Mileage: 16,863 317.571.2491 xbrent Out: 10/11/17 4:46PM Store# 020753 COMMERCIAL Rev Hist Unit Extended Job Description /Article# ID Qty Price Price Total COURTESY CHECK 03 NOTE: CHECK ALL TIRE CONDITIONS-RIGHT FRONT SEEMS TO BE LOSING AIR-ADVISE COURTESY CHECK 7046930 12NN 1 N/C N/C FLAT REPAIR& BALANCE55 SERIES AND ABOVE WTPMS 1 03 25.48 (Front-Right) 6-207A TPMS VALVE VS-950-15 7009357 12NN 1 5.95 5.95 FLAT REP gt(_.P„, ZH_-ELUG 7020060 12NN 1 1.69 1.69 TPMS VALVE SERVICE KIT LABOR 7008190 12NN 1 2.54 2.54 FLAT REPAIR BALANCE LABOR 7013645 12NN 1 5.95 5.95 FLAT REPAIR LABOR 7019488 12NN 1 9.35 9.35 Technician(s): 12 JOHN Payment History: Summary: 25.48 Parts 7.64 Total Tendered 25.48 Labor 17.84 Shop Supplies 0.00 Sub-Total 25.48 Tax Exempt(31201660) 0.00 Total $25.48 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 Revision History: Amt Init Customer Signature 1) 10/11/2017 11:17AM 25.48 CITY OF C 317.571.2491 Ext.brent All parts are new unless otherwise specified. I acknowledge notice and oral approval of an increase in the original estimated price. I verbally approved any change to the original estimate, including price or services. (� k � 0 _�— `'t 2 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 020753-179581 www.FirestoneCompleteAutoCare.com STD FCAC LASER 7008335-48110392 REV 11/11 llnuc I "' ' wee reverse sicle for Warranty Information Inv1 160324503001 Courtesy Inspect All .. 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