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318418 11/07/17 9, ) CITY OF CARMEL, INDIANA VENDOR: 00351179 ONE CIVIC SQUARE FIRESTONE TIRE&SERVICE CENTER CHECKAMOUNT: S'******787.60CARMEL, INDIANA 46032 PO BOX 403727 CHECK NUMBER: 318418 ATLANTA GA 30384-3727 CHECK DATE: 11/07/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4232000 180692 787.60 TIRES & TUBES 0 -o -n < « . g m O ® 0 m § O _0 02 m n C # 2 0 q 0 n # \ 0 Z ( \ q� � CL - k r%) qCA O § 0 S v . - ■ M o k m @ \ 3 -V � < S 2 -n >q q & n D 3 � N � » 2 m 2 ■ 2 & ƒ �_ m .z 3 O 0 2 2 CD 492 E § c q | $ § z a , 3 7 - � > ` � + \ c 0 A g § e 0 G q § � 7 �§ f 2 - 12 E k 9 CD3 , E 8 I C / 0 k K C=, � 7 ' C £ - w • J k w e _ § hi o � ; k� qo C \ 7 U) § 2 m \ CD R § �� \ / 2 0 E n c < a m 0 �\ / § m C % C, Dƒ §�< ,§ ■ ao -jjl b)L } / q f 7 CLo 2 9 z 3 k # E 3 , =r $ C J 7 0 ■ o a 0 ® IT m m z » p CLf/ \ .2. / 0 , gCLX § k K © 2 0 CL > _\ k « 9 / (D -4 } $ ¥ (D Customer Invoice FIRESTONE COMPLETE AUTO CARE Service Advisor: 180692 CARMEL 05 TISH 11/06/2017 1314 S RANGE LINE RD 317.848.5886 CARMEL, IN. 46032-2932 2010 FORD F-150 XLT CITY OF CARMEL, BUILDING &CODE 4.6L V8 FI GAS VIN W SOHC 1 CIVIC SQ Lic#: 83971 IN Vin#: 1 FTPF1 EVlAKE43528 CARMEL, IN 46032-2584 In: 11/06/17 10:12AM Mileage: 18,936 317.650.2863 xnicol Out: 11/06/17 3:49PM Store# 020753 COMMERCIAL Rev Hist Unit Extended Job Description /Article# ID Qty Price Price Total COURTESY CHECK 05 PLEASE INSPECT ALL TIRES COURTESY CHECK 7046930 04NN 1 N/C N/C FIRESTONE TIRES WITH UNI-T, PACKAGE 1 03 787.60 207483 TRANSFORCE HT OWL LT245/75R17 10121R Nc 207483 04NN 4 174.99 699.96 Mileage Warranty DOT# VN43TH04116 DOT# VN43TH04116 DOT# VN43TH04116 DOT# VN43TH04116 INDIANA TIRE FEE 7095834 04NN 4 0.25 1.00 NEW TIRE WHEEL BALANCE LABOR 7013632 04NN 4 11.04 44.16 TPMS VALVE SERVICE KIT LABOR 7008190 04NN 4 2.54 10.16 TPMS VALVE SERVICE KIT 7006731 04NN 4 5.95 23.80 SCRAP TIRE RECYCLING FEE 7075078 04NN 4 2.13 8.52 TIRE INSTALLATION 7015016 04NN 4 N/C N/C Technician(s): 04 CARL Payment History: Summary: 787.60 Parts 723.76 Total Tendered 787.60 Labor 63.84 Shop Supplies 0.00 Sub-Total 787.60 Tax Exempt(31201660) 0.00 Total $787.60 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) 11/06/2017 02:37PM 762.11 CITY OF CARMEL, B IN PERSON Initial here to indicate you have received the Tire Warranty Maintenance and Safety Manual All parts are new unless otherwise specified. verbally approved any change to the original estimate, including price or services.�I RAW q � Signature or Initials www.FirestoneCompleteAutoCare.com STD FCAC LASER 7008335-48110392 REV 11/11 Page 1 of 2 See reverse side for Warranty Information �w1 160324.503001 Customer Invoice FIRESTONE COMPLETE AUTO CARE Service Advisor: 180692 CARMEL 05 TISH 11/06/2017 1314 S RANGE LINE RD 317.848.5886 CARMEL, IN. 46032-2932 2010 FORD F-150 XLT CITY OF CARMEL, BUILDING & CODE 4.61- V8 FI GAS VIN W SOHC 1 CIVIC SQ Lic#: 83971 IN Vin#: 1 FTPF1 EVlAKE43528 CARMEL, IN 46032-2584 In: 11/06/17 10:12AM Mileage: 18,936 317.650.2863 xnicol Out: 11/06/17 3:49PM 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 020753-180692 www.FirestoneCompleteAutoCare.com STD FCAC LASER 7008335-48110392 REV 11/11 Ilk Page 2 of 2 4110 See reverse side for Warranty Information 1nv1 160324.503001 a Check .. .. Section ❑SOHC ❑OHV ❑DIESEL Trans.Wuto ,Year Make Model Eng.Size ❑DOHC ❑HYBRID Type ❑Manual N V Hubcap Missing YM Windshield Cracked Y ® Scratches/Dents©IF N MILEAGE: Lic.# State Ins ion Due Month Year -Maintenance Services/Starting Tires and Tire Maintenance Inspect �eU'' �''� + Why Recommended + Tire SI Speed RU n Flat Y OK SUO MaiM. � �Wiper Blades ❑Front ❑Rear FJ C I R `�(J TMS N Head Lights Tum License Inspect Vlauel Tread Depth ❑FWD ❑RWD W /AWD Mini Lights ❑Brake ❑Si nal ❑Plate ❑Parking p OK SUG Outer Inner ` Air Filter Left Front J v ❑ Edg•we•r PSI In: PSI Out ❑ cupping NW Air Fitter ❑ can ❑ n.ps.ani. ❑ Irr•gulerlly PCV Valve REM Front ❑ Edg.w.er Washer Fluid PSI In: PSI Out: Q `� ❑ cupping WYe j� SS L ❑ cros rtapw.a. ` 011 Level `J ❑ Irr.gui•my 01ukf id Leve r str. FlLevel Right Rear ❑ Edg•w••r ' Master Cyt.Fluid SI In: PPI Out: ❑ cupvirq ❑ NW I" ❑ Brake Inspection O ❑ can ❑ RepNr•hM ll�� ❑ i Brake Fluid Flush ��%"``'' � `' r million Trena.ServiceFlush talc Rear } ❑ Edg'wB°' Auto/Manual 0 Pan Service ^PSI In: PSI Out: ❑ cuppftCoolant ❑ NW 1 ❑ can 13Level/Float Type V l tiprrea• C Iolard Hoses ❑Upper ❑Lower ❑Bypass ❑Heater Spas ❑ Edg.w..r 'V' ALT PS Belts PSI in: PSI Out: ' ❑ cupping ❑ Nab Beft A/C AP 1 2 3 4 n ❑ cuts ❑ n•a•eeois Be' T ❑ Good ❑Marginal ❑ Replace ❑ED-tI^•a• rj Battery ❑ Cable Ends/Cables 0 Nos ❑Hold Downs Tire Maintenance ❑Rotetlon ❑Balance Battery Gard ❑Corrosion ❑PrevenWe Alignment Check ❑MaiMenarlce ❑Tire yyear Complete Vehicle Ina • i. In Addition t• The Above Ins•' All • i ` MaintenanceStarting Brakes ITIrN. pect OK SUG + Why Recommended + d; � � !�' 'uwn emm, )or shw.on.ar nw� o; Start i i Pedapseertitttn3rtmvlaestfhenSmm�lac)orSMesgreelrtetanlBnnarNsatftan2ArranlDr�rS i low SM91110 rsrr m" skater • a afroei. • lugs LF Ped . tter i MMAdual Wires over lGasketM specteering ❑ Pressure ❑ Return LR Ped/Shoo RR Pad/Sttos Ben j MM Adel MM Aeuel t1Exhaust ❑Intermediate Pipe ❑MuMer ❑Tailpipe SPS. Spec Steering and C Suspension Rear Clean/Adj qnk ❑Front ❑Rear Brake Hose(s) Pibnen Arm ❑Idler ❑P•itman Parking Cables r Unk Other Bra ngs ❑Control Arte ❑Sway Bar a Front Services ke Hardware Caliper Wheel Repack Rear Nom:t, o (�/ l•,,h� rA, frts 8 Rear B Left 8 Rrhtt N�Ir� IT)` ,`1�/ )% , V f N t vY�4 h �� d Ends ❑L Out ❑L In ❑R In ❑R Out ❑Sleeve(s) I 1 rr' rrrVVV oints ❑L Upper ❑R Upper H L Lower ❑R Lower S - Actual 11 Pinion oots ❑L Out ❑L In ❑R In ❑R Out ! VV ints ❑L Out ❑L In ❑R In ❑R Out J Front Left RightRear Left Ri ht ks Front Left Right Rear Left RI M Reeek/Ragameel8r.eeewe/ 1)Close to end of useful life CJI 2)Address twstomer request/need/convenience J v 3)Comply with manufacturer rerwmmenddbn STEP 5 STEP 7 4 Technidan recommendation from aperience INSPECTED BY RE- SPECTED BY