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319307 12/05/17 g� .•r CITY OF CARMEL, INDIANA VENDOR: 00351179 .: ONE CIVIC SQUARE FIRESTONE TIRE&SERVICE CENTER CHECK AMOUNT: $......**82.44* * a� CARMEL, INDIANA 46032 PO Box 403727 CHECK NUMBER: 319307 ?y. ATLANTA GA 30384-3727 CHECK DATE: 12/05/17 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 2200 4231500 181537 33.13 OIL 2200 4231500 181561 49.31 OIL VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) vendor# 00351179 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER FIRESTONE TIRE&SERVICE CENTER IN SUM OF$ CITY OF CARMEL PO BOX 403727 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. ATLANTA, GA 30384-3727 Payee $33.13 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Terms Engineering Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 181537 42-315.00 $33.13 1 hereby certify that the attached invoice(s),or 12/1/17 181537 Oil change for E-4 $33.13 2200 2200 2200 2200 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Friday, December 01,2017 Jeremy Kashman Director I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Clerk-Treasurer Customer Invoice FIRESTONE COMPLETE AUTO CARE Service Advisor: 18,153.7' CARMEL 05 TISH 12/01/2017 1314 S RANGE LINE RD 317.848.5886 CARMEL, IN. 46032-2932 2016 FORD ESCAPE SE CITY OF CARMEL, BUILDING & CODE 1.6L L4 FI GAS VIN X DOHC 1 CIVIC SQ Lic#: 68559 IN Vin#: 1 FMCU9GX6GUA55303 CARMEL, IN 46032-2584 In: 11/30/17 4:49PM Mileage: 3,671 317.571.2441 xcaleb Or 317.571.2441 xcaleb Out: 12/01/17 2:05PM Store# 020753 COMMERCIAL Rev Hist Unit Extended Job _Description __ ____ /Article# ID___ Qty _ Price Price _Total COURTESY CHECK 05 COURTESY CHECK 7046930 12NN 11 N/C N/C STANDARD OIL CHANGE UP TO 5�QTS 1 05 33.13 4.3 QTS__ _ MOTORCRAFT SAE 5W=20 FulhSynthetic Motor Oil or MOTOAF RCRT SAE 5W`20 Premiurri; Synthetic Blend Motor Oil 'The Manufacturer recommends;an Oil Change when an associated tlash board indicator'light is'- lit...See s'lit...See Owner's manual fo®spectfic�requirements } 1 5 d � } PZ21 CILL�FILTER-;ft � I , , F� r 7058149 12NN 1 ,�, 4 24� n I I,4.24 5W-20 QS ADV"DUR GF5 OIL UI?-'TO 5 QTS 7034653 12NN 1 22.10 22.10 USED OIL FILTER RECYCLING CHG (1) 7075051 12NN 1 2.54 2.54 OIL CHANGE LABOR 7029718 12NN 1 4.25 4.25 Technician(s): 12 JOHN Payment History: Summary: 33.13 Parts 26.34 Total Tendered 33.13 Labor 6.79 Shop Supplies 0.00 Sub-Total 33.13 Tax Exempt(31201660) 0.00 2200 — 423 IS 0 O Total $33.13 1 have received the above goods and/or services. If this is a credit card purchase, I agree to pay and comply with my cardholder agreement with the issuer. Rev Revision History: Amt Init Customer Signature 1) 12/01/2017 08:48AM -3.08 CITY OF CARMEL, B IN PERSON All parts are new unless otherwise specified. 1 verbally approved any change to the original estimate, including price or services. Signature or Initials ;HOW ARE WE DOING?,- Tell=us`about your experience today! Complete a 4-minute.suivey fora chance`to win.$,500 in store services Visit www:FirestoneSurvey'com with in4.days and enter Code 020763-181537 www.FirestoneCompleteAutoCare.com (i� ��, �� o t ASE 1 MOTORIST � _�3 tai Page��d� " ssURANCE STD FCACLASER 7008335-48110392 REV 11/11 I �� 0 and NO 7 yrt„ S'Pd�NDAn S FOR AUTOMOTIVE gFPAIn See reverse side for Warranty Information Irk' 160324.503001 Courtesy Check Inspect All . . Section Year Mak 6 Model —S Eng. El SOHC ❑OHV El DIESEL Trans o g ❑DOHC ❑HYBRID Type ❑Manuz V - - 1 _ 6 Hubcap issing Y -N--Windshield Cracked Y -N-1-cratches/Dents N N MILEAGE: 16111111 Lic.# State Inspection Due Month Year ® • Tire Maintenance visual Schad.- WhyRecommended 1 Tire Size- Speed Inspect oK SUG REO Maint. � 1Run Flat Y.S , er Blades I F )p ❑Front ❑Rear .51 JWi R TPMS _.Y- � Head Lights Visual Tread Depth EIMini Li hts (' �I Brake ❑Tum ❑License ❑Parkin Inspect 32n1 ❑FWD RWD ❑4WD/AWI g Signal Plate g OK ISUG REO I Outer I Inner Lett Front > �, � ❑ Edgewear ❑ Cracking Air Filter h tl I � k r I O -_._„i I'l� ❑ Cupping ❑ Nalls Aa Filter . --� 1�: i j r ❑ cuts ❑ Re�ai able PCV Valve I -n I� - - '"z "_ �I 13 Irregularity ❑ Non-Repalrable r •u' ' ht Front - t��f S ryfC ❑ Edgewear ❑ Cracking Washer Fluid t. I ,( \ ❑ Cupping ❑ Nals Oil Level [7-1 y � cuts ❑ Repai able [ I.® f l��, yl ❑ Irregularity ❑ Non-Repairable Powzr Sir. Right Rearp r ❑ Edgewear ❑ cracking Fluid Level j 4 F uu Master Cyl.Fluid f� l � S In: PSI Out: J t r ❑ Cupping ❑ Naua Level I v}'t [ ❑ Brake Inspection ❑ curs ❑ Repa able 3rake Fluid Flush 7 l� 1,; 1 I , ❑ Irregularity ❑ Non-Repel able l Lo er�rts eim,Ron _r Trans.Service ❑ Flush Lett Rear ``�� ❑ Edgewear ❑ Cracking Auto/Manual I 0 ❑ Pan Service P In I o t: ❑ Cupping ❑ Naus coolant j ! ❑ cuts ❑ Repairable -eve /Flush I _� I�;®___C Type I �, ' ❑ Irregularity ❑ Non-Repo able Doolant Hoses L ��I ❑Upper ❑Lower Bypass ❑Heater r } y p Edgewear ❑ Cracking �' ❑ALT ❑PS Belts PSI In: PSI Out: ` ❑ Cupping Nails 3elts ❑Se I 1,I i ❑A/C ❑AP 1 2 3 4 �Ir��l rl n` El Cuts la 3attery ;— � -- l ~ \; ❑ Irregularity ❑ No ReRepairapairable °D-18 Test El Good L1 Marginal ❑ Replace p 3attery ❑ Cable Ends/Cables ❑Nes ❑Hold Downs Tire Maintenance ❑Rotation ❑Balance Nccessories u u 3attery Gard El Corrosion El Preventive Alignment Check, ❑Maintenance ❑Tire Wear CoTplete Vehicle Inspection /StartingIn Addition to The Above Inspect All Items Below Maintenance Services Brakes ABS YES NO FE Ma pads'• seater than 6mm Disc or Shoes greater than 2'.'4mm Drum r Inspect + Why Recommended + ae s (Disc) s l I OK 'tart /Charge ih porgrva�rtl�rt [nrtf�tsffian-Warn-(Disc)"or Shoes'gwiter fn �-ti— tnr :rpocumentvehicfe specific measurements&minfmume6ob3elt Tensioner e ads less;than3mm(Disc-)orShoe'sless than1;6mm(s Document venicie_s ecific measurements&minimums eccificSpark Plugs LF Pad RF Pad =uel Filter ] Meas. �l OiMeas=uel System Service MMfcWal MachiTo " ' M chine MMA�1gnition Wires k�Ps ✓alve Cover JJ —ry€ TO Discard Discard 3asketd'; M Spec. At At MM Spec. lower Steering ❑ Pressure ❑ Return LR Pad/Shoe m . . ■ RR Pad/Shc lose I� Actual Actual Timing Belt C, Meas " Meas. MMPcal Machine Machine MMAchJal Exhaust System '1 i ❑Intermediate Pipe ❑ Muffler ❑Tailpipe Discard Discard M Spec. At At MM Spec _Steering • Suspension Rear Clean/Adj �II I U-Joint �;n ❑Front ❑Rear Brake Hoses) Idler/Pitman Arm � ❑Idler ❑Pitman J -J{ I 1 Parking Cables' Center Link ff Other Brake Wheel Bushings ❑Front t Services Hardware Caliper C lender Repack g 1f Control Arm Sway Bar. ❑Rear Notes: Link Pins "I ❑Front' CI Left ❑Right ❑Rear ❑Left ❑Ri ht Tie Rod Ends kf 1 ❑L Out ❑L In ❑R In ❑R Out ❑ Sleeve(s) Ball Joints ❑L Upper ❑R Upper DIF_ I ❑L Lower ❑R Lower Sec Actual Rack&Pinion IL J ifs Assembly CV Boots ❑L Out ❑Lin ❑R In ❑R Out CV Joints ❑L Out ❑L In ❑R In ❑R Out ! ❑Front E]Left ❑Right Struts !!� ❑Rear L]Left ❑Ri ht Shocks I �'"`"''pp [I Front El Left E]Right ' II L ❑Rear ❑Left ❑Riclht OK I Regal /Repiacemeilt Sa✓�rre�feda F Repair;!Replacemall d & t ,A)No longerperforms iact ptabla 2)Address cusiomeryrequestlneed/carmemenco B)Does not meet design3)Comply with rtianufact Irerrecommen anon # C)MissingSTEP 5 SITEP 7 4)Technician recommendaudr 1rom,expeCience IN CTED BY RE-INSPECTED BY VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 00351179 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER FIRESTONE TIRE&SERVICE CENTER IN SUM OF$ CITY OF CARMEL PO BOX 403727 An invoice or bill to be properly itemized must show:kind of service,where performed,dates service rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. ATLANTA, GA 30384-3727 Payee $49.31 Purchase Order# ON ACCOUNT OF APPROPRIATION FOR Terms Engineering Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 181561 42-315.00 $49.31 1 hereby certify that the attached invoice(s),or 12/2/17 181561 Oil change and maintenance for E-5 $49.31 2200 2200 2200 2200 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Monday, December 04,2017 Jeremy Kashman Director I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Clerk-Treasurer Customer Invoice FIRESTONE COMPLETE AUTO CARE Service Advisor: 181561 CARMEL 05 TISH 12/02/2017 1314 S RANGE LINE RD C—S 317.848.5886 CARMEL, IN. 46032-2932 ` 2016 FORD ESCAPE SE 2100 — CITY OF CARMEL, BUILDING & CODE 1.6L L4 FI GAS VIN X DOHC 1 CIVIC SQ Lic#: 27780 IN Vin#: 1 FMCU9GX8GUA55304 CARMEL, IN 46032-2584 In: 12/01/17 3:01 PM Mileage: 21,623 317.571.2441 xcaleb Or 317.571.2441 xcaleb Out: 12/02/17 8:40AM Store# 020753 COMMERCIAL Rev Hist Unit Extended Job Description /Article# ID Qty Price Price Total — ------- — — ----- ---- --- - --------- ----- -------- 5 QT. NATIONAL ACCOUNT LOF WITH ROTATION 05 49.31 PKG: 01 STANDARD OIL CHANGE UP TO 5 QTS 4.3 QTS. MOTORCRAFT-SAE"5W-20 Full Synthetic Motor-Oil or MOTORCRAFT SAE 5W-20 Premium Synthetic Blend Motor Oil The Manufacturer recommends�an_Oil Change when an'associated dashboard`indicator.light is lit...See Owner's manual for specific requiroments:- � " PZ21 OIL FILTER r705814.9 04NNi 1 s �4 24r r4-24ii 5W-20 QS ADV DURGF5 OILrUP ATO 5,Q;TS_; } {{ r 7034,65,3 04NNi 11q � 22 10 22.10 OIL CHANGE LABOR-- ----- l 7029718 04NN 1 4.25 4.25 PKG: 02 TIRE ROTATION TIRE ROTATION 7015032 04NN 4 4.68 18.72 COURTESY CHECK 05 Ed-18 Battery Inspection Results:Your battery is in good condition At your next oil change, we'll check it again for free. COURTESY CHECK 7046930 04NN 1 N/C N/C Technician(s): 04 CARL Payment History: Summary: 49.31 Parts 26.34 Total Tendered 49.31 Labor 22.97 Shop Supplies 0.00 Sub-Total 49.31 Tax Exempt(31201660) 0.00 Total $49.31 I 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 toAayl 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--181561 www.FirestaneCompleteAutoCare.com �{ IVI O T ORIST t 2"s Wt e Stipprtri Ai STD FCAC LASER 7008335-48110392 REV 11/11 c` Page l,of �€0GRAi1i InvY 18( F,�;a svAnta�,�ms FOR aur aeaOai��C =Pr��:z See reverse side for Warranty Information �.0 0324.503001 Courtesy Check Inspect All . . Section Year '� Make Model �Sc,uPP, ClC ❑SOHC ❑OHV [I DIESEL Trans. WAuto V Y Eng.Size ❑DOHC ❑HYBRID Type ❑Manuz LI I 1 1 �—_ -<<" Hubcap Missing Y Windshield Cracked Y Scratches/Dents Y N N _ I µ l�l 1 I� I I MILEAGE' L—aal 6. ` Lic.#a7M State Inspection blue Month Year ® - - Maintenance Inspect visual Sched. 1 Why Recommended + Tire Size: pee Run Flat Y��F OK SUG REO Maint. /n /r Wiper Blades L I i El Front F /_,5J r ) �Q \ ❑Rear S 1 I/ TPMS Y R Head Lights q F-1� Tread Depth Turn License Inspect visual 32 ds FWD ❑RWD 04WD/AW[ Mini Lights I� f 111--1 1 Ll Brake ❑Ts nal ❑Plate LI Parking p OK SUG REO Outer I Inner Air Filter Left Front Inir f 1,,,,( ❑ Edgewear ❑ Cracking Cabin �� ❑ Cupping ❑ Nas �{ - A J ❑ Cuts ❑ RePaireble Air Filter' U �i J ❑ trreguladry ❑ Non-Repairable PCV Valve r� RI ht Front Oj,` _ - 8 ❑ Edgewear ❑ Cracking Washer Fluid PSI In: PSI Out: (L�� :X ❑ Cupping ❑ Nails oil Level ! �� ti Cf 5 LN < `,� V ❑ cu 9 ry ❑ R:n-Rep ❑ Irte ulari :n-Re cable Dower Str. '`�p( Right Rear '��. p Y ❑ Edgewear ❑ cracking =1uid Level. 1 \k i~ NasterCyl.Fluid r PSI In: PSI Out: �'�'� ❑ Cupping ❑ Nails Level S i l� ❑ Brake Inspection ((, p Q ` (J ❑ Cuts ❑ Repairable 3rake Fluid Flush SLI � � � sC3>3�� (� ��' ❑ Irreguladry ❑ Non-Repairable- o er arts er m on -. 1111 rrans.Service - �®j "' ❑ Flush Left Rear u �I "( y/ ❑ Edgewear ❑ Cmcking 4uto/Manual f ❑ Pan Service PSI In: PSI Out: � ��(I J IV +� ❑ cupping ❑ Nails Coolant (�" b b .-eve /Flush 1 Type 9 7 t,, ❑ cuts ❑ Repa mble f m' 1~i ❑ Irreguladry ❑ Non-Repairable DoolantHoses ❑Upper ❑Lower ❑Bypass ❑Heater v E } k Spate ti ❑ Edgewear ❑ Cracking ❑"V" ❑ALT El PS Belts PSlln: PSIOuF ❑ Cupping Nans 3elts [El $1_ I ❑A/C ❑AP 1 2 3 4 ❑ cuts E Repairable Battery ❑ o ❑marginal ❑ Replace f % ❑ Irreguladry Non-Repairable =D-18Test 9 P x \ f 3attery ❑ a ds Cables ❑Ll Nes El Hold Downs Tire Maintenance rimEl Rotation El Balance accessories 3attery Gard ❑Corrosion ❑Preventive Alignment CheckI I ❑Maintenance ❑Tire Wear Complete StartingIn Addition to The Above Inspect All Items Below Maintenance Services/ Brakes ABS EYES a NO Vil Inspect suaMal�d' + Why Recommended + o e Padsgreater than 6mm(Disc)or Shoes greater than 2. nim(Drum u OK SUG REO �- hart/Charge _ � w tx -� o � eecifmeasurements&mininul3Fcltatorhest a 3eltTensioner '�� e ads lessthan 3mm(Di'sc)or Shoes less than 1s mm( r¢ m _ a NOMDocument vehic'le's ecitic measurements&minimum`s iicjflcatlons below 'park Plugs I LF Pad RF Pad cuel Filter �I 1 I Measl `t_i Mess r cuel System f iervice I MMActual Machine - Machine NNAPcriral gnition Wires 1=1_ To k TO /alve CoverI I p7� Discard NIMN Discard, 3asket 1 M� i M Spec. At U At MM Spec. 'ower SteeringLR Pad/Shoe 1. . ._ -- WEE=_ RR Pad/Sho lose E] Pressure El Return riming Belt Meas '� Meas MM Actual Machine Machine MM Actual ExhaustTo To Exhaust System ❑Intermediate Pipe ❑ Muffler ❑Tailpipe Discard Discard MM Spec. At At Im Spec. Steering . ISuspension Rear Clean/Adj U-Joint' n ❑Front LJ Rear 4 Idler/Pitman Arm 0 In ❑Idler ❑Pitman Brake Hose(s) 1 Parking Cables enter Link, t__ t j`} E' Other Brake Wheel 3ushin s ❑Front ) __ Services Hardware Caliper C tinder Repack g f n ❑Control Arm El Bar ❑Rear Notes: _ink Pins in ❑Front El Left El Right ❑Rear El Left ElRight fie Rod Ends Ili ❑L Out ❑L In ❑R In ❑R Out ❑Sleeve(s) Sail Joints E] F❑L Upper El Upper ElL•Lower ❑R Lower Sec Actual Rack&Pinion �Ell 4ssembly (I El :;V Boots If_P ❑L Out ❑L In ❑R In ❑R Out CV Joints E]C]❑L Out ❑L In ❑R In ❑R Out I0 Struts ❑Front - ElLeft ❑Right E)Rear L]Left ❑Ri ht Shocks ❑Front ❑Left ❑Right I—V El El ❑Ri ht - 08 Repair/RepiaceinentSjrtiaEttftl Repaiir/Acpjacement7Rcgui, C ked& 1) Close to end°cf useful hfe - r' A)No longer p rforFos inte7de0 purpose ac Xa 2)Address customer request itnend i conae`l fence B)Does not meet design Specifkation 3)Comply with manufacturdrirecommen8atiun i C)Missing STEP 5 STEP 7 4 Technician recommeridafion'rain eYpe�ience INSPECTED BY RE-INSPECTED BY