HomeMy WebLinkAbout319935 12/21/17 CITY OF CARMEL, INDIANA VENDOR: 00351179
. � '• ONE CIVIC SQUARE FIRESTONE TIRE&SERVICE CENTER CHECK AMOUNT: $.....**188.54*
CARMEL, INDIANA 46032 PO BOX 403727 CHECK NUMBER: 319935
ATLANTA GA 303B4-3727 CHECK DATE: 12/21/17
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER_ AMOUNT DESCRIPTION
2200 4231500 181753 53.71 OIL
2200 4237000 181753 134.83 REPAIR PARTS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 00351179 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
FIRESTONE TIRE&SERVICE CENTER IN SUM OF$ 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
$188.54
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Engineering
Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
181753 42-370.00 $134.83 1 hereby certify that the attached invoice(s),or 12/8/17 181753 E-3 Vehicle repairs $134.83
2200 2200 2200 2200
181753 42-315.00 $53.71 bill(s)is(are)true and correct and that the 12/8/17 181753 E-3 Oil $53.71
2200 2200 materials or services itemized thereon for 2200 2200
which charge is made were ordered and
received except
Tuesday, December 12,2017
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Dec. 08.2017 01:14 PM - 3 PAGE. 1/ 1
Customer Invoice FIRESTONE COMPLETE AUTO CARE Service Advisor:
181753 CARMEL 05 TISH
12/08/2017 1314 S RANGE LINE RD 317.848.5886
CARMEL, IN. 46032.2932
2010 FORD F-150 XL
CITY OF CARMEL, BUILDING & CODE 5AL V8 FI FLEX VIN V SOHC
1 CIVIC SQ Llc M 67112 IN Vin#: 1 FTPFl EVlAKE43528
CARMEL, IN 46032-2584 'in: 12/08/17 8:56AM Mileage: 45,754
317.571.2441 Or 317.571,2439 xefax Out: 12/08/17 11:16AM
Store# 020753 COMMERCIAL
Rev Hist Unit Extended Job
Description /Article# ID Qty Price Price Total
COURTESY CHECK , .05
COURTESY CHECK 7046930 79NN 1 N/C NIG
5 QT. NATIONAL ACCOUNT LOF WITH ROTATION 05 53.71
z2 00
PKG: 01 STANDARD OIL CHANGE UP TO 5 QTS - 4 z 3l s o O
6.0 QTS.
SAE 5W-20 Premium Synthetic Blend Motor Oil
PZ173 OIL FILTER 7057290 79NN 1 4.24 4.24
5W-20 QS ADV DUR GF5 OIL UP TO 5 QTS 7034653 79NN 1 22.10 22.10
ADDITIONAL OIL REQUIRED 1.0 QTS @$0.44 PER 1/10 7034654 79NN 10 0.44 4.40
QTS
OIL CHANGE LA60R 7029718 79NN 1 4.25 4.25
PKG: 02 TIRE ROTATION
TIRE ROTATION 7015032 79NN 4 4.68 18.72
BATTERY REPLACEMENT 1 01 134.83
MT65 INTERSTATE BATTERY 7098604 79NN 1 110.49 110.49
BATTERY CORE 7004413 79NN 1 17.00 17.00 Z200 -
PRT-DISC Battery Core 100% Discount 7039969 79NN -1 17.00 -17,00 4-2S-4000
REMOVE& REPLACE BATTERY 7005394 79NN 1 15.00 15.00
CORROSION PROTECTION PACKAGE 7052329 79NN 1 9.34 9.34
Technician(s):
79 JUSTIN
Payment History: Swnmary:
188.54 Parts 141.23
Total Tendered 188.54 Labor 47.31
Shop Supplies 0.00
Sub-Total 188.54
Tax Exempt(31201660) 0.00
Total $188.54
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) 12/08/2017 10:45AM 134.83 CITY OF C 317.571.2441 Ext.caleb
All parts are new unless otherwise specified.
I acknowledge notice and oral approval of
an increase in the original estimated price.
Signature or Initials
www.lFirestoneCompleteAutoCare.com
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