HomeMy WebLinkAbout322701 03/12/18 -
,� CITY OF CARMEL, INDIANA VENDOR: 00361179
d ONE CIVIC SQUARE FIRESTONE TIRE&SERVICE CENTER CHECK AMOUNT: $.....**360.89
a CARMEL, INDIANA 46032 PO BOX 403727 CHECK NUMBER: 322701
ATLANTA GA.30384-3727 CHECK DATE: 03/12/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 R4232100 101095 184791 360.89 MISC AUTO REPAIRS
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 00351179 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
FIRESTONE TIRE&SERVICE CENTER IN SUM OF$ 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
$360.89
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
Dept of Community Service 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
101095 184791 42-321.00 $360.89 1 hereby certify that the attached invoice(s),or 3/7/18 184791 2 tires and alignment for F150 Urban $360.89
1192 Encumbered 101 1192 101 Forestry-Gillian
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
Wednesday, March 07, 2018
Mike Hollibaugh
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
Customer Invoice FIRESTONE COMPLETE AUTO CARE Service Advisor:
184791 CARMEL 30 ALAN
03/07/2018 1314 S RANGE LINE RD 317.848.5886
CARMEL, IN. 46032-2932
2007 FORD F-150 XL
CITY OF CARMEL, BUILDING &CODE 4.2L V6 FI GAS VIN 2 OHV
1 CIVIC SQ Lic#: 74795 IN Vin#: 1 FTRF14V37NA88573
CARMEL, IN 46032-2584 In: 03/06/18 8:36AM Mileage: 19,453
317.645.3479 xnicol Out: 03/07/18 8:38AM
PO#S 18186
Store# 020753 COMMERCIAL PO#S18186
Rev Hist Unit Extended Job
Description _ /Article# ID _— Qty —— Price _ Price __Total
FIRESTONE TIRE PACKAGE 30 284.40
097776 DESTINATION LE2 P-METRIC OWL P235/70R17 097776 06NN 2 127.08 254.16
XL108T _
DOT# VNOCDE11617
DOT# f VNOCDE11617
INDIANA TIRE FEE --7095834 06NN 2..~ 0,.25,---- -0.50
NEW TI R E WHEEL'BALANCE LABOR �� �� t�� an i 701-3632 06NN 2' 1104 a
RUBBER VALVE STEM_ �1 ,➢ j }, w y - ' ' ,/ ' ' 7015040 06NN -2 ,i
SCRAP TIRE RECYCLING-FEE 7075078 06NN 2 2.13 4.26
TIRE INSTALLATION 7015016 06NN 2 N/C N/C
ALIGNMENT SERVICE (12-MONTH WARRANTY) 30 76.49
ALIGNMENT SERVICE 7004578 06NN 1 76.49 76.49
COURTESY CHECK 30-
COURTESY CHECK 7046930 06NN 1 N/C N/C
ORDER NOTES
****TIRES ORDERED FROM TWW***
*** PO#S18186 ****
Technician(s):
06 DRAKE
Payment History: Summary:
360.89 Parts 257.56
Total Tendered 360.89 Labor 103.33
Shop Supplies 0.00
Sub-Total 360.89
Tax Exempt(31201660) 0.00
Total $360.89
1 have received the above goods and/or services..lf this is a credit
card purchase, I agree to pay and comply with my cardholder
agreement with the issuer.
_r (d acltiyL
Customer Signature
Initial here to indicate you have received
the Tire Warranty Maintenance and
Safety Manual
All parts are new unless otherwise specified.
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g STD FCAC LASER 7008335-48110392 REV 11/11
Page 1 1fi0324563001
STANDARDSSTANDARDSFOP,AUT€B81"O` IVE MEPAIR See reverse side for
or Warranty Information" y. 'w..�.'� Inv'