Loading...
HomeMy WebLinkAbout323481 03/29/18 ``,,.�A„,�p CITY OF CARMEL, INDIANA VENDOR: 00351179 ;; 6 ONE CIVIC SQUARE FIRESTONE TIRE&SERVICE CENTER CHECK AMOUNT: $***"*3,401.84* x: + CARMEL, INDIANA 46032 PO BOX 403727 CHECK NUMBER: 323481 v� _ 'ATLANTA GA 30384-3727 CHECK DATE: 03/29/18 M��iON,��. DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1110 4232000_ 101460 184806 3,401.84 TIRES VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts . City Form No.201(Rev.1995) Vendor# 00351179 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER FIRESTONE TIRE&SERVICE CENTER IN SUM OF$ 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 $3,401.84 ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Carmel Police 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 101460 184806 42-320.00 $3,401.84 1 hereby certify that the attached invoice(s),or 3/6/18 184806 tires $3,401.84 1110 101 1110 101 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 Tuesday, March 27,2018 &"' lap.a., Jim Barlow Chief 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: 184806-- CARMEL 01 NICK 03/06/2018 1314 S RANGE LINE RD 317.848.5886 CARMEL, IN. 46032-2932 CARMEL PD, JASON OGLE [P] 3 CIVIC SQUARE Lic#: Vin#: CARMEL, IN 46032 In: 03/06/18 2:43PM Mileage: 0 317.571.2546 Out: 03/06/18 2:43PM PO#101460 Store# 020753 COMMERCIAL/GOVERNMENT PO#101460 Rev Hist Unit Extended Job Description /Article# ID Qty Price Price Total ----- -- -- -- ----------------------------------------- — FIRESTONE TIRE PACKAGE 01 3,401.84 [7130]NET FIREHAWK GT PURSUIT BL 245/55R18 103" 000177 NN 26 130.84 3401.84 NO MILEAGE WARRANTY DOT# W2DXFHY491-5 DOT# W2DXFHY4915 -• 4 DOT#F W2DXFHY4915 DOT# W2DXFHY4915 `- DOT# W2DXFHY4915 DOT# W2DXFHY491�5_ DOT# W2DXFHY4915--- - DOT# W2DXFHY4915 DOT# W2DXFHY4915 DOT# W2DXFHY4915 DOT# W2DXFHY4915 DOT# W2DXFHY4915 DOT# W2DXFHY4315 DOT# W2DXFHY4315 DOT# W2DXFHY4315 DOT# W2DXFHY4315 DOT# W2DXFHY4315 DOT# W2DXFHY4315 DOT# W2DXFHY4315 DOT# W2DXFHY4315 DOT# W2DXFHY4315 DOT# W2DXFHY4315 DOT# W2DXFHY4315 DOT# W2DXFHY4815 DOT# W2DXFHY4815 DOT# W2DXFHY5015 Payment History: Summary: 3,401.84 Parts 3,401.84 Total Tendered 3,401.84 Labor 0.00 Shop Supplies 0.00 Sub-Total 3,401.84 Tax Exempt(356000972) 0.00 Total $3,401.84 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 [nit Customer Signature www.FirestoneCompleteAutoCare.coon J ASSURANCE ---�( STD FCAC LASER 7008335-48110392 REV 11/11 Page 1 of2� Inv 1c 160324:503001 SeAHDARDS FOAUYOMOTIVE rv=PA;R See reverse side for Warranty Information _�.