HomeMy WebLinkAbout324992 05/09/18 CITY OF CARMEL, INDIANA VENDOR: 00351179
ONE CIVIC SQUARE FIRESTONE TIRE &SERVICE CENTER CHECK AMOUNT: $
.....**893.57'
PO BOX 403727 CHECK NUMBER: 324992 CARMEL, INDIANA 46032 ATLANTA GA 30384-3727 CHECK DATE: 05/09/18
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DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
651 5023990 186487 893.57 OTHER EXPENSES
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VOUCHER NO. 185450 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995)
Vendor # 00351179 IN SUM OF$ ACCOUNTS PAYABLE VOUCHER
FIRESTONE COMPLETE AUTO CARE CITY OF CARMEL
PO BOX 403727 An invoice or bill to be properly itemized must show: kind of service,where performed,
ATLANTA, GA 30384-3727 dates service rendered, by whom, rates per day, number of hours, rate per hour,
numbers of units, price per unit, etc.
Payee
893.57 00351179 Purchase Order No.
ON ACCOUNT OF APPROPRATION FOR FIRESTONE COMPLETE AUTO CARE Terms
Carmel Wasterwater Utility PO BOX 403727 Due Date
BOARD MEMBERS
I hereby certify that that attached invoice ATLANTA, GA 30384-3727
(s),
or bill(s)is(are)true and correct and that
PO# ACCT# the materials or services itemized thereon DATE INVOICE# Description
DEPT# INVOICE# Fund# AMOUNT for which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT
186487 01-7502-06 $893,57 and received except 5/3/2018 186487 $893.57
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
Cost distribution ledger classification if claim paid motor vehicle highway fund. 20_
Clerk-Treasurer
Customer Invoice FIRESTONE COMPLETE AUTO CARE Service Advisor:
186487 CARMEL 01 NICK
04/27/2018 1314 S RANGE LINE RD 317.848.5886
CARMEL, IN. 46032-2932
2014 FORD F-250 SUPER DUTY XL
CITY OF CARMEL UTIL 6.2L V8 FI FLEX VIN 6 SOHC
9609 HAZEL DELL PKWY Lic#: INDY IN Vin#:
INDIANAPOLIS, IN 46280-2935 In: 04/27/18 7:34AM Mileage: 38,635
317.716.5882 xjeff Out: 04/27/18 4:17PM
Store# 020753 COMMERCIAL
Rev Hist Unit Extended Job
Description /Article# ID Qty Price Price Total
FIRESTONE TIRE PACKAGE 01 817.08
000187 TRANSFORCE AT2 OWL LT265/701317 E121 R No 000187 09NN 4 182.36 729.44
Mileage Warranty
DOT# VNAHTF24917
DOT# VNAHTF24917
DOT# VNAHTF24917
DOT# VNAHTF24917
INDIANA TIRE FEE 7095834 09NN 4 0.25 1.00
NEW TIRE WHEEL BALANCE LABOR 7013632 09NN 4 11.04 44.16
TPMS VALVE SERVICE KIT LABOR 7008190 09NN 4 2.54 10.16
6-207A TPMS VALVE VS-950-15 7009357 09NN 4 5.95 23.80
SCRAP TIRE RECYCLING FEE 7075078 09NN 4 2.13 8.52
TIRE INSTALLATION 7015016 09NN 4 N/C N/C
ALIGNMENT SERVICE(12-MONTH WARRANTY) 01 76.49
ALIGNMENT SERVICE 7004578 09NN 1 76.49 76.49
COURTESY CHECK 01
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 09NN 1 N/C N/C
Technician(s):
09 TIM
Payment History: Summary:
893.57 Parts 753.24
Total Tendered 893.57 Labor 140.33
Shop Supplies 0.00
Sub-Total 893.57
Tax Exempt(0031201550) 0.00
Total $893.57
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..,
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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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