HomeMy WebLinkAbout325474 05/23/18 r CqA
CITY OF CARMEL, INDIANA VENDOR: 00351179
Q ONE CIVIC SQUARE FIRESTONE TIRE &SERVICE CENTER CHECK AMOUNT: $......**84.12*
:. 4 CARMEL, INDIANA 46032 PO Box 403727 CHECK NUMBER: 325474
9M�TON ATLANTA GA 30384-3727 CHECK DATE: 05/23/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1205 4231500 185612 58.63 OIL
651 5023990 186972 25.49 OTHER EXPENSES
VOUCHER NO. 185558 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201 (Rev 1995)
Vendor # 00351179 IN SUM OF$ 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
25.49 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
186972 01-7502-06 $25,49 and received except 5/17/2018 186972
$25.49
i' 1%x���"�--
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:
186972 CARMEL 05 TISH
05/13/2018 1314 S RANGE LINE RD 317.848.5886
CARMEL, IN. 46032-293;.:
CITY OF CARMEL UTIL
9609 HAZEL DELL PKWY Lic M Vin M.
INDIANAPOLIS, IN 46280-2935 In: 05/11/18 5:31PM . Mileage: 1
317.460.2824 xjeff Out: 05/13/18 3:32PM
Store# 020753 COMMERCIAL
Rev Hist Unit Extended Job
Description _/Article# II, Qty Price Price Total
FLAT REPAIR& BALANCE50 SERIES AND BELOW C 5 25.49 r
(Front-Left)
FLAT REPAIR- PATCH-PLUG 7020060 l >NN 1 1.69 1.69
LP FLAT REPAIR LABOR 7008211 :ANN 1 17.85 17.85
FLAT REPAIR BALANCE LABOR-- _ 7013645 9NN 1 5.95 5.95
ORDER NOTES-
TRAILER
OTES TRAILER TIRE
r
Technician,(s):
79 JUSTIN &I
Payment History:-_ - � _� 3_!v _.n "_ - L (� a i ° ��. r Sumrnary,:\k -
25.49 Parts 1.69
Total Tendered 25.49 Labor 23.80
Shop Supplies 0.00
Sub-Total 25.49
Tax Exempt(0031201550) 0.00
Total $25.49
I have received the above goods and/or services. If this is a credit
card purchase, I agree to pay and comply with my cardholder
agreement with the issuer.
Customer Signature
All parts are new unless otherwise specified.
l
HOW-ARE.WE-DOINGS .-- ._
Tell us about your experience to(.,.ayl
Complete'a-4-rriinute survey fora chance to wln�$N300 in store services
Visit www.F.irestoneSurvey.com within 4.days and enir!r Code 020753-186972
www.Firest®neCompleteAutoCare.c,)m ?� e Support ASE
'151URANCE 51A
Pagel of 1 t
,. STD FCAC LASER 7008335-48110392 REV 11/11 ( `
r Inv1 160324 503001 +"a
Cnn rovorco cir•In fnr Warmnty Infnrmatinn r ;31k
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 OFCITY 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
$58.63
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
General Administration 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
185612 42-315.00 $58.63 1 hereby certify that the attached invoice(s),or 3/30/18 185612 $58.63
1205 101 1205 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
Monday, May 21,2018
Crider,James
Administration
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
20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
Customer Invoice FIRESTONE COMPLETE AUTO CARE Service Advisor:
185612 CARMEL 5 TISH
3/30/2018 - 1314 S RANGE LINE RD 317.848.5866
CARMEL,IN 46032-2932
Re-Printed on 5/15/2018 2:34:35 PM DUPLICATE INVOICE
2012 FORD F-250 SUPER DUTY XLT[BLUE]
CITY OF CARMEL,BUILDING&CODE
1 CIVIC SQ Lic#: 11924 IN Vin#:
CARMEL,IN 46032-2584 In: 3/30/2018 10:51:24 AM Mileage: 58458
317.571.2448 Out: 3/30/2018 12:25:00 PM
Store# 020753 d/c
Rev Hist Unit Extended Job
Description /Article# ID Qty Price Price Total
COURTESY CHECK 05 0.00
COURTESY CHECK 7046930 342 1 N/C NIC
DEXOS/SPECIALTY OIL CHANGE UP TO 5 QTS 1 05 58.63
7.0 QTS.
SAE 5W-20 Premium Synthetic Blend Motor Oil
The Manufacturer recommends an Oil Change
when an associated dash board indicator light is[it...See Owner's manual for specific requirements.
PZ173 OIL FILTER 7057290 342 1 4.24 4.24
5W-20 DEXOS CERTIFIED OIL UP TO 5 QTS 7034632 342 1 34.00 34.00
ADDITIONAL OIL REQUIRED 2.0 QTS @$0.68 PER 1/10 QTS 7034633 342 20 0.68 13.60
DEXOS-SPECIALTY OIL CHANGE LABOR 7034604 342 1 4.25 4.25
USED OIL FILTER RECYCLING CHG(1) 7075051 342 1 2.54 2.54
Technicians:
342 ANTHONY Submitted To
Payment History: A A.n� 1 C 2018
1 O 1 H Summary:
Comm/DlrAcct 58.63 Pllli V L Parts 54.38
Total Tendered 58.63 Labor 4.25
!clerk Treasurer Shop Supplies 0.00
Sub-Total 58.63
Tax 0.00
Total 58.63
Remit To:Bridgestone Retail Operations,LLC P.O.Box 403727 Atlanta,GA 30384-3727
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.
Rev
Revision History: Amt Init
Customer Signature 1 03/30/2018 10:53 AM -40.80 CITY OF CARMEL,BUILDING&COD 317.571.2448
All parts are new unless otherwise specified.
I acknowledge notice and oral approval of an increase in the original estimated price.