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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.