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Home My WebLink About326080 06/12/18 q`r �? CITY OF CARMEL, INDIANA VENDOR: 00351179 ONE CIVIC SQUARE FIRESTONE TIRE&SERVICE CENTER CHECK AMOUNT: $....***l 51.27* sq ��; CARMEL, INDIANA 46032 PO BOX 403727 CHECK NUMBER: 326080 M,�9uN"'�°. ATLANTA GA 30384-3727 CHECK DATE: 06/12/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 651 5023990 187686 82.22 OTHER EXPENSES 1192 R4232100 101095 187875 69.05 MISC AUTO REPAIRS VOUCHER NO. 185667 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No.201(Rev 1995) Vendor # 00351179 IN SUM OF$ 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 $2.22 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(s), ATLANTA, GA 30384-3727 or bill(s)is(are)true and correct and that PO# ACCT# the materials or services itemized thereon for DATE INVOICE# Description DEPT# INVOICE# Fund# AMOUNT which charge is made were ordered and DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 187686 01-7500-08 $82.22 and received except 6/4/2018 187686 $82.22 1 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: 187686 CARMEL 03 RYAN 05/31/2018 1314 S RANGE LINE RD 317.848.5886 CARMEL, IN. 46032-2932 2013 FORD FIESTA SE CITY OF CARMEL UTIL 1.6L L4 FI GAS VIN J DOHC 9609 HAZEL DELL PKWY Lic#: 20799 IN Vin#: 3FADP4BJ3DM224737 INDIANAPOLIS, IN 46280-2935 In: 05/31/18 7:13AM Mileage: 36,241 317.716.5910 xteres Out: 05/31/18 12:21 PM Store# 020753 COMMERCIAL Rev Hist Unit Extended Job Description /Article_# ID __ _Qty Price -Price _Total COURTESY CHECK 03 COURTESY CHECK 7046930 09NN 1 N/C N/C FIRESTONE TIRE PACKAGE 1 05 82.22 HOLE IN TIRE.... 004058 ALL SEASON BL 185/60R15 84T 004058 09NN 1 60.31 60.31 DOT# WB90ALl1.118 INDIANA TIRE FEE 7095834.-09NN .1 0.25• ' `, 0.25 NEW TIRE WHEEL-BALANCE LABOR 7013632 09NN 1 11.04 11.04 TPMS VALVE SERVICE KIT LADO ( '�'I 7008190 09NN7 pp1 12'54 2:54 r�n�� 4 .� �� 1 L1_ ' a } f` 1tt' iC t� r ` � 6-207A TPMS UALVE VS"950 15 X7®©9357 09NN� 1 1 5.95 5:95 SCRAP TIRE RECYCLING FEE _ 7075078 09NN 1 2.13 2.13 TIRE INSTALLATION 7015016 09NN 1 N/C N/C Technician(s): 09 TIM Payment History: Summary: 82.22 Parts 66.26 Total Tendered 82.22 Labor 15.96 Shop Supplies 0.00 Sub-Total 82.22 Tax Exempt(0031201550) 0.00 Total $82.22 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 _ 7� Revision History: Amt Init Customer Signature 1) 05/31/2018 11:49AM 56.74 CITY OF CARMEL UT IN PERSON Initial here to indicate you have received the Tire Warranty Maintenance and Safety Manual All parts are new unless otherwise specified. Declined Work: I verbally approved any change to the original estimate, FLAT REPAIR & BALANCE 55 SERIES AND ABOVE W/TPMS (R including price or services. - 2�- Signature or Initials ---- HOW ARE WE DOING? LL Tell'us about your experience today! Complete a 4-minute survey for a chance to win $500 in store services Visit www.FirestoneSurvey.com within.4 days and enter Code 020753-187686 www.FirestoneCompleteAutoCare.com I OTORIST We Support ASE AssUIZANCE STD FCAC LASER 7008335-48110392 REV 11/11 1 Ifesting and Pa c I'oP I PP _ Inv'1 0 4503001 SPP rPvPrGP ciriP fnr Warranty Infnrmatinn rpt VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 00351179 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER FIRESTONE TIRE &SERVICE CENTER IN SUM OF$ 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 $69.05 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 187875 42-321.00 $69.05 1 hereby certify that the attached invoice(s),or 6/4/18 187875 Oil change and tire rotation-Rutti#3 $69.05 1192 Encumbered 101 1192 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 Thursday, June 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 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer �rL_ , vumKORDER FIRESTONE C0MPLETEAUTO CARE SERVICE ADVISOR 187875 1314SRANSELINE RD 10 CHRIS 06104/2018 . CARMEL. |N. 4UO32-2Q32 317.848.5888 2O18TOYOTA RAV4SE CITY OPCARMEL, BUILDING& CODE ' 2.5L L4F| GAS 1civic SO L|C# VIN# CARMEL`UN 46032'2584 IN 08/04/20180220PM EST.MILEAGE 6,700 3W828.1051xdavid DUE:O(iODPMO0X]4Drop Off APPT.No --` , Article: Extended Job Description T# Cdv Part Labor Ph Total. Number ' / xe ' GCUFTESYCHECK 0l0 ' E& 8 Tc)ycf -Genuine for Oil. SAE W;20 o-r equivalent I'LS Cjnutkigrade�qil < -C 'ditiGns OR DUSTY';'ROADS) 167 miles.I.Sed Owner's mdrival for sr;ec:ific'req6irerrfents.'_> ,OIL-UP TO 6� 111 USED-OIL FILTER-RECYCLING CHG(1) 7075051; 1 2.54 2.&1 PRT-DISC $30.09 SVnthefic Blend Oil Change 9.30 -9.20 LBR-DISC$39.09 Synthetic Blend Oil Change 00700167.1, 1 0.70 -0.70 18.72 = ...DER NOTES Driving Conditions Include: DIRT DRDUS7YROADS ' Summary ' Flat rate charged per internal& Mitchell labor manuals 4UT8 Time In:O220=MD0104rZD18 ParLsReturn:No 2227 CustSbatus Drop Off ApptNoPay Type: Unspecified BhopSupply O.OD VVhee|Loxkz SE ub 69.05 pED: R|NFO ��SopyortA&E D�OD Torq« NCE Assupm CC ]eadmgosJ | _ 69.05 Certification PROGRAM STANDARDS FOR^vTmIBnT,,sREPAIR I ACKNOWLEDGE THAT I HAVE REVIEWEDTHIS DOCUMENTOF REPAIRAND SERVICEWORK.I HEREBY AUTHORIZE THE ABOVE WORK TO BE DONE,INCLUDINGTHE INDICATED, PARTS AND LABOR,AND PROMISE TO PAY FOR ALL SUCH WORK.I GRANT PERMISSION TO OPERATE THE REFERENCED CAR,TRUCK OR VEHICLE ON STREETS,HIGHWAYS OR ELSEWHERE FOR THE PURPOSE OF INSPECTION AND/OR TESTING.I UNDERSTAND THAT ALL CLAIMS MUST BE ACCOMPANIED aYAmINVOICE./UNDERSTAND|pADDITIONAL WORK IS REQUIRED,YOU WILL OBTAIN MY VERBAL OR WRITTEN AUTHORIZATION BEFORE ANY ADDITIONAL WORK IS BEGUN,UNLESS OTHERWISE SPECIFIED ON THIS DOCUMENT Please do not leave Cell Phones,CDs,Money,Jewelry,or any other valuables in your vehicle. FireuuoneCo;pgdgto ftmCoroinnot and will not boheld mmponeih1&ftV0fA1mNingxr-%tmAmnitems.