326740 06/29/18 r t�q
�� CITY OF CARMEL, INDIANA VENDOR: 00351179
ONE CIVIC SQUARE FIRESTONE TIRE&SERVICE CENTER CHECK AMOUNT: $•**"*4,331.74•
_� CARMEL, INDIANA 46032 PO BOX 403727 CHECK NUMBER: 326740
'"Tui+�` ATLANTA GA 30384-3727 CHECK DATE: 06/29/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4232000 5.30 TIRES & TUBES
1110 4232000 101718 3,728.50 TIRES
651 5023990 188397 498.36 OTHER EXPENSES
1192 4232000 188472 1.48 TIRES & TUBES
1192 4232100 188472 82.18 GARAGE & MOTOR SUPPIE
1192 R4232100 101095 188472 15.92 MISC AUTO REPAIRS
VOUCHER NO. 185837 WARRANT NO. ALLOWED 20 Prescribed by State Board of Accounts City Form No. 201(Rev 1995)
Vendor # 00351179 IN SUM OF$ 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
498.36 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
188397 01-7502-06 $498.36 and received except 6/21/2018 188397 $498.36
r
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:
188397 CARMEL 05 TISH
06/20/2018 1314 S RANGE LINE RD 317.848.58861-
CARMEL, IN. 46032-2932
CITY OF CARMEL LITIL
9609 HAZEL DELL PKWY Lic#: Vin#:
INDIANAPOLIS, IN 46280-2935 In: 06/19/18 9:31AM Mileage: 0
317:650.4127 xduane Or 317.650.4127 xduane out: 06/20/18 8:48AM
Store# 020753 COMMERCIAL
Rev Hist Unit Extended Job
Description_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ /Article# ID _ _Qty _ _Price_ _ Price _ Total
OTHER PASSENGER TIRES 05 120.00
7099265 6.9/600-9NHS FORKLIFT 7099265 04NN 2 60.00 120.00
DOT# 17305332617
DOT# 17305332617
OTHER PASSENGER TIRES 05 196.00
7099265 LW 7.00-12.12 7099265 04NN 2 98.00 196.00
DOT# 17305212218
DOT# 17305212218
FIRESTONE TIRE PACKAGE 1 05 182.36
000187 TRANSFORCE AT2 OWL LT265/70R17 E121 R No 000187 04NN 1 182.36 182.36
Mileage Warranty
DOT# VNAHTF24917
TIRE INSTALLATION 7015016 04NN 1 N/C N/C
Technician(s):
04 CARL
Payment History: Summary:
498.36 Parts 498.36
Total Tendered 498.36 Labor 0.00
Shop Supplies 0.00
Sub-Total 498.36
Tax Exempt(0031201550) 0.00
Total $498.36
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 Init
Customer Signature 1) 06/19/2018 02:26PM 197.48 CITY OF C 317.650.4127 Ext.duane
Initial here to indicate you have received
the Tire Warranty Maintenance and
Safety Manual
All parts are new unless otherwise specified.
I verbally approved any change to the original estimate,
including price or services.
Signature or Initials
HOW ARE WE DOING?
Tell us about your experience today!
Complete a 4-minute survey for a chance to win$500 in store services
Visit www.FirestoneSurvey.com within 4 days and enter Code 020753-188397
Page 1 of 1 UM 160324.503001
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 00351179 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
FIRESTONE TIRE& SERVICE CENTER IN SUM OF$ 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
$15.92
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 188472 42-321.00 $15.92 1 hereby certify that the attached invoice(s),or 6/22/18 188472 Oil change,wiper blades,tire rotation-partial $15.92
1192 Encumbered 101 1192 101 invoice finishing PO
bill(s)is(are)true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, June 22, 2018 l Y
Mike Hollibaugh - - - - - - --- -
Director
I hereby certify that the attached invoice(s),or bill(s), is(are)true and correct and I have
audited same in accordance with IC 5-11-10-1.6
, 20
Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995)
Vendor# 00351179 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
FIRESTONE TIRE&SERVICE CENTER IN SUM OF$ 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
$83.66
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
188472 42-320.00 $1.48 I hereby certify that the attached invoice(s),or 6/22/18 188472 Oil change,wiper blades,tire rotation#10 $1.48
1192 101 1192 101 partial invoice
188472 42-321.00 $82.18 bill(s)is(are)true and correct and that the 6/22/18 188472 Oil change,wiper blades,tire rotation#10 $82.18
1192 101 materials or services itemized thereon for 1192 101 1 partial invoice
which charge is made were ordered and
" -- received except
Friday,June 22,2018
'i
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
Customer Invoice FIRESTONE COMPLETE AUTO CARE Service Advisor:
188472 CARMEL 05 TISH
06/22/2018 1314 S RANGE LINE RD 317.848.5886
CARMEL, IN. 46032-2932
2015 SUBARU FORESTER 2.51 [WHITE]
CITY OF CARMEL, BUILDING & CODE 2.5L H4 FI GAS FB25BCJr 3Q g
1 CIVIC SQ Lic#: 90 IN Vin#:
CARMEL, IN 46032-2584 in: 06/21/18 12:37PM Mileage: 24,280
317.509.7614 xBILL Out: 06/22/18 8:17AM
Store# 020753 COMMERCIAL
Rev Hist Unit Extended Job
Description ————_ /Article# ID Qty Price Price Total
COURTESY CHECK 05
COURTESY CHECK 7046930 09NN 1 N/C N/C
WIPER BLADES (Front-Both) 05 22.08
40526 WIPER BLADE 26" 7003124..09NN 1 8.49- 8.49
40517 WIPER BLADE 17" 7080748 09NN 1' 8.49, ., 8.49.-
WIPER BLADE LABOR 7042.579 .09N N ' 2 .., 2.55 5.10
5 QT. NATIONAL ACCOUNT LOF WITH ROTATION 1 05 77.50
PKG: 01 FULL SYNTHETIC_OIL-CHANGE.UP'TO 5 QTS
5.1 QTS:
ILSAC GF-4 or GF-5, API --SN orSM, OW-20 Synthetic Oil
The Manufacturer recommends an Oil Change based on mileage of 3750 miles...See Owner's manu
for specific requirements.
PZ182 OIL FILTER 7094005 09NN 1 4.24 4.24
OW-20 PZL FULL SYNTHETIC OIL UP TO 7034622 09NN 1 49.30 49.30
ADDITIONAL OIL REQUIRED 0.1 QTS @$0.99 PER 1/10 7034623 09NN 1 0.99 0.99
QTS
PREMIUM OIL CHANGE LABOR 7003355 09NN 1 4.25 4.25
PKG: 02 TIRE ROTATION
TIRE ROTATION 7015032 09NN 4 4.68 18.72
ORDER NOTES
TPMS LIGHT ON
Technician(s):
09 TIM
Payment History: Summary:
99.58 Parts 71.51
Total Tendered 99.58 Labor 28.07
Shop Supplies 0.00
Sub-Total 99.58
Tax Exempt(31201660) 0.00
Total $99.58
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 Init
Customer Signature 1) 06/21/2018 12:38PM -2.54 CITY OF CARMEL, B IN PERSON
All parts are new unless otherwise specified.
I verbally-approved any change to the original estimate,- .
including price"or
services.
Signature or Initials --
_
www.FirestoneCompleteAutoCare.com ; r
STD FCAC LASER 7008335-48110392 REV 11/11
Page I 62
t. ... See reverse side for Warranty Information I"v1 160324503001
Customer Invoice FIRESTONE COMPLETE AUTO CARE Service Advisor:
188472 CARMEL 05 TISH
06/22/2018 1314 S RANGE LINE RD 317.848.5886
CARMEL, IN. 46032-2932
2015 SUBARU FORESTER 2.51 [WHITE]
CITY OF CARMEL, BUILDING &CODE 2.5L H4 FI GAS FB25BC 53 LP 1-0 g
1 CIVIC SQ Lic#: 90 IN Vin#: jF26j1 153i8,_
CARMEL, IN 46032-2584 In: 06/21/18 12:37PM Mileage: 24,280
317.509.7614 xBILL Out: 06/22/18 8:17AM
Store# 020753 COMMERCIAL
Rev Hist Unit Extended Job
Description /Article# ID Qty Price Price Total
- HOW ARE-WE DOING?
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 020753-188472
www.F'irestoneCompleteAutoCare.com
--` - STD FCAC LASER 7008335-48110392 REV 11/11
Page 2 Of 2 Inv`F060324.503001
See reverse side for Warranty Information
Courtesy Check
t..,.
Inspect� • • Section
El SOHC ❑OHV ❑DIESEL Trans. oto
Year ?.a(S Make �''�'"""" Model �/L Eng.Size Z• ,216'HC ❑HYBRID Type ❑Manu
Nv
i Hubcap Missing Y ® Windshield Cracked Y 6 Scratches/Dents h
�I .-�
MILEAGE: I '� y Z kto I Lic.# State Inspection Due Month Year
intenance , Tires
nd Tire Maintenance
Inspect Visual Sched. Why Recommended + Tire Size: I Speed Run Flat Y
OK SUG REO Maint.
Wiper F 2� ✓ (0L)A-A 7 Rating
p �� Front Rear TPMS (V� 1
Head Lights I d R Tread Depth
Mini Lights Tum License Inspect visual a2nds El ❑RWD �WD/AX9
g J � ❑Brake ❑Si nal ❑Plate E]Parking OK SUG REa outer Inner
Air Filter Psiett FroPsi Out: 3. ❑ cuppi g r ❑ Cracking
Cabin ��` �
Air Filter 1 , ❑ Cull ❑ Repalrable
PCV Valve �� "� L� f ❑ Irregularity ❑ Non-Repalrable
Right Front
Washer Fluid I PSI In: PSI Out: C ❑ Eupping r ❑ MileW,
r f� ❑ Cupping N"
❑ Cuts ❑ Repairable
Oil Level fL ❑ Irtaguladry ❑ N.Rape able
Power Sir.
Fluid Level ® Right Rear % �.,Y� ❑ Edgawear ❑ c eck ng
Master Cyl.Fluid PSI In: PSI out: 9 ✓ ❑ Cupping Nab
Level ❑ Brake Inspection �� l �C � ❑ cuts ry ❑ Repa able
Brake Fluid Flushmril �) A ® \�1 .IIID+ ❑ I ragulan ❑ Non-Reps abe
a er ons er million
Trans.Service ❑ Flush Left Rear 1 ❑ Edgewear ❑ Cracking
Auto/Manual ❑ Pan Service ,,SI In: PSI Out: ❑ Cupping Nally
Level
/tFlush Type -0 , t 1/4 l ❑ cola ❑ Re etre
pa
(� ❑ Irregulenry ❑ N2 Repabeble
Coolant Hoses ❑Upper ❑Lower ❑Bypass ❑Heater Spas 1 ❑ Edgewear ❑ Cractdng
Belts HI ❑ALT HAP
Belts PSI In: PSI Out•. .' �/ El cupping Neils
❑A/C ❑AP 1 2 , 4 l n
❑ C. ❑ RepaireDle
Battery `lt
EEl Good '❑Marginal El Replace ElIrregularity ❑ Noo-Repa ably
Battery
st .ra d
( T®i ❑ Cable Ends/Cables ❑Nes
Accessories El Hold Downs Tire Maintenance El Rotation El Balance
1 3 I
Battery Gard ❑Corrosion ❑Preventive Alignment Check ❑Maintenance ❑Tire Wear .
e • • •
� • • • • � • s • - - Below
Maintenance Services/ • Brakes ABS E YES a NO
Inspect Visual Sched. WhyRecommended + ntv Pads greaterthan'6mm(Disc)or Shoes greatel ' an 2. mm(Drum)
p OK SUG REO Maint. dam
e h
Start/Charge_ = �=-----i `—
(Disc)orShoes gr�r
Test noeumrt t4ianl.&iret�a;6eatitan2a.4tm(Dte?.nY
va Icle spee filc;measurements&minimum sp•ciflcatkma bsSow
Belt Tensioner e3mm
less then (Disc)or Shoes lessythan LtSmm
s a t eiilcte c eiflc measurements&minimum s elf[ It
Spark Plugs - LF Pad RF Pad
Fuel Filter Actual® Actual
Meas. Meas.
Fuel System
Service MMActal Machine ®� Machine MM ac
Ignition Wires To To
Valve Cover i'�f1�'i Discard Discard
Gasket I N d 6 MM Spec. At At MM Spec
Power Steering { l' i OLRPad/Shoel . . . . RR Pad/Shc
Hose I 4 d i ❑ Pressure ❑ Return7Actual-
Timing Belt Mass. 13%11�
Exhaust ®
"M Actual Machine ®® Toachine MMArhal
Exhaust System Intermediate Pie Discard Discard
❑ p El El1113,
MM Spec. At At MM Spec
Steering • Suspension
Rear Clean/Adj
U-Joint ❑Front ❑Rear 0® Brake Hose(s)
Idler/Pitman Ann � [_1 Idler El Pitman
Cantor Link � Parking Cables
Other Brake Hardware Caliper Wheel Re ack
Bushings ❑Control Arm ❑sway Bar Front ServicesP
C�
Rear Notes:
Link PinFront L it
s HRear ®Left HRight
Tie Rad Ends : ❑L Out [:].L In ❑R In ❑R Out ❑Sleeve(s)
Ball Joints L 17L1 g L LUer
ower LJ R Lower Sec _ Actual
Rack"Pinion
Assembly
CV Boots ❑L Out ❑L In ❑R In ❑R Out
CV Joints ❑❑L Out ❑L In ❑❑R In ❑R Out
Struts L It
❑Rear ®Lek ❑Right
Shocks Front Left Right
10 Rear Left RI ht
OK Repair f REPT temaRt$CR171_sf d 7
ked 6
[as
) ress customer request!need!convanienca
) Campty with manuracturer recamnrndatien STEP 5 STEP 7
Technicdan racommerdatrondrom exparancs INSPECTED"BY RE-INSPECTED BY
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
Purchase Order#
ON ACCOUNT OF APPROPRIATION FOR
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
101718 0 42-320.00 $2,611.50 1 hereby certify that the attached invoice(s),or 6/20/18 0 tires $2,611.50
1110 101 1110 101
101718 0 42-320.00 $1,117.00 bill(s)is(are)true and correct and that the 6/20/18 0 tires $1,117.00
1110 101 materials or services itemized thereon for 1110 1 101
which charge is made were ordered and
received except
Thursday,June 21,2018
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:
187314 CARMEL 01 NICK
06/08/2018 1314 S RANGE LINE RD 317.848.5886
CARMEL, IN. 46032-2932
CARMEL PD, JASON OGLE [P]
3 CIVIC SQ Lic#: Vin#:
CARMEL, IN 46032-2584 In: 06/07/18 9:44AM Mileage: 1
317.571.2546 Out: 06/08/18 11:33AM
PO#101718
Store# 020753 COMMERCIAL/GOVERNMENT P0#101718
Rev Hist Unit Extended Job
Description /Article# ID _ Qty Price Price Total
FIRESTONE TIRE PACKAGE 01 1,117.00
[7130]NET FIREHAWK GT PURSUIT BL P235/55R17 9MA 003874 01 NN 10 111.7C 1117.00
NO MILEAGE WARRANTY
01 NICK
Payment History: Summary,
_1�'117 00� L7_3 0.00
M % Pc Parts(DO CeLa .r,,A 1,117.00
Total Tendered _ C �`° 117•.00; "'Supplies[e
Shop l 0.00
Sub-Total 1,117.00
Tax Exempt(003120155
Total $1,117.00 _-
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
Initial here to indicate you have received
the Tire Warranty Maintenance and
Safety Manual
All parts are new unless otherwise specified.
______._HOW ARE-WE-DOING?-
Tell
RE-WE-DOING?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 020753-187314.
www.FirestoneCom pleteAutoCare com
-��"�~ �dOTOttIST p _ " WeSu}�go>�tASI;
ASSUPANCE eil
I'esling and
Pal I��f�I j lSTD FCAC LASER 7008335-48110392 REV 11/11
PROGRAM InvtL7po32ti4,j&334�01
CCG rawarcC cirla fnr Wnrrnnf\/ Infnrmatinn 9
Customer Invoice FIRESTONE COMPLETE AUTO CARE Service Advisor:
187972 CARMEL 05 TISH
06/08/2018 1314 S RANGE LINE RD 317.848.5886
CARMEL, IN. 46032-2932
CARMEL PD, JASON OGLE [P]
3 CIVIC SQ Lic#: Vin#:
CARMEL, IN 46032-2584 In: 06/07/18 9:43AM Mileage: 0
317.571.2546 Out: 06/08/18 1:11 PM
PO#101718
Store# 020753 COMMERCIAL/GOVERNMENT PO#101718
Rev Hist Unit Extended Job
Description /Article_# ID Qty Price Price Total
FIRESTONE TIRE PACKAGE 1 05 2,616.80
[7130]NET FIREHAWK GT PURSUIT BL 245/55R18 103kA 000177 NN 20 130.84 2616.80
DOT# W2DXFH11218
DOT#- W2DXFH11218- _
DOT# W2DXFH111218 -
-W2DXFH11218 .
DOT#I,W2DXFH11218
DOT#[ W2DXFH11218 _ J
DOT# W2DXFH1�1818111,9 ZA U 0
€ L�
DOT# W2.DXFH 1818
DOT# W2DXFH11818
DOT# W2DXFH11818
DOT# W2DXFH11818
DOT# W2DXFH11518
DOT# W2DXFH11518
DOT# W2DXFH11718
DOT# W2DXFH11618
DOT# W2DXFH14117
DOT# W2DXFH14117
DOT# W2DXFH14117
DOT# W2DXFH14117
DOT# W2DXFH14117
Payment History: Summary:
2,616.80 Parts 2,616.80
Total Tendered 2,616.80 Labor 0.00
Shop Supplies 0.00
Sub-Total 2,616.80
Tax Exempt(0031201550.). - --0:0
Total $2,616.80 \
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) 06/08/2018 10:26AM-6594.41 CARMEL PD, JASON IN PERSON
Initial here to indicate you have received
the Tire Warranty Maintenance and
Safety Manual
All parts are new unless otherw/se specified.'_
acknowledge notice_and,oralapproval,of :
F
an increase in the originaL`estimated price,,
-- _
www.FirestoneCompleteAut,oCare.com Wr Support ii[[
'iJi..
tlL Sst.I :E Testing and
Pih I` iii t 1 STD FCAC LASER 7008335-48110392 REV 11/11
� Inv;L�]i6Q�K4k503001