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Home My WebLink About329470 08/30/18 CITY OF CARMEL, INDIANA VENDOR: 00351179 ONE CIVIC SQUARE FIRESTONE TIRE&SERVICE CENTER CHECK AMOUNT: $*******158.81 o' CARMEL, INDIANA 46032 PO BOX 403727 CHECK NUMBER: 329470 ATLANTA GA 30384-3727 CHECK DATE: 08/30/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4351000 190605 158.81 AUTO REPAIR & MAINTEN VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) Vendor# 00351179 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER FIRESTONE TIRE &SERVICE CENTER IN SUM OF$ 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 $158.81 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 190605 43-510.00 $158.81 1 hereby certify that the attached invoice(s),or 8/29/18 190605 Tire rotation,tire repair,wiper blades,filters,oil $158.81 1192 101 1192 101 change-#6 Koch 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,August 30, 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 5-11-10-1.6 120— Cost 20Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer Customer Invoice FIRESTONE COMPLETE AUTO CARE Service Advisor: 190605 CARMEL 01 NICK 08/29/2018 c 1314 S RANGE LINE RD 317.848.5886 CARMEL, IN. 46032-2932 2015 SUBARU FORESTER 2.51 CITY OF CARMEL, BUILDING &CODE 2.5L H4 FI GAS FB25BA 1 CIVIC SQ Lic#: 68556 IN Vin #: JF2SJAAC8FH536484 CARMEL, IN 46032-2584 In: 08/28/18 8:06AM Mileage: 30,671 317.509.8239 xBRENT Out: 08/29/18 1:37PM Store#020753 COMMERCIAL Rev Hist Unit Extended Job Description _________ _________ /Article# ID___Qty___Price _ Price __Total FULL SYNTHETIC OIL CHANGE UP TO 5 QTS 01 61.32 5.1 QTS. ILSAC GF-4 or GF-5, API -SN or SM, 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 7094005.12NN 1 - 4.24. 4.24 OW-20 PZL FULL SYNTHETIC OIL UP TO 7034622 12NN 1 49.-30` -49.30 ADOA-QTS OIL REQUIRED 0 QTS @$0.99;PER 1/10 ;7034623 12NN r jc -1 ; 0 99 � 0-99- F7 '0-_99"1� QTS `=3S PREMIUM OIL CHANGE-LABOR--- 7003355 12NN _ 1 4.25 4.25 USED OIL FILTER RECYCLING CHG (1) 7075051 12NN 1 2.54 2.54 TIRE ROTATION N/C 01 TIRE ROTATION 7001121 12NN 4 N/C N/C COURTESY CHECK 01 COURTESY CHECK 7046930 12NN 1 N/C N/C FLAT REPAIR& BALANCE55 SERIES AND ABOVE IMTPMS 1 01 25.48 (Front-Left) 6-207A TPMS VALVE VS-950-15 7009357 12NN 1 5.95 5.95 FLAT REPAIR- PATCH-PLUG 7020060 12NN 1 1.69 1.69 TPMS VALVE SERVICE KIT LABOR 7008190 12NN 1 2.54 2.54 FLAT REPAIR BALANCE LABOR 7013645 12NN 1 5.95 5.95 FLAT REPAIR LABOR 7019488 12NN 1 9.35 9.35 FLAT REPAIR& BALANCE55 SERIES AND ABOVE 1MTPMS 1 01 25.48 (Rear-Right) 6-207A TPMS VALVE VS-950-15 7009357 12NN 1 5.95 5.95 FLAT REPAIR- PATCH-PLUG 7020060 12NN 1 1.69 1.69 TPMS VALVE SERVICE KIT LABOR 7008190 12NN 1 2.54 2.54 FLAT REPAIR BALANCE LABOR 7013645 12NN 1 5.95 5.95 FLAT REPAIR LABOR 7019488 12NN 1 9.35 9.35 AIR FILTER 1 01 16.99 PZA487 AIR FILTER 7010997 12NN 1 16.99 16.99 AIR FILTER LABOR 7001062 12NN 1 N/C N/C WIPER BLADES (Rear) 1 01 29.54 14B REAR WIPER BLADE 14" 1 EA 7084298 12NN 1 26.99 26.99 WIPER BLADE LABOR 7042579 12NN 1 2.55 2.55 VEHICLE NOTES When towing a trailer, recommended tire pressure may change, please consult the owner's manual. Technician(s): 12 JOHN www.FirestoneCoinlileteAutoCare.com STD FCAC LASER 7008335-48110392 REV 11/11 Page 1 of reAhig and 2 R < .. c'" �,s:Iz,. w Inv' 0 4.503001 See reverse side for Warranty In „ , Customer Invoice FIRESTONE COMPLETE AUTO CARE Service Advisor: 190605 L CARMEL 01 NICK 08/29/2018 1314 S RANGE LINE RD 317.848.5886 CARMEL, IN. 46032-2932 2015 SUBARU FORESTER 2.51 CITY OF CARMEL, BUILDING & CODE 2.5L H4 FI GAS FB25BA 1 CIVIC SQ Lic#: 68556 IN Vin#: JF2SJAAC8FH536484 CARMEL, IN 46032-2584 In: 08/28/18 8:06AM Mileage: 30,671 317.509.8239 xBRENT Out: 08/29/18 1:37PM Store#020753 COMMERCIAL Rev Hist Unit Extended Job Description__ _ _______ /Article# ID __Qty___Price __ Price __Total Payment History: Summary: 158.81 Parts 116.33 Labor 42.48 Shop�Supplies-, 0.00 AID: PIN NOT VERIFIED Total Tendered 158.81 Sub`=Total -' 158.81 Li , � Fr'-")Taxi Tota` (3 2101:660) 0.0$158.810 (.�..7 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) 08/28/2018 11:09AM 97.49 CITY OF C 317.509.8239 Ext.BRENT All parts are new unless otherwise specified. I verbally approved any change to the original estimate, including price or services. ��II 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 020753-190605 lrit� € WWW.FirestoneCompleteAutoC�re.comas 4VSupport ASE URNC �1, STD FCAC LASER 7008335-48110392 REV 11/11 Pa�.2of. �� 2j�- -- � es111t�T iand€ it +^ Certification 2 ' . S.A, C3nti D3=CSP :,UYC�k�0T1V�:[3EP�'JR See reverse side for Warranty Information ,ft('� Inv1 160324.503001 • Inspect All Itetimis.in . . r ' ElSOHC ❑OHV [-IDIESEL Trans. ❑Auto Year Make Model Eng.Siz 21 ^ ❑DOHC ❑HYBRID Type ❑Manua V - N s Hubcap Missing Ynindshield Cracked YScratches/DejaN MILEAGE' d Lic.# State Inspection Due Month Year 'Maintenance S .'tenance Starting Tire.4 and'Tire Main Inspect Visual Schad. WhyRecommended Tire Size: Speed p oK SUG REQ int. R �� Run Flat Y f Wiper Blades ❑Front ear F � � � Ani I TPMS � Head Lights 7P Visual Tread Depth Mini Lights � 1 ❑Brake ❑Turn ❑License ❑Parking Inspect OK SUG REO OuterInner ❑FWD ❑RWD D/AWC I. Si nal Plate Left Front I Etl swear ❑ Crackin Air Filter ,I ;?� _ ra �� i t.p- ❑ g g I PSI out: 7 `'�...fri 11 upping — Na-Cabin Film, Air Filter , ❑ cros Re PCV Valve ' u;i+ _.J�) +�_ V- J ❑ Cullariry ❑ Non-Repairable Washer Fluid n. o t. ` El El [3crack ng t ❑ Cupping Nails �.' ❑ Cuts ❑ Repairable Oil Level p++�q ❑ Irreguiariry ❑ Non-Repairable Power Fluid Level F�7 E 71 R llt Rear s+" ` i i Y i '' ❑ Eegewear ❑ Cracking Master Cyl.Fluid sin " ( �^ r ❑ cupping ails Level ❑ Brake Inspection d 1 ❑ cuts ❑ rade Brake Fluid Flush � �WI� T ` " Yiry�G li ( ; y ❑ Irreguia ry Non-Repel able o er arts er mi w Trans.Service �11i ❑ Flush Left Rear �. �' ❑ Edgewear ❑ cracking Auto/'Manual I N ❑ Pan Service I I P o r'' I I ❑ Cupping Nails ool_evea/tFlush � Type ',� �' r ❑ cuts ❑ Repairable "�.3_, I '-�-� I� \ � ❑ Irtegulariry ❑ Nan-RePaireble Coolant Hoses ❑Upper ❑Lower ❑Bypass ❑Heater Spare r' /^ f ❑ Edgewear ❑ crack ng Oji C1 Belts ❑"V" El ALT E]PS Belts P51 In: PSI Out: ❑ Cupping Nails ❑Se 1 GI ❑A/C ❑AP 1 2 3 4 n e 3attery ❑ cros ❑ Repai able ❑ Good ❑Marginal ❑ Replace v 6 ! r. ❑ Irteguladry ❑ Non-Repalrable °D-18 Test ( g P ' 3attery I I1 ❑ Cable Ends/Cables ❑NeS ❑Hold Downs Tire Maintenance ❑Rotation ❑Balance accessories i-_ I I1 3attery Gard ❑Corrosion ❑Preventive Alignment Check EIM� ❑Maintenance ❑Tire Wear Complete I I /StartingIn Addition to The;OLbovd Inspect All ItiI Below Brakds ASS YES 1�10 Visual Pads Inspect Salad' + Why Recommended + a e s ter than 6mm(Disc)or Shoes greater than, (Drum OK SUG REO itart/Charge (tel t I Padsgrea�rtltan3mrnar,[esstitan6mm(Disc)arSltoesgreater thart�7;6in`rnail'eTthtet2,d'rm�)i -est I I Documeniw.-hIclitspeclflc measurements&minimum`s'peclficatiopa below 3eft Ten'sici ler r nl a Pads less than73mm(Disc)or Shoes less than Y-6mm D e ocum�n?vehicles 6218.measurements&minimum s clfic. 'park Plugs LF Pad qF Pad =uel Filter Actual013 Actual i Meas. Meas. cuel System �`'� 7 Service I !.i � 3MMActual MachineMachine MM Actual gnition Wires TO To lalve Cover Discard Discard Basket I b 1 TI MM Spec. At At MM Spec. 'ower Steering .17— ❑ Pressure ❑ Return LR Pad/Shoo • Drum RR Rotor RR Pad lose 1 riming Belt Meas Mc�I Machine Machine NMExhaust , I Ac4al U To 11 L3 To r Exhaust System ❑Intermediate Pipe ElMuffler ❑Tailpipe Discard Discard MM Spec. At At MM Spec s - • Rear Clean/Adj U-Joint ❑Front E]Rear Brake Hose(s) MMAchal Idler/Pitman Arm ' ❑Idler ❑Pitman ririll Parking Cables Center Link ^ Other Brake Wheel _17-Front !—_lt Services Hardware Caliper C Ilnder Repack Bushings ''``''�� EI Arm El Bar •,�.. Fir- ❑Rear Notes: r ` _ink Pins jam? `I ❑Front C�Left ❑Right 1 l__CI 1 ❑Rear LJ Left HR ht Tie Rod Ends ❑L Out ❑L In ❑R In ❑R Out ❑Sleeve(s) Rall Joints ElL Upper EIR Upper / � R ElL Lower ElR Lower Sec — Actual Assembl (_ Rack 8 Pinion i71; J 1171 CV Boots M: ❑L Out ❑L In ❑R In ❑R Out CV Joints M ❑L Out ❑L In ❑R In ❑R Out Struts �` �'`�' ❑Front ❑Left ❑Right 3 k 1 4' ❑Rear ❑Left ❑Ri ht Shacks (� ❑Front ❑Left ❑Right p F ❑Rear ❑Left ❑Riht OK Repoli]%Replacement;SutlAested epi r 1 eD acemerd Regmred *Checked & 1) Close tg end of useful life rBfl-jwFtmWtd longs Iotc dad p tpose2) Address customer request/rived/convenience ign speciffption 3) Comply v nth dation STEP 5STEP 7 4)Tech'nkian reeommendationfromexperience r..«. r ,.t ,.: INSPr=CTED BY RE-INSPECTED BY