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HomeMy WebLinkAbout330589 10/02/18 (9, CITY OF CARMEL, INDIANA VENDOR: 00351179 ONE CIVIC SQUARE FIRESTONE TIRE&SERVICE CENTER CHECKAMOUNT: $********76.51* CARMEL, INDIANA 46032 PO BOX 403727 CHECK NUMBER: 330589 ATLANTA GA 30384-3727 CHECK DATE: 10/02/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4351000 191349 76.51 AUTO REPAIR & MAINTEN VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) Vendor# 00351179 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER FIRESTONE TIRE &SERVICE CENTER IN SUM OF$ 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 $76.51 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 191349 43-510.00 $76.51 1 hereby certify that the attached invoice(s),or 9/21/18 191349 Oil chance and fire rotation for#4 Sheeks $76.51 1192 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, September 27,2018 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 distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer WORK ORDER F!RE,z3-[DNE'COMPLETE AL�DCARE SERVICE ADVISOR 1Q1349 1314SRANGE LINE RD 10 CHRIS 11912112018 CARMEL. IN. -41 317�48�588U 2018TDY[[[ARAV4LE COYOFCARk4EL. BU�LD|NS& CODE 2.51- LA F-1 GAS 1 C|ViCSo LIC#- VIN JTI,0BFREVX8J710582 CARMEL,11,J 416032'2584 IN DQ/21/2O18D1:45PM EST.MILEAGE 8.O7Q 317.509.8403xmike DUE: O7:15AMOQ/25Drop Off APPT-Yes PO# Store# 020753 !NFOALESrOMAllE Adbde Extended Job Des:ripdon Nunober 'r'# C)b/ Part Labor Price Total COURTESY CHECK 0.00 CDURTESYCHECK 817046930 1 NIC N/C 5 OT. NAOONAL ACCOUNT LOF V�D� RC0��ON 70.51 F1<G: 01 FL/LL SY\0AEDC 0L CHANGE UPTD 5 urs 4UQTS. ' - � Lf i , —1 he Mar1jy1;.;C4t ai P��m�/ _ _- / �/`� ^ . 'i �^ -'' u«+2u x/��L/� / ' �� /�\ 4Q3O/� ,� /c�4Q�O � ' ^ U . L/ | �n �-` � - / i '-/ '`-r. / r��xmu�ux�u _��� - - -U370033�5- - 1 �425 � 425 PK8O2TIRE ROT A-1101\1 I IRE ROTATION 047015032 4 4.08 1872 ORDER NDTES DrivingCondiUons |ndude: DUS1-YCDND0ONS ` Flat raf2o1argeUper (nUsnna|� 1A u,"�(�Uormanua� Pa�s ' 53�4 ~ � Time In:O1:45PMOQ%21/2O18 PaCtsReturn: No 22.G T ` Cusi Si.abus: Drop Off AppLYes PayTvpe: Lnspeofied 31 lop S,LI Pp 0l0 vVhel Lock LE ub 78.51 PSI- RUVFD OQD MOTORIST ���u�yo ,��2 ' }orquAssURANCE ?� -�%«uo ot \ 78.51 STANDARDS rpexu,pmmnwEnsPA/o �^` /*cxmmwLsoaE THAT I HAVE REVIEWED THIS DOCUMENT OF REPAIR AND SERVICE WORK.I HEREBY AUTHORIZE THE ABOVE WORK roaeDONE,INCLUDING THE INDICATED, pwnnS 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 BY AN INVOICE.I UNDERSTAND IF AoomomAL WORK mneoumED,vouWILL OBTAIN m,vsnoALonWRITTEN AUTHORIZATION BEFORE ANY xoomowALmmnx/sBEGUN,UNLESS OTHERWISE SPECIFIED nwTHIS DOCUMENT. Please dnnot leave Cell Phones,CDs,Money,Jewelry,o,any other vehicle. FinestonoCoff1g�q� 'jkyW�.Care ionmuand will not beheld mmponaidg1WyY#is*"sih6�rii0g`items.