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
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I IRE ROTATION 047015032 4 4.08 1872
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/*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.