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HomeMy WebLinkAbout331167 10/17/18 y ur C�q� CITY OF CARMEL, INDIANA VENDOR: 00351179 ONE CIVIC SQUARE FIRESTONE TIRE&SERVICE CENTER CHECK AMOUNT: $*******803.92* •i'� a CARMEL, INDIANA 46032 PO BOX 403727 CHECK NUMBER: 331 167 ETON�°r ATLANTA GA 30384-3727 CHECK DATE: 10/17/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 911 4351000 190826 803.92 AUTO REPAIR & MAINTEN VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) ALLOWED 20 ACCOUNTS PAYABLE VOUCHER Vendor# 00351179 FIRESTONE TIRE&SERVICE CENTER IN SUM OF$ 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 $803.92 ON ACCOUN OF PP OP_RIATION FOR Purchase Order# L I Terms Pro'ect#2018-911_and Task 20,8r2N Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 190826 43-510.00 $803.92 1 hereby certify that the attached invoice(s),or 9/8/18 190826 $803.92 911 911 911 911 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 Wednesday, October 10, 2018 Dwight Frost Major 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 Customerinvoice FIRESTONE COMPLETE AUTO CARE Service Advisor: 190826 CARMEL 1 NICK 9/8/2018 1314 S RANGE LINE RD 317.848.5886 CARMEL,IN 46032-2932 Re-Printed on 10/9/2018 3:33:33 PM DUPLICATE INVOICE CARRY OUT CARMEL PD,JASON OGLE [P] 3 CIVIC SQ Lic#: NCDO01 IL Vin#: -1 NCD CARMEL,IN 46032-2584 In: 9/5/2018 9:15:11 AM Mileage: 0 Out: 9/8/2018 8:52:24 AM PO#CARMEL POLICE Store# 020753 d/c Rev Hist Unit Extended Job Description /Article# ID Qty Price Price Total PRIMEWELL TIRE PACKAGE 01 227.96 [7130]PRIMEWELL ST500 BL 205/75R15 D No Mileage Warranty 3469 01 4 56.99 227.96 4 qty DOT#9UL3 1518 GENERAL TIRE PACKAGE 01 575.96 15502750000 ALTIMAX RT43 BL 255/45R19 XLV 7099618 01 4 143.99 575.96 4 qty DOT#V6TA1XV2718 Payment History: Summary: CommIDlrAcct 803.92 Parts 803.92 Labor 0.00 Total Tendered 803.92 Shop Supplies 0.00 Sub-Total 803.92 Tax(7.00%) 0.00 Total 803.92 Remit To:Bridgestone Retail Operations,LLC P.O.Box 403727 Atlanta,GA 30384-3727 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 Historw Amt Init Customer Signature All parts are new unless otherwise specified. 1 hdp9/bs.bfr.bfrco.comfl ciceRepdnt/content/020753 l90826.pdf