HomeMy WebLinkAbout332661 11/21/18 ®� CITY OF CARMEL, INDIANA VENDOR: 00351179
ONE CIVIC SQUARE FIRESTONE TIRE&SERVICE CENTER CHECK AMOUNT: $***"***938.88*
• a°. CARMEL, INDIANA 46032 PO BOX 403727 CHECK NUMBER: 332661
ATLANTA GA 30384-3727 CHECK DATE: 11/21/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1110 4232000 102059 192819 938.88 8 TIRES
VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Vendor# 00351179 ALLOWED 20 ACCOUNTS PAYABLE VOUCHER
FIRESTONE TIRE&SERVICE CENTER IN SUM OF$ 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
$938.88
ON ACCOUNT OF APPROPRIATION FOR Purchase Order#
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
102059 192819 42-320.00 $938.88 1 hereby certify that the attached invoice(s),or 11/5/18 192819 tires x 8 $938.88
1110 101 1110 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
Friday, November 16,2018
Jim Barlow
Chief
I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and l 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:
192819 CARMEL 30 ALAN
11/05/2018 1314 S RANGE LINE RD 317.848.5886
CARMEL, IN. 46032-2932
CARMEL PD, JASON OGLE [P]
3 CIVIC SQ Lic M Vin M
CARMEL, IN 46032-2584 In: 11/02/18 2:10PM' Mileage: 0
317.571.2546_ Out: 11/05/18 1:25PM
PO#102059
Store#020753 COMMERCIAUGOVERNMENT PO#102059
Rev Hist Unit Extended Job
De_scripttion__________________ /Article# ID Qt�__Price __ Price _ Total
FIRESTONE TIRES 30 938.88
***ON.WAY FROM TP CARMEL. NAPA***
[7130]NET DESTINATION LE2 P-METRIC OWL 097912 NN 8 117.36 938.88 -
P265/70R17 113T
DOW--8XT6DE13418 -
DOT# 8XT6DE13418 -
DOT#� 8XT6DE13418
DOT# 8XT6DE13418 - _-
_ � € �d_ — 7�— / L-�
DOT#._8XT6DE1f3518 ' �J ;t �.^ 3 ! .. ,, ,a tm !ml aL
DOT# 8XT6DE1-3518.___
DOT# 8XT6DE13518
DOT# 8XT6DE13518
Payment History: Summary:
938.88 Parts 938.88
Labor 0.00
Shop Supplies 0.00
Total Tendered 938.88 Sub-Total 938.88
Tax Exempt(0031201550) 0.00
Total $938.88
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
Information on tire warranty, maintenance,and safety can be located at
https://www.firestonecompleteautocare.com/tires/warranty-options/
or by calling toll free 800-847-3272 to obtain a free printed copy
All parts are new unless otherwise specified.
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