HomeMy WebLinkAbout184267 04/14/2010 CITY OF CARMEL, INDIANA VENDOR: 00351179 Page 1 of 1
ONE CIVIC SQUARE FIRESTONE TIRE SERVICE CENTER CHECK AMOUNT: $35.49
ro CARMEL, INDIANA 46032 1314 RANGELINE ROAD
CARMEL IN 46032 CHECK NUMBER: 184267
CHECK DATE: 4/14/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4351000 101671 35.49 AUTO REPAIR MAINTEN
Iu'inr 1 CARMEL 03 KRISTI
03131/2010 1314 S RANGE LINE RD 317.848.5886
CARMEL, IN. 46032
2007 FORD ESCAPE HYBRID
CITY OF CARMEL, BUILDING CODE 4 -140 2.3L DOHC
1 CIVIC SO Lic 04- IN Vin
CARMEL, IN 46032 -2584 In: 03/31/10 11:34AM Mileage: 25,078
317.509.7614 Out: 03/31/10 12:20PM
Store 02 0753 COMMERCIAL
Rev Hist Unit Extended Job
Description /Article ID Qty Price Price Total
SYNTHETIC BLEND OIL CHANGE UP TO 5 Qts 03 35.49
OIL CAP 4.5 QTS.
OIL VISC SAE 5W -20 Premium Synthetic Blend Motor Oil
The Manufacturer recommends an Oil Change based on
mileage of 3000 miles but also limited according to
duration of 3 months See Owner's manual for specific
requirements.
OIL CHANGE LABOR 7029718 07NN 1 9.00 9.00
5W20 SYNTHETIC BLEND UP TO 5 OTS 7023809 07NN 1 20.00 20.00
P960 OIL FILTER 7005781 07NN 1 3.99 3.99
USED FILTER RECYCLING CHARGE 7075051 07NN 1 2.50 2.50
TIRE ROTATION WARRANTY N/C 03
TIRE ROTATION 7001121 07NN 4 N/C NIC
COURTESY CHECK 03
COURTESY CHECK 7046930 07NN 1 N/C N/C
ORDER NOTES
RED PAINT ALL OVER FRONT END PTS
OIL LOW PTS
Technician(s):
07 PHILLIP MELICK
Payment History: Summary:
Comm /Dlr Acct 35.49 Parts 23.99
Total Tendered 35.49 Labor 11.50
Shop Supplies 0.00
Sub -Total 35.49
Tax Exempt(31201660) 0.00
Total $35.49
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 j
agreement with the issuer.
Customer Signature L 40"
All parts ar otherwise specif�ie�d. 4 r
r
dined Work: 1 acknowledge notice and oral approval of
AIR FILTER
an increase in the original estimated price.
RECEW
MAR 31 2010
s� Signature or Initials
V5,
9 p��`��
COMMITTED TO PROVIDING A POSITIVE CUSTOMER EXPERIENCE
'age I or
Inv1 091014.306004
R
VOUCHER NO. 4 WARRANT NO.
ALLOWED 20
Firestone Complet Auto Care
IN SUM OF
2021 Sunnydale Blvd.
Clearwater, FL 33765
$35.49
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1192 101671 43- 510.00 $35.49 I hereby certify that the attached invoice(s), or
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, A 07, 2010
Director, CS
Ti e
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev. 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
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.
Payee
Purchase Order No.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
03/31/10 101671 Oil Change, filter Unit 5 $35.49
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
Clerk- Treasurer