185725 05/26/2010 CITY OF CARMEL, INDIANA VENDOR: 00351179 Page 1 of 1
ONE CIVIC SQUARE FIRESTONE COMPLETE AUTO CARE CHECK AMOUNT: $36.03
s °a CARMEL, INDIANA 46032 2021 SUNNYDALE BLVD
'4y� CLEARWATER FL 33765 CHECK NUMBER: 185725
CHECK DATE: 5/26/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4351000 101144 36.03 AUTO REPAIR MAINTEN
May. 18. 2010 11:12AM No. 8851 2
P 1 of t
Customer invoice FIRESTONE COMPLETE AUTO CARE Service Advisor,
101144 1314 S RANGE LINE RD Travis Kellen'
3/12/2010 CARMEL, IN 48032 (317)848 -5886
Duplicate Invoice
2008 Ford Escape Hybrid
City of Carmel, Building Code 4 -140 2.3L DOHC
One CIAO Square LIc#: 03 -74793 IN Mind:
Carmel, In 46032 In: 3/12/2010 9:01:00 AM mlleaga: 18098
(317)509 -7814 Out: 3/121201010:27:27 AM
POi121627
Store* 20753 COMMERCIAL Rag*
DS9CdOtlon Nuumb@ I$ Unit
do Total
Notes 0.00
TRANSFER CASE RIGHT OUTPUT SHAFT 5E 0 0 0 0100 0,00
ALL TIRES LOW PTS, TPMS LIGHT ON 0 0 0 0.00 0.00
FRONT ROTORS HEAVILY RUSTED AND PIT 0 0 0 0.00 0.00
COURTESY CHECK 0.00
COURTESY CHECK 7048930 215 1 0.00 0.00
TIRE ROTATION -WARRANTY NIC 0100
TIRE ROTATION 7001121 216 4 0.00 0.00
SYNTHETIC BLEND OIL CHANGE UP TO 5 33.49
4.5 QTS. 0 0 0 0.00 0.00
SAE 5W -20 Premium Synthetic Blend M 0 0 0 0.00 0.00
The Manufacturer recommends an Oil 0 0 0 0.00 0.00
OIL FILTER 7005781 215 1 199 3 -80
USED FILTER RECYCLING CHARGE 7075051 215 1 2.50 2.60
OIL CHANGE LABOR 7029718 215 1 9.00 9.00
5W20 SYNTHETIC BLENP UP TO 5 QTS 7023809 215 1 20.00 20.00
Techniclan(s):
41 JONES, BRANDON
Payment HiatM
Charge Tendered 36,03
summary:
Remit to: Firestone. P.O. Box 403727, Atlanta, GA 30384 -3727 Parts 23.99
labor 11.50
THANK YOU Sn0p Supp, 0.54
Sub -Total 36.03
Tax (7.00°A) 0.00
Total 36.03
hhite
A
VOUCHER NO. WARRANT NO.
Fires`t'one Complet Auto Care ALLOWED 20
IN SUM OF
2021 Sunnydale Blvd.
Clearwater, FL 33765
$36.03
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS Department
PO# Dept. INVOICE NO. ACCT #ITITLE AMOUNT Board Members
1192 101144 43- 510.00 $36.03 1 hereby certify that the attached invoice(s), or
bills) is (are) true and correct and that the
materials or services itemized thereon for
which change is made were ordered and
received except
Monday, May 24, 2010
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (hev. 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))
03/12/10 101144 Oil Change $36.03
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