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Home My WebLink About189778 09/14/2010 CITY OF CARMEL, INDIANA VENDOR: 00351179 Page 1 of 1 0 ONE CIVIC SQUARE FIRESTONE COMPLETE AUTO CARE CARMEL, INDIANA 46032 Po Box 403727 CHECK AMOUNT: $482.95 ATLANTA GA 30384 CHECK NUMBER: 189778 CHECK DATE: 9/14/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4232000 105998 482.95 TIRES TUBES s custorner Invoice FIRESTONE COMPLETE AUTO CARE Service Advisor: I „x.,,.1.05998 CARMEL 01 TRAVIS 09/03/2010 1314 S RANGE LINE RD 317.848.5886 rARMEL, IN. 46032 CITY OF CARMEL, BUILDING &CODE 7 2005 FORD ESCAPE HYBRID [WHITE] I. ti,D.1 CIVIC SQ Lic 68648 IN Vin M 1 FMCU96H76KA26087 r CARMEL, IN 46032 -2584 In: 09/02/10 10:04AM Mileage: 68,948 317.571.2418 xLISA Or 317.509.9182 xADAM Out: 09/03/10 8:22AM Sto 020753 COMMERCIAL Rev Hist Unit Extended Job I Description__ /Art_icl_e_# ID_ Qty _Price P rice_ Total I I FIRESTONE TIRES WITH UNI -T, PACKAGE 01 422.96 M 054375 DESTINATION LE W! UNI -T P OWL P235170R16 054375 13NN 4 96.99 387.96 r f ,1', ;�:r XL107S q10 ate,_ DOT# VN08D103210 DOT# VN08D103210 DOT# VN08D103210 DOT# VN08DIO3210 4, r <r11r�I��K INDIANA. TIRE FEE 7095$34 13NN 4 0.25 1.00 LIFETIME NEW TIRE WHEEL BAL -PARTS 7025194 13NN 4 2,00 8.00 +i LIFETIME °tvEW TI RE WHEEL BAL LABOR 7001725 13NN 4 3.00 12.00 t 1 LIFETIME RUBBER VALVE 7024341 13NN 4 1.00 4.00 TIRE DISPOSAL FEE (1) 7075078 13NN 4 2.50 10.00 y` TIRE INSTALLATION 7015016 13NN 4 N/C N/C ALIGNMENTS 01 59.99 ALIGNMENT SERVICE 7004578 10NN 1 59.99 59.99 COURTESY CHECK 01 COURTESY CHECK 7046930 10NN 1 N/C N/C j Technician(s): I 10 FRANKLIN PETRARCA 13 MALACHI BOWEN I Payment History: Summary: "s CommIDIr Acct 482.95 Parts Total Tendered 482.95 Labor 82.99�;i Shop Supplies 0 00 Sub -Total ��,,�482'95 Tax Exempt(31201660),1,O OOi I Is?�;11 I Total 4 Ali 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 Initial here to indicate you have received the Tire Maintenance Warranty Book. 10' 'parts are new unless otherwise specified. .3 I 1 I {y TELL US ABOUT YOUR EXPERIENCE AND RECEIVE $10 OFF YOUR NEXT PURCHASE OF $25 OR MORE! 1,1r Ir 1) For a short survey Call 1- 800 859 -9203 or logon to www.FirestoneSurvey.com; enter code 020753 105998 2) Write redemption code here: Offer expires 6 months from date of invoice, good at all participating locatid `I 11 �y Must have valid redemption code. May not be used to reduce existing debt. No copies accepted. COMMITTED TO PROVIDING A POSITIVE CUSTOMER EXPERIENCE Page 1 or I Inv1 100608.306104i't.i �u�. TES INSPECT ALL ITEMS IN T OP SECTIO Year Make L M odel —F 5 El SOHC 0011V DIESEL Trans. ❑Auto ERgSi. ❑DOHC El HYBRID Type" al C Hubcap Missing Y N Windshield Cracked Y s Y N Scratches /Dent N MILEAGE Lic. State Inspection Due Month Year INSPECT VISUAL scHED. WHY RECOMMENDED TIRE SIZE: SPEED RUN FLAT Y N OK SUG REQ MAINT RATING F WIPER BLADES U ❑FRONT ❑REAR T TPMS Y N HEADLIGHTS R J J TURN LICENSE INSPECT VISUAL TR DDDGS ❑FWD ❑RWD ❑4WDlAWD MINI LIGHTS U ❑BRAKE SIGNAL E:] PLATE PARKING OK SUGHBECL OUTE INNER AIR FILTER SI IN_ LEFT FRONT �j EDGEwEAR CI CRACKING PSI OUT: CUPPING NAILS CABIN' CUTS REPAIRABLE BLE AIR FILTER 3 o IRREGULARITY' PCV VALVE RI HT FRONT L] EDGEwEAR El CRACKING WASHER FLUID PSI�� O a CUPPING NAILS OIL LEVEL y CUTS REPAIRABLE I IRREGULARITY POWER STR. FLUID LEVEL HT REAR I El EDG EWEAR CRACKING MASTER CYL FLUID PSI IN: PSI OUT: I o Y �I J,r CUPPING NAILS LEVEL F1 BRAKE INSPECTION I�I CUTS REPAIRABLE BRAKE FLUID FLUSH TEST STRIP FAILURE Y N I IRREGULARITr P ti TRANS. SERVICE FLUSH REAR w -"F- n Ir I. 1 EDGEwr =AR El-CRACKING.- MANUAL El PAN SERVICE PSI OUT R CUPPING NAILS AUTO/ COOLANT h CUTS REPAIRABLE LEVEL /FLUSH TYPE �t 'l IRREGULaRm P COOLANT HOSES ❑,UPPER. LOWER BYPASS HEATER SPARE EDGEWEAR CRACKING VA "V" ❑ALT UPS BELTS PSI IN PSI OUT: CUPPING NAILS BELTS ❑SERP I ❑A /C ❑AP 1 2 3 4 El CUT 11 REPAIRABLE BATTERY I GOOD F-1 MARGINAL REPLACE El IRREGULARITY A BLE ED- 18TFST L BATTERY El ACCESSORIES CABLE ENDS /CABLES NOEG El HOLD DOWNS TIRE MAINTENANCE ❑ROTATION ❑BALANCE BATTERY GARD CORROSION PREVENTIVE ALIGNMENT CHECK MAINTENANCE TIRE WEAR IN 1 0 INSPECT VISUAL sCHED. WHY RECOMMENDED vSUAL WHY RECOMMENDED OK SUG REQ MAINT. IN SPECT OK SUG RE SESRT /CHARGE FRONT PADS L. A RF 32".. 3Pors BELTTENSIONER U OR FRONT CALIPERS WORN ABS Y N WORN SPARK PLUGS LF ROTOR RF ROTOR FRONT ROTORS FUEL FILTER ACHINETO: DISCARD: FUEL SYSTEM ACT. ACT. SERVICE REAR SHOES LR RR IGNITION WIRES PADS I- 32— oR °5 CAUPERS/ ABS Y N VALVE COVER REAR 1NORN WORN LR DRUM /ROTOR OR WHEEL CYL. GASKET DRUMS/ RR DRUWROTOR POWER STEERING PRESSURE RETURN REAR ROTORS HOSE MACHINETO: DISCARD: TIMING BELT ACT. ACT. EXHAUST HARDWARE! I I FRONT El REAR ADJUSTERS L_ REAR CLEAN! 'EXHAUST SYSTEM INTERMEDIATE PIPE MUFFLER TAILPIPE ADJUST WHEELBEARINGREFACK WHEEL BEARING FRONT BEARINGS/ FRONT 1 I BEARINGS /SEALS REPACK REAR SEALS REAR U -JOINT FRONT REAR BRAKE HOSE(S) Li LQJ LF RF LR RR IDLER /PITMAN ARM U IDLER F PITMAN PARKING CABLES LEFT RIGHT FRONT CENTER LINK NOTES: BUSHINGS ❑CONTROL ARM ❑SWAY BAR El FRONT REAR LINK PINS ❑FRONT ❑LEFT ❑RIGHT ❑REAR ❑LEFT ❑RIGHT TIE ROD ENDS U L OUT L IN E] R IN ROUT SLEEVE(S) L UPPER R UPPER BALL JOINTS El L LOWER R LOWER SPEC ACTUAL RACK PINION ASSEMBLY CV BOOTS LOUT L IN R IN ROUT CV JOINTS L OUT E] L IN R IN ROUT STRUTS El FRONT ❑LEFT ❑RIGHT ❑REAR ❑LEFT ❑RIGHT SHOCKS L FRONT ❑LEFT ❑RIGHT REAR CLEFT LRIGHT OKp. REPAIR /REPLACEMENT SUGGESTED RF,P.AIR(RE!?L GEMENiAAfOUINED CHECKED 1) CLOSE TO ENO OF USEFUL LIFE 109 RFO P Sy !DE�O P SE V ACCEP•T�Bf E 2) ADDRESS CUSTOMER REQUEST /NEED /CONVENIENCE B) Of5 NO OESIG WAR ON 3) COMPLY WITH MANUFACTURER RECOMMENDATION MIS) STEP 5 STEP 7 4 TECHNICIAN RECOMMENDATION FROM EXPERIENCE INSPECTED BY RE- INSPECTED BY VOUCHER NO. WARRANT NO. Firestone Complet Auto Care i ALLOWED 20 1 IN SUM OF P.O. Box 403727 Atlanta, GA 30384 $482.95 ON ACCOUNT OF APPROPRIATION FOR 1 I Carmel DOCS Department PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members 1192 105998 42- 320.00 $482.951 1 hereby certify that the attached invoice(s), or j bill(s) is (are) true and correct and that the I materials or services itemized thereon for i which charge is made were ordered and i received except Friday, September 10, 2010 hector, D ?�s Title 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)) 09/03/10 105998 Tires Unit 92 Adam $482.95 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