HomeMy WebLinkAbout199003 07/06/2011 CITY OF CARMEL, INDIANA VENDOR: 00351179 Page 1 of 1
ONE CIVIC SQUARE FIRESTONE TIRE SERVICE CENTER CHECK AMOUNT: $31.49
CARMEL, INDIANA 46032 PO BOX 403727
4•,c �o�iu ATLANTA GA 30384 -3727 CHECK NUMBER: 199003
CHECK DATE: 7/6/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4351000 112633 31.49 AUTO REPAIR MAINTEN
Page 1 of 1
Customer Invoice FIRESTONE COMPLETE AUTO CARE Service Advisor:
112633 1314 S RANGE LINE RD Chad Thiel
4/19/2011 CARMEL, IN 46032 (317)848 -5886
Duplicate Invoice
2008 Ford Escape Hybrid
City Of Carmel. Building Code 4 -140 2.31- DOHC
One Civic Square Lic 05 -74792 IN Vin
Carmel, In 46032 In: 4/19/2011 2:14:00 PM Mileage: 33087
(317)670 -0114 Out: 4/19/2011 3:10:12 PM
Store# 20753 COMMERCIAL Reg#
Article Unit Extended Job
Description Number QTY Unit
Price Total
SYNTHETIC BLEND OIL CHANGE UP TO 5 31.49
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 204 1 3.99 3.99
USED FILTER RECYCLING CHARGE 7075051 204 1 2.50 2.50
OIL CHANGE LABOR 7029718 204 1 9.00 9.00
5W20 SYNTHETIC BLEND UP TO 5 QTS 7023809 204 1 16.00 16.00
COURTESY CHECK 0.00
COURTESY CHECK 7046930 204 1 0.00 0.00
Technician(s):
LOMBARDI, MARIO
Payment History:
Charge Tendered 31.49
Summary:
Remit to: Firestone, P.O. Box 403727, Atlanta, GA 30384 -3727 Parts 19.99
Labor 11.50
THANK YOU Shop Supp. 0.00
Sub -Total 31.49
Tax (7.00 0.00
Total 31.49
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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))
04/19/11 112633 Oil Change $31.49
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
VOUCHER NO. WARRANT NO.
Firestone Complet Auto Care ALLOWED 20
IN SUM OF
P.O. Box 403727
Atlanta, GA 30384
$31.49
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO# Dept. INVOICE NO. I ACCT #rrITLE AMOUNT Board Members
1192 I 112633 I 43- 510.00 I $31.49 1 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
Thursday, June 30, 2011
Direct
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund