206231 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 00351179 Page 1 of 1
ONE CIVIC SQUARE FIRESTONE TIRE SERVICE CENTER
s 0
CARMEL, INDIANA 46032 PO BOX 403727 CHECK AMOUNT: $334.66
ATLANTA GA 30384 -3727 CHECK NUMBER: 206231
CHECK DATE: 2/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4351000 119371 334.66 AUTO REPAIR MAINTEN
Feb, 6. 2012 3:01 PM No. 2878 P. j 2/2 1
Customer Invoice FIRESTONE COMPLETE AUTO CARE service Advisor.
110371 1314 S RANGE LINE RD Wes Hoane
12/13/2011 CARMEL, IN 46032 (317)846-5888
Duplicate invoice F EB
6201
2006 Ford Escape Hybrid Cs J
City Of Carmel, Building &Code 4.140 2.31. DOHC
One Civic Square Lsd: 74702 IN ,__Vln#-
Carmel, In 46032 In: 12/1312011 12;58;00 PM Milo age:.30843
(317)509.8239 Out: 12/13/2011 3;05;54 PM
Store# 20753 COMMERCIAL Reg#
D95C iL Ion Article T# Unit Extended jah
Number Price Price Total
Notes 0.00
NONE OF THE ABOVE 0 0 0 0.00 0.00
NO CHARGE BRAKE INSPECTION 0,00
NO CHARGE BRAKE INSPECTION 7001122 199 1 0.00 0.00
PULSATION 0 0 0 0.00 0.00
SYNTHETIC BLEND OIL CHANGE UP TO 5 36.49
4.5 QTS. 0 0 0 0100 0.00
SAE 5W -20 Premium SynlheGc Blend M 0 0 0 0.00 0.00
The Manufacturer recommends an Oil 0 0 0 0.00 0.00
OIL FILTER 7005781 195 1 3.99 3.99
USED FILTER RECYCLING CHARGE 7075051 195 1 2.50 2.50
OIL CHANGE LABOR 7029718 195 1 7.51) 7.50
5W20 SYNTHETIC BLEND UP TO 5 QTS 7023809 195 1 21.50 21.50
ENG OIL CAP QTS: 4.5 0 0 0 0.00 0.00
STANDARD BRAKE SERVICE FRONT 298.17
BASIC BRAKE JOB FRONT 7030287 199 1 71,20 71.20
CERAMIC DISC BRAKE PAD SET 7009483 199 1 69.99 69.99
BRAKE ROTOR 7000553 199 2 76.99 157.98
Technician(s):
OHARA, JOHN
13ENEFIEL, RYAN
Payment History:
Charge Tendered 334.66
Summary
Remit 1o: Firestone, P.O. Box 403727, Atlanta, GA 30384 -3727 Pans 253,46
Labor 81.20
THANK YOU Shop Supp, 0.00
Sub -Total 334.66
Tax (7.00 0.00
Total 334.60
hhite
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))
12/13/11 119371 Brake repair $334.66
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.
ALLOWED 20
Firestone Complete Auto Care
IN SUM OF
P.O. Box 403727
Atlanta, GA 30384
$334.66
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO# Dept. INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Prior Year I hereby certify that the attached invoice(s), or
1192 I 119371 I 43- 510.00 $334.66
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
Monday, F bruar 13 12
a
Director
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund