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Home My WebLink About212195 08/28/2012 CITY OF CARMEL, INDIANA VENDOR: 00351179 Page 1 of 1 ONE CIVIC SQUARE FIRESTONE TIRE&SERVICE CENTER CARMEL, INDIANA 46032 PO BOX 403727 CHECK AMOUNT: $35.49 ATLANTA GA 30384-3727 CHECK NUMBER: 212195 CHECK DATE: 8/2812012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1192 4351000 125596 35 .49 AUTO REPAIR & MAINTEN Customer Invoice FIRESTONE COMPLETE AUTO CARE Service Advisor: 125596 CARMEL 03 CRAIG 08/15/2012 1314 S RANGE LINE RD 317.848.5886 CARMEL, IN. 46032-2932 2008 FORD ESCAPE HYBRID CITY OF CARMEL, BUILDING & C6DE 4-140 2.3L DOHC 1 CIVIC SQ Lic#: 59979 IN Vin M CARMEL, IN 46032-2584 In: 08/15/12 12:21PM Mileage: 41,742 317.571.2418 xLISA Out: 08/15/12 4:08PM Store#020753 COMMERCIAL Rev Hist Unit Extended Job Description /Article# ID Qty Price _Price_ _Total SYNTHETIC BLEND OIL CHANGE UP TO 5 Qts 03 35.49 4.5 QTS. SAE 5W-20 Premium Synthetic Blend Motor Oil The Manufacturer recommends an Oil Change when an associated dash board indicator light is lit...See Owner's_manual-for specific requirements. P960 OIL-FILTER 7005781,__06NN 1 3.99-_ 3.99 5W20 SYNTHETIC BLEND UP,TO 5 QTS 7023809--06NN 1 ! 21.50` �� 21=56' USED OIL FILTER RECYCLING CHG`(1-) -` + ,s \_ 77075051-06NW, 1 2,2.501, 2:50' OIL CHANGE_LABOR____. 7029718 06NN 1 7.50 7.50 COURTESY CHECK 03 COURTESY CHECK 7046930 06NN 1 N/C N/C Technician(s): 06 JACOB GARMAN Paymer rt History: Summary: Comm/Dlr Acct 35.49 Parts 25.49 Total Tendered 35.49 Labor 10.00 Shop Supplies 0.00 Sub-Total 35.49 Tax Exempt(31201660) 0.00 Total $35.49 1 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 All parts are new unless otherwise specified. Declined Work: PRIMEWELL TIRE PACKAGE TELL US ABOUT YOUR EXPERIENCE AND RECEIVE $5 OFF YOUR NEXT PURCHASE OF$25 OR MORE.! To complete a short survey Call 1-800-859-9203 or go to www.FiresioneSurvey.com; Enter code 020753-125596 Write redemption code: . Only ONE(1) redemption allowed per invoice. Offer expires 6 months from date of 1nvoice. Good at participating locations. Must have valid redemption code. May not be used to reduce existing debt. No copies accepted Page I of I '- - STD FCAC LASER 7008335-48110392 REV 11/11 - Inv1.120510.. 402001 See reverse side for Warranty Information L9M9 TE® HA79ORlUU90(E SERVpC[E b9CRRRAN'TV Your C®rma(pllege Satisfaction is U mlp o rffant to use 7haunk you ff®r our purchase.At Firestone Complete Auto Care, our goal is complete customer satisfaction. If you have any questions or concerns regarding the service you received or our nationwide limited warranty, please contact the Manner of the store listed on the front of this document.You may also contact Bridgestone Retail Operations, LLC Customer Retention toll free at 1-800-367-3872 or visit our website at www.FiresffoneCompgeteAutoCare.com. Rued Gd 69M Guarantee" We promise that the services we perform will be fixed right the first time. If the automotive repair or service was performed improperly, then we will re-perform the service at no additional charge to you, during the established warranty period. On 4ilmte auararlteeo We value your time. If your vehicle is not ready at the time we promised, we will offer a 10% discount on your next purchase (discount cannot exceed $25.00) which is valid at any company-owned Firestone Complete Auto Care Store. The subsequent second visit must occur within one year of the original service. This discount cannot be used to reduce outstanding debt. What is Warvantied and for how gong- Most parts and services purchased at Firestone Complete Auto Care are covered by a minimum of twelve(12) months or 12,000 miles,whichever comes first, with some parts and services carrying a different warranty. Some exclusions may apply; please see details below. Warranties apply to parts irsf:-filled and service performed on private passenger vehicles. This warranty is valid at company-owned Firestone Complete Auto Care locations. Auto parts which prove to be unserviceable during the warranty period,will be replaced free of any additional charge for parts or labor, except as noted under"Exclusions", below. SERVICE PARTS LABOR Oil Change and Oil Filter 3 Months/3,000 Miles(4) 3 Months/3,000 Miles(4) Air,Fuel,Cabin Air and Transmission Filters(for workmanship and material related issues) 6 Months/6,000 Miles(4) 6 Months/6,000 Miles(4) New or Remanufactured Starters and Alternators 24 Months/24,000 Miles(4) 12 Months 112,000 Miles(4) Standard Brake Service-Brake Shoes,Disc Pads(1) Lifetime(1) 12 Months 1 12,000 Miles(4) Standard Brake Service with Brake Fluid Exchange -Brake Shoes,Disc Pads(1) Lifetime(1) 24 Months/24,000 Miles(4) Service includes:Brake Fluid Exchange/Adjust Rear Brakes(if applicable) Lifetime Brake Service-Brake Shoes,Disc Pads,Calipers and/or Wheel Cylinders, and Brake Installation Hardware(1) Lifetime(1) Lifetime(1) Shocks and Struts Lifetime 12 Months/12,000 Miles(4) Steering&Suspension Parts Lifetime 12 Months/12,000 Miles(4) Lifetime Alignment Service(2) N/A(2) Lifetime Lifetime Wheel Balance(3) Lifetime(3) Lifetime(3) ALL LIFETIME WARRANTIES ARE ONLY VALID FOR AS LONG AS 4991E ORIGINAL CUSTOMER OWNS THE VEHICLE. (1) Costs of additional brake system components,including master cylinders,rotors,drums and all additional labor,are warrantied for a period of twelve(12)months or 12,000 miles,whichever comes first. (2) Every 6.000 mites.or whenever needed,for as long as you own the vehicle. If parts are required to restore vehicle to manufacturer's specifications,then those parts and the labor required to install them are not covered. (3) Lifetime balance Is only warrantied so long as originally balanced tire remains on wheel.If needed,additional charge may apply for resetting the Tire Pressure Monitoring System(TPMS). (4) Whichever comes first. Other Service Warranty Exclusions:Replacement of anti-freeze or clamps is not included in the warranty on belts/radiator hoses.Cost of refrigerant and recharging of the air conditioning system is not included with the warranty on air conditioner parts or air conditioner compressors.Cost of additional brake system components,including rotors and drums and/or labor to restore Brake System to its safe proper operation is not included with the warranty on Brake Shoes, Disc Pads, Calipers and/or Wheel Cylinders and all other hardware.Batteries are covered by a separate warranty from the manufacturer. Tire Warranty prltff®rmatiomte Tires purchased at Firestone Complete Auto Care are covered by a Manufacturer's Limited Warranty from workmanship and material related issues. Tires may also be covered by a Supplemental Mileage Limited Warranty which varies by tire brand and model. Information about these tire warranties is provided separately at the time of purchase. GENERAL PROVISIONS(Applicable to all warranties) WHO IS COVERED BY THE WARRANTIES LISTED IN THIS DOCUMENT?This warranty covers only the original purchaser of the installed parts and/or services. WHERE WILL THE WARRANTIES BE HONORED?Take your vehicle to the Firestone Complete Auto Care Store which sold the warrantied parts and/or service work,or any other company-owned Firestone Complete Auto Care Store in the United States.Call 9-800-LOCATE-US to find a company owned location. HOW CAN A CLAIM BE MADE UNDER THE WARRANTIES?The original invoice from the store at which the original work was performed must be presented in order to get the benefit of the warranty. WHAT OTHER CONDITIONS APPLY?The obligations undertaken in these warranties are offered only on the above iterns and conditions,and may not be enlarged or altered by anyone.This warranty document does not apply to products or vehicles used for commercial,racing,or off-road purposes,or to damage caused by abuse or accident. TO THE EXTENT PERMITTED BY LAW.BRIDGESTONE RETAIL OPERATIONS, LLC.AND ITS FIRESTONE COMPLETE AUTO CARE STORES DISCLAIM LIABILITY FOR INCIDENTAL AND CGNSEOUENTIAL DAMAGES. Some states do not allow the exclusion or limitation of incidental or consequential damages, so the above limitation or exclusion maV not apply to you. CONSUMER RIGHTS This warranty gives you specific legal rights,and you may also have other rights which vary from state to state. GIVEN BY Firestone Complete Auto Care Stores identified in stamp or,if none,by Bridgestone/Firestone North American Tire,LLC, 535 Marriott Drive, Nashville,TN 37214. FCAC Laser"11'-7008335-48110392 REV.11/11 0 0 . . Year Make Model JD(1 Eng.Size ❑DO SOHC C ❑MBRID ❑DIESEL Type ❑Manual V I YVI I C I U I I G I C cratchesDen d- Hubcap Missing N indshield Cracked Y N I I ( 'N I I K 1�h7 y L I tic.# State Inspection Due Month Yea,1 N1LEAG la tres.:and To Inspect visual Sched. Why Recommended + Tire Size: Speed Run Flat Y OK SUG RED Maint. t. R�rlq Wiper Blades { .Front, ❑Rear F 2 Head Lights ❑ R 2 5 /40R�U r TPMS Y N Visual Tread Depth i Turn License (nspeot 32 d El FWD ❑RWD 4 / D Mini Lights �� ❑Brake ❑Si nal ❑Plate ❑Parking OK SUG RE Outer Inner Left Front ` Etlgewear Cracking Air Filter - 11 , '( Cabin II PSI Iri: P I Out: � ❑ Cupping ❑ Nals �y�y) y ❑ Cu s ❑ Repai able Air Filter Z ' ylfvj�� ❑ Irregularity ❑ PCV Valve 1 J Right Front 4 r i t✓�' Etlgewear Cracking C Washer Fluid I� PSI m: Psl our. f Q ' o 4 ❑ upping ❑ Nails Oil Level ] �r / ❑ cuts ❑ Repairabe C� ) A� ❑ Irregularity ❑ Power Str. Fluid Level L� Might Rear iI, %`i_ %' i Edgewear Cracking Master Cyl.Fluid I I / PSI In: PSI Our. i (� 1( n ❑ Cupping ❑ Nails Level U ❑ Brake Inspection l 2^f U i '❑ cuts ❑ Repairable Brake Fluid Flush U I_d_1 Lyo�l Leo=11_i_o0J /G '' /�L�� ^. i r`. ❑ I"egula`ny ❑ able ..Qper parts per million Left Rear ! i Edgewear Crackin g Trans.Service ❑ Flush �rt Auto/'Manual ❑Pan Service PSI In: PSI Out: w„y ❑ Cupping ❑ Naas Coolant. /Z 1 f� it 1. ❑ Cuts ❑ Repauable Level(Flush J TYPe Z L � ' ''� �/ El Irregularity Cl ble Coolant Hoses I]Upper' ❑Lower ❑Bypass ❑Heater qs 1 Span �� ❑ Etlgewear ❑ Cracking Belts "V" ❑ALT ❑PS Belts PSI n: PSI our. I-j n� ❑ Cupping ❑ Nails Se ❑A/C AP 1 2 3 4 fTJrf ❑ Gus ❑ Repairable Battery J Good ❑Marginal ❑ Replace ~ ❑ Irregularity ED-18 Test Battery / ❑ Cable Ends/Cables 00 Nes El Hold Downs Tire Maintenance El Rotation ❑Balance Accessories ✓� Battery Gard i]Corrosion. Preventive Alignment Check ❑Maintenance ❑Tire Wear Cl�mplete peiafi.on. M-aih—t6A!Gi—ici��ervjces • Visual' Sched. MV f w ':'< -`.My Inspect Maint.. + Why Recommended + o e .; Pads greater than 6mm(Disc)or Shoes greater than 2 4mm(Drum) r o e OK SUG RED - - ' Start/Charge It h Pads greaterthart 3mm or less ttan 6mm(Disc)or Shoes greaterthan 1.6mm or less than 2 nVn(Drum)i h Test c Document vehiclespecific measurements&minimumspecifications below c Belt Tensioner U. a 'Pads less than3mm(Disc)or Shoes less than 1,6mm'{Drum) w^r e s eLUcle s ecific_measurements&.minimum-§ s Spark Plugs - LF Pad LF Rotor RF Rotor RF Pad Fuel Filter , Actual Actual -, Meas '.Meas. Fuel System Service MMActaal - Machine Machine - MMActael Ignition Wires Valve Cover Discard Discard Gasket � M Spec. At At MM Spec-' . . Power Steering D � LR Pad/Shoe Drums.. LR. . Rotor Drum RR Rotor - RR Pad/Shoe Hose ❑ Pressure ❑ Return Actual .('`� Actual nn Timing Belt _ Meas L 1, .Q, Meas. 4-J. MM Actual Machine Machine MMAdttal To' (� To Exhaust System ❑Intermediate Pipe ❑ Muffler ❑Tailpipe ;�MM Spec. Discard U, Discard _ MM Spec.. J I • - sion - �; Rear Clean/Adj U-Joint ❑Front El Rear U Brake Hose(s) Idler/Pitman Arm ❑Idler Pitman Parking Cables Center Link U ❑ O '� Other Brake Wheel Bushings ❑Control Arm ❑Front Services Hardware Caliper Repack ❑Sway Bar r Cylinder ❑Rear Notes: Link Pins i I ❑Front ❑Left ❑Right !-� ❑Rear ❑Left ❑Ri ht Tie Rod Ends ❑L Out . ❑L in ❑R In ❑R Out ❑ Sleeve(s) BalfJoints U El L-Upper El Upper ❑L Lower ❑R Lower Spec Actual Rack&Pinion Assembly CV Boots u E]L Out E]L In ❑R In F1 R Out CV Joints ❑L Out ❑.L In ❑R In ❑R Out Struts El Front ❑Left , ❑Right U El Rear ❑Left El 2'ht Shocks ❑Front ❑Left- ❑Right _ . ❑Rear ❑Left Ri ht - OK ` Repair/ReplacementSuegested Repair/Replacement Required Checked& 1)Close to end of useful life A)No longer performs intended purpose acceptable; 2)Address customer request/need/convenience 8)Does not meet design specification 3)Comply with manufacturer recommendation C)1Missing STEP 5 STEP 7 ___ _ 4)Technician recommendation from exper ante . INSPECTED BY RE-INSPECTED BY 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)) 08/15/12 125596 Oil change $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 VOUCHER NO. WARRANT NO. ALLOWED 20 Firestone Complete Auto Care IN SUM OF $ P.O. Box 403727 Atlanta, GA 30384 $35.49 ON ACCOUNT OF APPROPRIATION FOR Carmel DOCS PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT _ Board Members 1192 I 125596 I 43-510.00 I $35.49 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 hursday, ugu t 23 12 Director Title Cost distribution ledger classification if claim paid motor vehicle highway fund