HomeMy WebLinkAbout216032 01/09/2013 CITY OF CARMEL, INDIANA VENDOR: 00351179 Page 1 of 1
s, ONE CIVIC SQUARE FIRESTONE TIRE&SERVICE CENTER
CARMEL, INDIANA 46032 PO BOX 403727 CHECK AMOUNT: $429.86
ATLANTA GA 30384-3727
CHECK NUMBER: 216032
CHECK DATE: 1/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1192 4351000 128896 429 . 86 AUTO REPAIR & MAINTEN
Customer Invoice FIRESTONE COMPLETE AUTO CARE Service Advisor:
128896 CARMEL 01 DAVID
12/21/2012 1314 S RANGE LINE RD 317.848.5886
CARMEL, IN. 46032-2932
2008 FORD ESCAPE HYBRID
CITY OF CARMEL%aU LDING &CODE 4-140 2.3L DOHC
1 CIVIC SQ Lic#: 74793 IN Vin M
CARMEL, IN 46032-2584 In: 12/21/12 9:53AM Mileage: 39,810
317.670.0114 xjim Out: 12121/12 2:08PM
Store#020753 COMMERCIAL
Rev Hist Unit Extended Job
Description /Article# ID Qty Price Price Total
COURTESY CHECK 01
COURTESY CHECK 7046930 07NN 1 N/C N/C
SYNTHETIC BLEND OIL CHANGE UP TO 5 Qts 1 01 35.49
5.0 QTS.
_ Oil
SAE 5W�20.Prerniu ., .,,,.., ._�. :.
Premium Synthetic Blend Motor
The Manufacturer recommends an Oil Change when'an,associated�dash;board indicator.;light is
Iit...See Owner's manual fortsI$#64 :.6quirem erits
. 3.99
P960OIL:ELLTER °: ...h` `', `..j a = 7005781 07NN 399<"
5W30 S.YNTHETIC:BL-NDxUP'',TO':5QTS 7000614 07NN 1 21.50 21.50
USED OIL'FILTER RECYCLING•CHG<(;1) 7075051 07NN 1 2.50 ,. -2.50 J.
OIL CHANGE LABOR :. =z;= "'',. 7029718 07NN 1 7.50 7:50
WIPER BLADES (Front-Both) 1 01 61.78
200E WIPER BLADE 7084298 07NN 2 21.99 43.98
WIPER BLADE LABOR 7042579 07NN 2 8.90 17.80
FIRESTONE TIRE PACKAGE 2 03 121.13
NAIL IN SHOULDER
097759 DESTINATION LE2 P-METRIC OWL P235/70R16 097759 07NN 1 112.38 112.38
XL107T
DOT# 8X08DE10412
INDIANA TIRE FEE 7095834 07NN 1 0.25 0.25
NEW TIRE WHEEL BALANCE PARTS 7018708 07NN 1 2.00 2.00
NEW TIRE WHEEL BALANCE LABOR 7018716 07NN 1 3.00 3.00
RUBBER VALVE STEM 7015040 07NN 1 1.00 1.00
SCRAP TIRE RECYCLING CHARGE (1) 7075078 07NN 1 2.50 2.50
TIRE INSTALLATION 7015016 07NN 1 N/C N/C
Technician(s):
07 JAMES SWEENEY
Payment History: Summary:
Comm/Dlr Acct 218.40 Parts 184.85
Total Tendered 218.40 Labor 33.55
Shop Supplies 0.00
Sub-Total 218.40
Tax Exempt(31201660) 0.00
Total $218.40
1 have received the above goods and/or services. If this is a credit
car urchase, I agree to pay aanomply with my cardholder
f-T;with t e issuer.
ICS ` Rev
Revision History: Amt Init
Customer Signature
1) 12/21/2012 11:18AM -73.39 CITY OF CARMEL, B IN PERSON
C g
2)12/2112012_1-2:21 PM -86.25 CITY OF CARMEL, 61N PERSON
1 itial,hPre to indicate you have received '`
the.TireMaintenanceWari•anf`;BooK: � <z 'r 4 ',. , a° .��. r
;•> i U V h t 3 kt { r
.,` STD FCAC LASER 7008335-48110392 REV 11111 -
fnvl 1205104W001
WORK ORDER# FIRESTONE COMPLETE AUTO CARE SERVICE ADVISOR
128896 1314 S RANGE LINE RD 01 DAVID
12/21/12 02:08PM CARMEL, IN. 46032-2932 317.848.5886
CITY OF CARMEL, BUILDING & CODE 2008 FORD ESCAPE HYBRID
1 CIVIC SQ 4-140 2.3L DOHC
CARMEL, IN 46032-2584 LIC # 74793 IN VIN #
317.670.0114 xjim IN 12/21/12 9:53AM EST. MILEAGE 50,000
Store# 020753 Recommended Services not Authorized by Customer
Unit Price Extended Price
Status Description Qty Parts Labor Job Total Cat. Total Total
Recmd FLAT REPAIR & BALANCE 55 SERIES AND ABOVE W/TPMS (Rear-Left) 34.88
WHEEL BALANCE.PARTS..:,: 1 2.99 0.00
:FLATREPAIR PATGHPPLUG 1, 199. -
TPMS.VALVE SERVICE;KIT LABOR 1, 0 00 8:90
�F FLAT,REPAIR BALANCE L`ABOR, `,.. "1 0 00 °f° 4;01" '
FLAT-REPAIR LABOR 1 0.00 11.00
;V5950 1 .9 ; 0- S L `- 00`
TSystem.,Fail,ie, Required > 34.88 34.88
Recmd BATTERY REPLACEMENT 165.59
TESTING MARGINAL 0 0.00 0.00
MTP40R INTERSTATE BATTERY 1 129.99 0.00
BATTERY INSTALLATION - ED18 1 0.00 35.60
Recmd BATTERY CORROSION PACKAGE 10.99
CORROSION PROTECTION PACKAGE 1 0.00 10.99
Preventive Maintenance-Suggested > 176.58 211.46
Recommended Parts: 140.96
Labor: 70.50
Subtotal: 211.46
Shop Supplies: 0.00
Tax(7.00%): 0.00
Total: 211.46
<THESE P.,RICES AREVALID FOR 30 DAYS v :r
Labor charges are based on 'Menu Items,`of.a predetermined amount or the flat gate
'c arged per the.Mitchell:Labor;Manual
a
3>=ALL PARTS ARE NEVI/-UNLESS-NOTED OTHERWISE `''r -- t.;•`- r "` '
www.[FlirestoneCompleteAutoCaire.com
STD FCAC LASEPage3Ai 0t110392 REV 11111 Recommendations 090409
VOUCHER NO. WARRANT NO.
ALLOWED 20
Firestone Complete Auto Care
IN SUM OF $
P.O. Box 403727
Atlanta, GA 30384
$429.86
ON ACCOUNT OF APPROPRIATION FOR
Carmel DOCS
PO#/Dept. INVOICE NO. I ACCT#/TITLE AMOUNT Board Members
Prior Year I hereby certify that the attached invoice(s), or
1192 128896 I 43-510.00 I $429.86
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
Friday, January 04, 201.3
Dire 6r
r
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))
12/21/12 128896 Oil change,wiper blades, tire repair, battery $429.86
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