177718 09/29/2009 CITY OF CARMEL, INDIANA VENDOR: 362867 Page 1 of 1
ONE CIVIC SQUARE J T SYSTEMS, INC
O CARMEL, INDIANA 46032 CHECK AMOUNT: $378.60
6t4 E STREETER AVE
MUNCIE IN 47303 -1919 CHECK NUMBER: 177718
CHECK DATE: 9/29/2009
DEPA RTMENT ACCOUNT PO NUMBER INVOICE NU MBER AMO UNT D
1047 4350100 25102 378.60 BUILDING REPAIRS MA
V
jr T�Systems Inc. INVOICE
J �S 614E Streeter,Avenu'e
Muncie, ,'K47303 -1919
Phone: (765) 286 -1993 No. C2 -1027)
PAGE 1
AU G 2 4 2009
B
I CARMEL CLAY MONON CENTER CARMEL CLAY MONON CENTER
L 1235 CENTRAL PARK DR. EAST I 1235 CENTRAL PARK DR. EAST
L CARMEL IN 46032 T CARMEL IN 46032
E
T
0
087 /09 25102 CAR105 NET 30 DAYS
UNIT UNIT EXTENDED
TICKET QTY MEAS DESCRIPTION PRICE PRICE
W/O A90814005
1.CHECKED AIR FLOW WITH IRISH
2.CHECKED EMAIL ALARMS
3.TREND ISSUES
4.CHILLED VALVE ISSUES
A90814005 4.50 HR Labor HVAC Fitter David Mil 72.00 324.00
20.00 MI MILEAGE 1.23 24.60
1.00 EA SERVICE CHARGE 30.00 30.00
5 E N 0 2 2009
Purcfiase,�U
option
P.O. alz= P
o.L. LI 310
Budget a �Vl
Line Descr
Purchaser Qate
App rov Oate
GROSS TAX NET AMOUNT
378.60 0 0 x`3.7 8 -6!0
T SYSTEMS, I NC. SE RVICE WORK ORDER 800- 997 -8608
JOB LOCATION NAME C�G�r �/J� JOB LOCATION ID DATE SCH. CONTRACT PAGE OF
PERSON TO CONTACT CUSTOMER PO, OR
AUTHORIZATION
JOB LOCATION ADDRESS PHONE N0.
SERVICE REP
QTY MATERIAL PART NO. MATERIAL DESCRIPTION LOG
LABOR TIME AND EXPENSE RECOR
DATE REGULAR OVERTIME WORK
OF I TRAVEL EXPENSES SERVICE DONE
LABOR I DIST REP I.D. rCODE
IS WORK
COMPLETE?
TOTALS
REMARKS BY SERVICE REP
G /rloru�la► I
.3,.. 1/6°
COMMENTS TO SERVICE REP
oke
3su
5
OFFICE P.O. $OR REQUISITIONS
I
i
CUSTOMER SIGNATURE TITLE I DATE
White Original Yellow File Pink Customer
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be pfoperly 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.
362867 J T Systems, Inc. Terms
614 E Streeter Avenue
Muncie, In 47303 -1919
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
8/21/09 25102 Repairs to Building Management System 22371 F 378.60
Total 378.60
1 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.
362867 J T Systems, Inc. Allowed 20
614 E Streeter Avenue
Muncie, In 47303 -1919
In Sum of
r
378.60
ON ACCOUNT OF APPROPRIATION FOR
104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1047 25102 4350100 378.60 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
24 -Sep 2009
Signature
378.60 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
Y