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NR5

SIGN OFF SHEET


868813-01
Tracking #
Service Date
4r.5275
4/10/2074
Regular
Electrical
Chris Seery
73 HeiE Place
Hicksville, NY 11801
Phone # 515-433-8181 Fax # 516-938-0040
http://www. nrs. net
Priority
Order Type
Manager
chriss@nrs, net
SERVICE LOCATION
EDWARD JONES Location: 64941
4061 CANTON CENTER ROAD
CANTON, MI 48188
Phone # 734-398-0582 Fax #
IVR INSTRUCTIONS
MANDATORY SIGN IN PROCEDURE:
You must call 1-855-521-1 738 Upon Arriving at Location and again to check out Upon Completion of your visit.
you
Must use Store Phone to call. Press 1 for English or 2 for Spanish. Enter your 8 digit
pO
number, no dashes.
press
1 to Check ln. Failure to do so will result in non-payment. lf you cannot Check ln or Check Out, please
Contact
your representative at NRS at 1-516-433-8181.
COMPLETION INSTRUCTIONS:
Must Schedule with Site Manager. Must have Sign Off Sheet filled out Completely - lnclude Date, Time ln and Out,
Signature of Manager on Duty, and Store Stamp (if Applicable). Your invoice cannot be paid without this
information.
***
MUST PROVIDE BEFORE AND AFTER PICTURES-**
JOB DESCRIPTION
Please send an electrician out to replace ballast and lamps.
Contact: Tami Ludtke 734-398-0582
STORE STAMP
Print Name
ci'3.
io; 3o
Time In
Time Out
**
iIUST BE SIGNED BY
(for payment
to be received)
UAI{AGER
** # of Men
':TT:"
t:'
-i:ii'
1:'T
.,
;
Materials:
Is lob Comptete? ves
fil
ruo
Ef
If No, what needs to be done:
Date Completed:
Print Date: 04/10/14
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VENDOR W/O *
8688 13-01
1tililililIilItiltilffi il IililIililtil1ililil Hiltilililililil
73 Heitz Place
Hicksville, NY 11801
Phone # 516-433-8181 Fax # 516-938-0040
http://www. nrs.net
Tracking #
Service Date
Priority
Order Type
Not To Exceed
Terms
Manager
4,.5275
4lLO/2014
Regular
Electrical
$215.00
45 Days
Chris Seery
SHIP TO
/ SERVICE LOCATION
EDWARD JONES Location: 6494.1
4061 CANTON CENTER ROAD
CANTON, MI 4818E
Phone # 734-398-0582 Fax #
VENDOR
ELECTRICAL INDUSTRIES
5301 REUTER STREET
DEARBORN
, MI 48126
Phone # 31$581-9300 Fax # 313945-5618
JOB DESCRIPTION
Please send an electrician out to replace ballast and lamps.
Contacl: Tami Ludtke 734-398-0582
PURCHASE ORDER TERMS AND CONDITIONS:
1. lnvoices Must be Sent to NRS Within 48 Hours of Completion of Work or your invoice may be subject to
Non-Payment. Please submit via Mail, Fax #516-938-3'120 or Email to ACCoUNTING@NRS.NET.
2. lf you Fail to IVR ln upon Anival and Out upon Completion, your invoice will automaticatt-ty b" D"dr"te d 2Oo/o or
may lead to Non-Payment.
3. All lnvoices MUST Include our Work Order # - Any lnvoices \Mthout Our WORK ORDER Number CANNOT be
processed.
4. lf work will Exceed the NTE, you MUST call NRS ftom the site for an Approval to Exceed the NTE.
If you Do Not Call, your invoice will be paid the NTE Amount.
5' A Store Stamped and Signed Field Work Order Form MUST Arcompany All lnvoices, otherwise this
purchase
Order
will Not be Valid for Payment. Field Work Orders Must be filled out in Full, with Time ln and Out and Date of
Service.
6. Before and After photos MUST be taken and submitted with lnvoice.
7. Only ONE lnvoice will be Paid for EACH
purchase
Order.
8. NO paperwork may be left onsite for ANY reason or else NRS will deducl2'o/o from your invoice.
9. Payment will be Processed Upon Receipt of
payment
from the Client.
10. All invoices MUST be broken down into Time & Material.
11. NO Additional Work can be Authorized by Store
personnel.
l2 Updated Copies of your lnsurance Forms, lncluding General Liability and Workman's Compensation, Naming NRS
Additional lnsured and certificate Holder, and a completed wg Form Must be on File.
13. lnvoices and/or Services Failing to Meet Purchase Order and Contract Terms Will NOT be
paid.
04/IL/14
CHRIS SEERY
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chriss@ nrs. net