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HomeMy WebLinkAbout229117 2/11/2014 CITY OF CARMEL, INDIANA VENDOR: 365242 Page 1 of 1 ONE CIVIC SQUARE MIRAZON GROUP CARMEL, INDIANA 46032 1640 LYNDON FARM COURT SUITE 102 CHECK AMOUNT: $200.00 LOUISVILLE KY 40223 CHECK NUMBER: 229117 CHECK DATE: 2/11/2014 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1202 R4340400 26633 19285 200 . 00 CITRIX SUPPORT The Mirazon Group 0 1640 Lyndon Farm Court Suite 102 Miraz,'-)' n Louisville,KY 40223 (502)240-0404 Bill To. Date Invoice .} City of Carmel 12/31/2013 19285 Attn:Terry Crockett Three Civic Square Carmel, IN 46032 Terms Due Date , .', PQ<Number?e - : Reference Net 30 days_. 01/30/2014 Work.T e. .. Staff `Hours", .., ,'Rate Amount Billable Time&Materials Off-Site(Remote Support) Greg Turner 1.25 160.00 $200.00 Total : $200.00 Invoice Subtotal: $200.00 Make checks payable to the Mirazon Group. Sales Tax: 0.00 Effective September 1st,the flat rate travel charge will be$35.00. Invoice Total: 200.00 Thank you for your business! n_ �V i� INDIANA RETAIL TAX EXEMPTPAGE City o Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER li FEDERAL EXCISE TAX EXEMPT 26633 35-60000972 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE. PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 12!1912012 Citrix upgrade The Mirazon Group Carmel Communications SHIP Terry Crockett ; VENDOR 1640 Lyndon Farm Court, Suite 102 TO 3 Civic Square Louisville, KY 40223 Carmel, IN 46032 (317)571-2567 CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43-404.00 1 Each Professional Svslupgrade of Citrix sys $7,000.00 $7,000.00 Sub Total: $7,000.00 O� Na x g Rn 4i�` .� � ��2 att• `"'��t'am-.ars$b` � d F$'e¢�! i Y Send Invoice To: � I City of Carmel Terry Crockett 3 Civic Square Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT Carmel IS Dept. PAYMENT $7,000.00 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED�BALANCE IN THIS APPROPRIATION bFfiB SHIP REPAID. PY FOR TH aVE ORDER/ /NTTq111 C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BYt }f ! /V •PURCHASE ORDER,NUMBER MUST APPEAR ON ALL r ! SHIPPING LABELS. � • a •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE C7 Director _ AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL No- 26633 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT N©.-----.� ALLOWED 20 IN THE SUM OF$ G1 ON ACCOUNT OF APPROPRIATION FOR Board Members PO/t or INVOICE NO. ACCT#/TITLE AMOUNT DEPT.# I 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--- =`------ --- - - - --- 20 ....._........-..........._......................_..-------................................_................-......-...............................-.......--.....-..........._...................._....._............._.._. Signature' .........._....._.................._. ,........_............................................-.... Title Cost distribution ledger classification if claim paid motor vehicle highway fund VOUCHER NO. WARRANT NO. ALLOWED 20 The Mirazon Group IN SUM OF $ 1640 Lyndon Farm Court, Suite 102 Louisville, KY 40223 $200.00 ON ACCOUNT OF APPROPRIATION FOR IS Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members Prior Year Encumbered I hereby certify that the attached invoice(s), or 26633 I 19285 I 43-404.00 $200.00 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, Febr ry 07, 2014 Director , IS 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)) 12/31/13 19285 $200.00 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