HomeMy WebLinkAbout235949 08/13/14 CITY OF CARMEL, INDIANA VENDOR: 365242
(, ® ONE CIVIC SQUARE MIRAZON GROUP CHECK AMOUNT: $*****1,080.00*
f: �a CARMEL, INDIANA 46032 1640 LYNDON FARM COURT SUITE 102 CHECK NUMBER: 235949
+'rro LOUISVILLE KY 40223 CHECK DATE: 08/13/14
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4463202 32395 22957 1,080.00 DATA CORE
The Mirazon Group is
1640 Lyndon Farm Court
Suite 102 MoraZF;
Louisville,KY 40223
(502)240-0404
Invoke
City of Carmel 07/29/2014 122957
Attn:Terry Crockett
Three Civic Square Ac"c4un't-
Carmel, IN 46032 City of Carmel
Terms 7-7-
ue
D °DA* P614
Net 14 Days108/12/2014 Order#4819 1003120155 009 0
Prod D''
uct: etaiS
Price ount
Billable Product Details
DataCore SANsymphony-V R9, 1 TB Capacity-License for 1 Group(Price 2.00 600.00 1,200.00
Level A: 1 to 10 TBs)(Government)
Government Discount for DataCore SANsymphony-V R9, 1 TB Capacity- 2.00 (60.00) (120.00)
License for 1 Group(Price Level A: I to 10 TBs)
Total Product Details: 1,080.00
Invoice Subtotal: 1,080.00
Make checks payable to The Mirazon Group. Sales Tax: 0.00
Invoice Total: 1,080.001
Thank you for your business!
0 INDIANA RETAIL TAX EXEMPT PAGE
city. ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
JJJLLL
FEDERAL EXCISE TAX EXEMPT 32395
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
7/2412014 SARI Disk Licensing
The Mirazon Group Carmel Communications
SHIP Tem/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 4.4-632.02
2 Each Government Disc for DataCore SANsymphony ($60.00) ($120.00)
2 Each DataCore SANsymphony-V R9,1TB $600.00 $1,200.00
v Sub Total: $1,080.00
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Send Invoice To:
City of Carmel
Terry Crockett
3 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
1202 Carmel IS Dept. PAYMENT 51,080.00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•SHIP REPAID.
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS. DIreC$®r
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE`
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL NO. 3 2 3 9 5 A.P.V. COPY-SIGN AND RETURN TO CLERIC'S OFFICE
VOUCHER NO VVARRANTNO ____'
ALLOWED 20___
|NTHE SUM OF$
'
,
[}NACCOUNT {}FAPPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
| hereby certify that the attached immiue(s)' nr
biU(u) is (ane) true and correct and that the
materials mservices itemized thereon for
which charge iumade were ordered and
received except ------------_____________________
- .
`
20___-
................___ ....................................................
—___ ' .
Signature
. .
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))
07/29/14 22957 $1,080.00
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.
ALLOWED 20
The Mirazon Group
IN SUM OF $
1640 Lyndon Farm Court, Suite 102
Louisville, KY 40223
$1,080.00
ON ACCOUNT OF APPROPRIATION FOR
IS Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
F32 95 I 22957 I 44-632.02 I $1,080.00
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
Wednesday, August 06, 2014
3v
irector , IS
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund