243543 3 /24/2015 �,�.s.q,,•� CITY OF CARMEL, INDIANA VENDOR: 365242
i; ® ONE CIVIC SQUARE MIRAZON GROUP CHECK AMOUNT: $*****5,620.00*
s ° CARMEL, INDIANA 46032 1640 LYNDON FARM COURT SUITE 102 CHECK NUMBER: 243543
'M�roi�°; LOUISVILLE KY 40223 CHECK DATE: 03/24/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4341955 27581 120.00 INFO SYS MAINT CONTRA
1202 4351502 32670 27623 5,500.00 DATACORE ANNUAL SUPPO
The Mirazon Group _ .Mi -
1640 Lyndon Farm Court u
_Sults 102
Louisville,KY 40223
(502)240.0404
8111`To: . __ Date Invoice;''
Glty of Carmel 03/16/2015 127623
Atft To Crockett Account
Three Civic Square "
Carmel,IN 46032 City of Carmel
LUnited States
Ter s _ Due:Dat .. _- PO Number
1Net14DaA 03/30 2015 32B7Q ��. der#5953 __ 003120155 002.0
Prod uct=,bttaIli,
.:' s Quanti 6'
Billable
Billable Product Dotalls
DatsCore SANsymphony-V,vL3 Bundle-1 Year of Support 2.00 2,750.00 5,500,00
DateCore SANsymphony-V Customer 1-Day Online Training-Free with Multi 1,00 0,00 0.00
-Year Renewal
Total Product Details: 5,500.00
Invoice Subtotal: 5,500.00
Make checks payable to The Mlrazon Group. Sales Tax: 0.00
Invoice Total: 5,600.00
Thank you for your businessl
i
The Mlrazon Group •
1640 Lyndon Form Court }`
Suite 102
Loulevllle,KY 40223
(502)240.0404
13111 To: = R bete _` Involas _
City of Carmel03/13/2015 27581
Attn;Terry Crockett
Three Civic Square
Carmel IN 48032
Wrilted btates
1"er a . C1u pet"'` t�O:Nu ber efewence,
Net 30 days -104
Amount
Billable
Off-Site(Remote Ed Buford 0.75 160,00 120,00
Support)
Total: 120.00
Invoice Subtotal: 120.00
Make checks payable to the Mirazon Group. Sales Tax: 0.00
Invoice Total: 120.00
Thank you for your business)
INDIANA RETAIL TAX EXEMPT PAGE
City of
Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 32670
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
3/9/2015 DataCore Support
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 PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-515.02
1 Each Datacore Annual Support $5,500.00 $5,500.00
Sub Tectal: $5,500.00
1
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Rid, 1
wN 4'4
f i is wr• aw, ,�
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t
,„r^^1 fr 1. �O•r.na so...aeoau • - �t fY
"Includes Free Drell` Tralriille�Glass c.. age period-5!22!15 e 5/21/16
Send Invoice To: "
City of Carmel
Terry Crockett
3 Civic Square
Carmel, IN 46032m
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT I PROJECTACCOUNT AMOUNT
1202 Carmel IS Dept. PAYMENT $5,500.00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNO,BLIGATED BALANCE IN
THIS ARPj70PRIATION SUFFICIENT TO PAVFOR THEABOVE ORDER../
•SHIP REPAID. j
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY /�° /�tt
SHIPPING LABELS. / Director
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. \
CLERK-TREASURER
DOCUMENT CONTROL NO- 3267 0 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO._
ALLOWED 20
IN THE SUM OF$
I
ON ACCOUNT OF APPROPRIATION FOR
E,
Board Members
PO#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 i
r
20
Signature f
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
$5,620.00
ON ACCOUNT OF APPROPRIATION FOR
i
IS Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
1202 27581 43-419.55 $120.00 hereby certify that the attached invoice(s), or
bill(s) is (are)true and correct and that the
32670 27623 43-515.02 $5,500.00
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, March 23, 2015
Director, IS
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
i
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))
03/13/15 27581 $120.00
03/16/15 27623 $5,500.00
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