247957 07/28/1 5 ,Cly
CITY OF CARMEL, INDIANA VENDOR: 365242
ONE CIVIC SQUARE MIRAZON GROUP CHECK AMOUNT: $*****1,080.00*
,. =4 CARMEL, INDIANA 46032 1640 LYNDON FARM COURT SUITE 102 CHECK NUMBER: 247957
�-Ij,�TON LOUISVILLE KY 40223 CHECK DATE: 07/28/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4351502 33067 30034 1,080.00 SANSYMPHONY
The Mirazon Group a:
1640 Lyndon Farm Court
Suite 102 mirae.
Louisville,KY 40223
(502)240-0404
Biil To: Date Invoice
City of Carmel 07120/2015 130034
Attn_Terry Crockett .. .. .. .
Three Civic Square Account .
Carmel,IN 46032 City of Carmel
United States
Terms :j Due Date PO kumbs:rFB�ference
Net 14 Das 08/03/2015 33067 Order#6564 1003120155 002 0
Product Details :.: :.;..`, Quan " Price :.:.Amount
Billable Product Details
DataCore SANsymphony-V, 1 TB Capacity-License for 1 Group(Price Level 2.00 600.00 1,200.00
A: 1 to 10 TBs)(Government)
Government Discount for DataCore SANsymphony-V, 1713 Capacity- 2.00 (60.00) (120.00)
License for 1 Group(Price Level A: 1 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!
m INDIANA RETAIL TAX EXEMPT Page 1 of 1
�It ®f Canrmei CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 33067
ONE CIVIC SQUARE 35-6000972 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
7/7/2015 365242 Datacore SAN Support
MIRAZON GROUP Information Systems
VENDOR 1640 LYNDON FARM COURT SUITE 102 SHIP 3 Civic Square
TO Carmel, IN 46032-
LOUISVILLE KY 40223 - (317) 571-2576
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE F DESCRIPTION UNIT PRICE EXTENSION
Account: 43-515.02 Department: 1202 Fund: 101 General_F_und
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 Date Invoice# Description Amount
Dept. Fund# (or note attached invoice(s) or bill(s))
07/20/15 I 30034 I I $1,080.00
1202 101
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
MIRAZON GROUP
1640 LYNDON FARM COURT SUITE 102
IN SUM OF $
LOUISVILLE KY 40223
$1,080.00
ON ACCOUNT OF APPROPRIATION FOR
PO#/Dept. INVOICE NO. I ACCT#/Fund AMOUNT Board Members
33067 I 30034 I 43-515.02 I $1,080.00 1 hereby certify that the attached invoice(s), or
1202 101
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
Monday, July 27, 2015
Tr rocke rector
Cost distribution ledger classification if
claim paid motor vehicle highway fund