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Home My WebLink About250352 1 0/07/1 5 (2) CITY OF CARMEL, INDIANA VENDOR: 365242 ONE CIVIC SQUARE MIRAZON GROUP CHECK AMOUNT: $'`"'"2,612.50" CARMEL, INDIANA 46032 1640 LYNDON FARM COURT SUITE 102 CHECK NUMBER: 250352 LOUISVILLE KY 40223 CHECK DATE: 10/07/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1202 4351502 33110 31322 2,612.50 VEEAM BACKUP The Mirazon Group s 1640 Lyndon Farm Court / Suite 102 E-0 ) Louisville, KY 40223 (502)240-0404 Bill To: Date Invoice City of Carmel 09/17/2015 131322 Attn:Terry Crockett Three Civic Square Account Carmel, IN 46032 City of Carmel United States Terms Due Date PO Number Reference Net 14 Das 10/01/2015 133110 1 Order#6938 1003120155 002 0 Product Details Quantity Pricel Amount Billable Product Details Veeam Backup&Replication Enterprise for VMware- 1 Year Maintenance 10.00 275.00 2,750.00 Renewal Early Bird Discount for Veeam Backup&Replication Enterprise for VMware- 10.00 (13.75) (137.50) 1 Year Renewal Total Product Details: 2,612.50 Invoice Subtotal: 2,612.50 Make checks payable to The Mirazon Group. Sales Tax: 0.00 Invoice Total: 2,612.50, Thank you for your business! INDIANA RETAIL TAX EXEMPT Page 1 of 1 003120155 002 0 PURCHASE ORDER NU�BER k-Aty of Carmel CERTIFICATE NO. .....------ FEDERAL EXCISE TAX EXEMPT 33110 ONE CIVIC SQUARE 35-6000972 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 ........... ------------ -------—-- I . -------------------- HAS ORDER DATE REQUIREDiREQUISITION No. iiNDORNO. D ESCRIPTION --------------------- i 9/10/2015 365242 Veeam 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 PAYMENT TERMS FREIGHT - ------------ QUANTITY---- - UNIT OF MEASURE DESCRIPTION UNIT PRICE I EXTENSION ------------- Department 1202 Account., 43-515.02 Fund., 101 General Fund 10 Each Early Bird Discount ($13.75) ($137.50) 10 Each Veeam Backup& Replication Enterprise for Vmware maint $275.00 $2,750.00 renewal Sub Total $2,612.50 Send Invoice To: Information Systems Quote No. AAAQ1 1762 Terry Crockett 3 Civic Square Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECTAC LNT AMOUNT PAYMENT $2,612.50 SHIPPING INSTRUCTIONS NP VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE PART OF THE VOUCHERAND EVERY INVOICE AND 'SHIP PREPAID. VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. 'C.O.D.SHIPMENT CANNOT BE ACCEPTED. t HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN *PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABELS. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. 'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY.. TITI _e_ or ------------ DOCUMENT CONTROL No. 33110 CLERK-TREASURER ' 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)) 09/17/15I 31322 I I $2,612.50 1202 101 II 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 VOUCHER NO. WARRANT NO. ALLOWED 20 MIRAZON GROUP 1640 LYNDON FARM COURT SUITE 102 IN SUM OF $ LOUISVILLE, KY 40223 $2,612.50 ON ACCOUNT OF APPROPRIATION FOR PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members 33110 I 31322 I 43-515.02 I $2,612.50 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, October 05, 2015 erry pro/ ett, Director Cost distribution ledger classification if claim paid motor vehicle highway fund