HomeMy WebLinkAbout253932 01/26/16 CITY OF CARMEL, INDIANA VENDOR: 365242
js ONE CIVIC SQUARE MIRAZON GROUP CHECK AMOUNT: $*****6,669.00*
r• ,=a CARMEL, INDIANA 46032 1640 LYNDON FARM COURT SUITE 102 CHECK NUMBER: 253932
LOUISVILLE KY 40223 CHECK DATE: 01/26/16
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4351501 33389 33523 6,509.00 EXAGRID SUPPORT
1202 4341955 87826 160.00 INFO SYS MAINT/CONTRA
The Mirazon Group �cz�
1640 Lyndon Farm Court ���'Suite 102
Louisville,KY 40223
(502)240-0404
Bill To: Date Invoice
City of Carmel 12/31/2015 33429
Attn:Terry Crockett
Three Civic Square
Carmel,IN 46032
United States I
[Terms Due Date PO Number Reference
Net 30 days 101/30/2016
Work Type Staff Hours Rate Amount
Billable
Off-Site(Remote Drew Harper 1.00 160-00 160.00
Support)
Total 160.00
Invoice Subtotal: 160.00
Make checks payable to The Mirazon Group. Sales Tax: 0.00
Invoice Total: 160.00
Thank you for your business!
The Mirazon Group ■
1640 Lyndon Farm Court Mrazo)n'
Suite 102
Louisville,KY 40223
(502)240-0404
Bill To: Date - Invoice
City of Carmel 01/14/2016 133523
Attn:Terry Crockett Account
3 Civic Square
Carmel, IN 46032 City of Carmel
United States
Terms . Due Date: PO Number IlReference
Net 14 Das 01/28/2016 33389 I Order#7439 1003120155 002 0
Product Details QuantityPrice Amount
Billable Product Details
ExaGrid 8x5 Support for EX7000 Backup Storage System, 1 Year 1.00 3,864.00 3,864.00
ExaGrid 8x5 Support for EX4000 Backup Storage System, 1 Year 1.00 2,645.00 2,645.00
Total Product Details: 6,509.00
Invoice Subtotal: 6,509.00
Make checks payable to The Mirazon Group. Sales Tax: 0.00
Invoice Total: 6,509.00
Thank you for your business!
CotINDIANA RETAIL TAX EXEMPT Page 1 of 1-
J ®� ��l�JL ��
CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
j/
FEDERAL EXCISE TAX EXEMPT - 33359
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,AIP
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
1/1/2016 365242 Exagrid Support
MIRAZON GROUP Information Systems
VENDOR 1640 LYNDON FARM COURT SUITE 102 SHIP 3 Civic Square
TO Carmel,.IN 46032-.
LOUISVILLE, KY.40223- Ter Crockett
Terry (317)571-2576
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY : UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Department: 1202 Account: 43-515.01 Fund 101 General Fund
.1 Each ExaGrid 8x5 Support for EX4000 system $2,645.00 $2,645.00
1 Each. ExaGrid EX7000 Backup Storage System $3,864.00 $3,864.00
Sub Total $6,509.00 ..
Send Invoice To: -
Information Systems Quote No.AAAQ12107-coverage:period 12/27/1.5-12/26/16
Terry Crockett
3 Civic Square
Carmel, IN_46032-
(317)571-2576 PLEASE-INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
: PAYMENT $.6,509.00
SHIPPING INSTRUCTIONS 'AIP 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 -
'SHIP PREPAID. AFFIDAVIT ATTACHED, THEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
..C.O.D.SHIPMENT CANNOT BE ACCEPTED. . THIS APPROPRIATION SUFFICIENT TO PAY FORTHE ABOVE ORDER. .
*PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
'THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945.
ORDERED BY
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
TITLE Terry Crockett, Director Steve Engelking, Administratiori.
CONTROL NO. 333.59 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))
12/31/15 33429 $160.00
1202 101
01/14/16 33523 $6,509.00
1202 101
I hereby certify that the attached invoice(s),_or bill(s), is(are)true and correct and I have audited same in accordance
with IC 5-11-10-1.6
, 20
Clerk-Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
MIRAZON GROUP '
. 1640 LYNDON FARM COURT SUITE 102
IN SUM OF$
LOUISVILLE, KY 40223
$6,669.00
ON ACCOUNT OF APPROPRIATION FOR
Information Systems
_ PO#/Dept. INVOICE NO. ACCT#/Fund AMOUNT Board Members
33429 43-419.55 $160.00 I hereby certify that the attached invoice(s), or
1202 101 Prior Year
33389 33523 43-515.01 $6,509.00 bill(s) is (are)true and correct and that the
1202 101
materials or services itemized thereon for
which charge is made were ordered and
received except
Friday, January 22, 2016
Terry Crockett, Director
Cost distribution ledger classification if.
claim paid motor vehicle highway fund ..