HomeMy WebLinkAbout100812 MIRAZON GROUP INDIANA RETAIL TAX EXEMPT Page 1 of 1 ,
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CERTIFICATE NO.0031201550020 PURCHASE ORDER NUMBER
1 FEDERAL EXCISE TAX EXEMPT 100812
ONE CIVIC SQUARE 35-6000972 THIS NUMBER MUST APPEAR ON INVOICES,NP
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
10118/2017 365242 Veeam Annual Maintenance-1 year
MIRAZON GROUP Information Systems
VENDOR 1640 LYNDON FARM COURT SUITE 102 SHIP 3 Civic Square
TO Carmel, IN 46032-
' LOUISVILLE, KY 40223- Timothy Renick (317)571-2567
PURCHASE ID 1 BLANKET I CONTRACT PAYMENT TERMS FREIGHT
19882
QUANTITY UNIT OF MEASURE DESCRIPTION 1 UNIT PRICE EXTENSION
Department: 1202 Fund: 101 General Fund
Account: 43-515.02
1 Each Veeam Backup&Replication Enterprise for Vmware maint $3,625.00 $3,625.00
- renewal
Sub Total $3,625.00
Send Invoice To:
Information Systems Quote No.009066
Timothy Renick
3 Civic Square
Carmel, IN 46032-
(317)571-2567 PLEASE INVOICE IN DUPLICATE
DEPARTMENTV ACCOUNT PROJECT PROJECT ACCOUNT 1 AMOUNT
PAYMENT $3,625.00
SHIPPING INSTRUCTIONS *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
*SHIP PREPAID. AFFIDAVIT ATTACHED. I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
*C.O.D.SHIPMENT CANNOT BE ACCEPTED. THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
'PURCHASE ORDER NUMBER MUST APPEAR ON ALL SHIPPING LABEL
--- ::g --- -._.–
`THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 ;;-.7_ ; �
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ORDERED BY — •
-
Timothy Renick
TITLE Director e/‘,4.
CONTROL NO. 100812 CLERK-TREASURER