319054 11/27/17 a„ CITY OF CARMEL, INDIANA VENDOR: 365242
ONE CIVIC SQUARE MIRAZON GROUP CHECK AMOUNT: 5********42.50*
CARMEL, INDIANA 46032 1640 LYNDON FARM COURT SUITE 102 CHECK NUMBER: 319054
LOUISVILLE KY 40223 CHECK DATE: 11/27/17
DEPARTMENT ACCOUNT PO NUMBER_ INVOICE NUMBER AMOUNT DESCRIPTION
1202 4341955 100661 47974 42.50 SERVERS APP INVENTORY
VOUCHER NO. WARRANT NO. . Prescribed by State Board of Accounts City Form No.201(Rev.1995)
Au_owEo 20
Vendor 365242 ACCOUNTS PAYABLE VOUCHER
#. . .
MIRAZON GROUP IN soon of$ CITY OF CARMEL
1640 LYNDON FARM COU RT.SUITE :102 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.
LOUISVILLE, KY 40223
Payee
$42.50. .
ON ACCOUNT OF,APPROPRIATION.FOR Purchase Order#
Information Systems Terms
Date Due
PO# ACCT# DATE INVOICE# DESCRIPTION
DEPT# INVOICE#: :. Fund# AMOUNT Board.Members DEPT# FUND# ' (or note attached invoice(s)or bill(s)) AMOUNT
100661 47974 43-419.55 $42.50I hereby certify that the attached invoi' (s),or 11/15/17 47974 $42.50
1202 101 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
Wednesday,.November 22,2017
7�? w
�T
Renick,Timothy
Director
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
Cost distribution ledger classification if claim paid motor vehicle.highway fund.
Clerk-Treasurer
The Mirazon Group °
1640 Lyndon Farm Court ii�ra n
Suite 102
Louisville,KY 40223
(502)240-0404
Bill To: Date Invoice
City of Carmel. 11/15/2017 47974
Attn:Timothy Renick
3 Civic Square
IN 46032
United States
Terms I Uue Date I PO Number Reference
Net 30 days 12/15/2017:
Project Name lAssisiance with Microsoft licensina remediation
Billing Type Standard
Billing Method Actual Rates
Original Down Payment 0.00
Company Name._ City of Carmel
Contact Name TimothV Renick
Work Type IStaff. Houirsl Raid, ". Amount
Billable
Off-Site(Remote Support) Brian McCleskey 0.25 170.00 42.50
Tota l: 42.50
Invoice Subtotal: 42.50
Make checks payable to The Mirazon Group. Sales Tax: 0.00
Invoice Total: 42.50
Thank you foryour business!.