216126 01/09/2013 CITY OF CARMEL, INDIANA VENDOR: 365242 Page 1 of 1
` ONE CIVIC SQUARE MIRAZON GROUP CHECK AMOUNT: $56,964.00
CARMEL, INDIANA 46032 1640 LYNDON FARM COURT SUITE 102
o�.o LOUISVILLE KY 40223 CHECK NUMBER: 216126
CHECK DATE: 1/9/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 R4351501 26631 12694 6, 732 . 00 EX4000, EX7000 SUPPOR
1202 R4351502 26631 12694 9, 826 . 00 EX4000, EX7000 SUPPOR
1202 R4463201 26631 12694 40, 406 . 00 EX40001 EX7000 SUPPOR
The Mirazon Group w
1640 Lyndon Farm Court
Suite 102 tH
Louisville,KY 40223 az -ng;t`oup
502-240-0404
BiI1-To: Date°§ Invoice
City of Carmel 12/26/2012 112694
Attn:Terry Crockett ..
Three Civic Square Accdunt'i:.•:.''.'
Carmel IN 46032 City of Carmel
Teims: : Due Date Number; Reference
Net 14 Days 01/09/2013 126631 1 Order#2325 10031201 55 not n
Product"Details puanti Price Amount
Billable Product Details
ExaGrid EX7000 Backup Storage System 1.00 $23,991.00 $23,991.00
ExaGrid 8x5 Support for EX7000 Backup Storage System,3 Years 1.00 $9,826.00 $9,826.00
ExaGrid EX4000 Backup Storage System 1.00 $16,415.00 $16,415.00
ExaGrid 8x5 Support for EX4000 Backup Storage System,3 Years 1.00 $6,732.00 $6,732.00
Miscellaneous Invoice
Total Product Details: $56,964.00
Invoice Subtotal: $56,964.00
Make checks payable to The Mirazon Group. Sales Tax: $0.00
Invoiece Total: $56,964.00,
Thank you for your business!
1
A : INDIANA RETAIL TAX EXEMPT PAGE
�ll ' o Carmel
CERTIFICATE NO.003120155 002 0
PURCHASE ORDER NUMBER
I FEDERAL EXCISE TAX EXEMPT 26631
35-60000972
ONE CIVIC SQUARE 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 1 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
1219812092 � ExaGrid Backup Storage System
The Mirazon Group Carmel Communications
Terry Crockett
VENDOR 1640 Lyndon Farm Court, Suite 102 TOIP 3 Civic Square
Louisville, KY 40223 Carmel, IN 46032
(317)571-2567
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43415.01
1 Each ExaGrid 8x5 Support for EX4000 system $6,732.00 $6,732.00
Sub Total: $6,732.00
Account 43-515.02
`:"
1 Each ExaGrid 8x5 Support for E�,7000 system `` ,` $9,826.00 $9,826.00
Sub Total: $9,826.00
Account 44-532.01 ;
i Each ExaGrid EX7000 Backup S4cSrge System °_ $23,991.00 $23,991.00
`"
1 Each ExaGrid EX4000 Backup Storage;Syster+rt - ti $16,415.00 $16,415.00
+ CJ�.
Send Invoice To:
City of Carmel zzz
Terry Crockett
3 Civic Square
Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel IS Dept. PAYMENT $56,964.00
• 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 AFFIDAVIT ATTACPED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPRIATION SUFFICIENT TO AY FOR THE AyBOVE•ORDER.
•SHIP REPAID. �" ZO
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ,r
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED B f/F! .v',_y"•
SHIPPING LABELS. `, � Director 1 c {I
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL.NO- 26631 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 2d
__ _--- IN THE SUM OF $
C1
ON ACCOUNT OF APPROPRIATION FOR
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT.# I hereby certify that the attached invoice(s), or
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--..-...--_
— 20�
-......................-----------........................------------ --._.............. .
Signature
._..............__..------------.....--..----..... ....
Title
Cost distribution ledger classification if
claim Laid motor vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
The Mirazon Group
IN SUM OF $
1640 Lyndon Farm Court, Suite 102
Louisville, KY 40223
ON ACCOUNT OF APPROPRIATION FOR
IS Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Prior Year Encumbered I hereby certify that the attached invoice(s), or
26631 12694 43-515.02 $9,826.00
Prior Year Encumbered bill(s) is (are) true and correct and that the
Prior Year Encumbered materials or services itemized thereon for
which charge is made were ordered and
Prior Year Encumbered
26631 12694 43-515.01 $6,732.00 received except
Prior Year Encumbered
Prior Year Encumbered
Prior Year Encumbered
26631 12694 44-632.01 $40,406.00
Monday, January 07, 2013
Prior Year Encumbered
Prior Year Encumbered
Director , IS
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
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 Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
12/26/12 12694 $9,826.00
694
1
12/26/12 12694 $6,732.00
0
12/26/12 12694 $40,406.00
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