218556 03/25/2013 \w CITY OF CARMEL, INDIANA VENDOR: 365242 Page 1 of 1
( ONE CIVIC SQUARE MIRAZON GROUP
a CARMEL, INDIANA 46032 1640 LYNDON FARM COURT SUITE 102 CHECK AMOUNT: $5,500.00
LOUISVILLE KY 40223 CHECK NUMBER: 218556
CHECK DATE: 3/25/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4351502 26782 14019 5, 500 . 00 ANNUAL SUPPORT—DATACO
The Mirazon Group IN
1640 Lyndon Farm Court
Suite 102
Louisville,KY 40223
502-240-0404
Bill Ta Date
City of Carmel 03/13/2013 114019
Attn:Terry Crockett
Three Civic Square Account
Carmel, IN 46032 City of Carmel
P0 •Number,`,• 7 eferencw
Net 14 Days 103/27/2013 126782 1 Order#2631 003120155 0020
Product S, : Price unt
Billable Product Details
DataCore SANsymphony-V R9,vL3 Bundle-1 Year of Support 2.00 $2,750.00 $5,500.00
Miscellaneous Invoice
Total Product Details: $5,500.00
Invoice Subtotal: $5,500-00
Make checks payable to The Mirazon Group. Sales Tax: $0.00
Invoice Total: $5,500.00
Thank you for your business!
A/11
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Cliy ® (�° INDIANA RETAIL TAX EXEMPT PAGE
,Jlr Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT 26792
35-60000972
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,A/P
CARMEL, INDIANA 46032-2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
LFORMROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL- 1997 SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
3/612013 Datacore Annual Support
The Mirazon Group Carmel Communications
Terry Crockett
VENDOR 1640 Lyndon Farm Court,Suite 102 SHIP 3 Civic Square
Louisville, KY 40223 TO Carmel, IN 45032
(317)571-2567
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
P^.
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
' Account 43-515.02
1 Each Datacore Annual Support $5,500.00 $5,500.00
Sub Total: $5,500.00
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_ Coverage P�edod,-51221'1 3; 51211114fzN' o
Send Invoice To: ! °•
City of Carmel
Terry Crockett m
3 Civic Square -
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel IS Dept.
PAYMENT
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE APART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED!
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATEDZALANCE IN
•SHIP REPAID.
THIS AP.F30PRIATION FFICIENT TO PAY>FO �THE�ABOVE ORDER. !
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ! DlrectoP f
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITC�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. '
CLERK-TREASURER
DOCUMENT CONTROL NO. 2 6 7 8
A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO WARRANT NO`_____
ALLOWED 20___
|N THE SUM OF$
[)N ACCOUNT(}F APPROPRIATION FOR
'
Board Members
ru#or �
DEPT.# INVOICE NO, ACCT#/TITLE AMOUNT | hereby ced�ythat the attached invoioohA. or
b0(s) iahana true and correct and that Uhe
materials or services itemized thereon for -
which charge ia made were ordered and
received except_________
`
/
20_�__
........ ..............'...........__
'
Signature
Title �
. `
� .
Cost distribution ledger classification if �
claim paid mow,vehicle highway fund
VOUCHER NO. WARRANT NO.
ALLOWED 20
The Mirazon Group
IN SUM OF $
1640 Lyndon Farm Court, Suite 102
Louisville, KY 40223
$5,500.00
ON ACCOUNT OF APPROPRIATION FOR
IS Department
PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members
26782 I 14019 I 43-515.02 I $5,500.00 1 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
Wednesday, Marc 20,2013
a
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))
03/13/13 14019 $5,500.00
1 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