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Home My WebLink About222499 07/30/2013 CITY OF CARMEL, INDIANA VENDOR: 365242 Page 1 of 1 ONE CIVIC SQUARE MIRAZON GROUP CARMEL, INDIANA 46032 1640 LYNDON FARM COURT SUITE 102 CHECK AMOUNT: $3,960.00 LOUISVILLE KY 40223 ,.o o CHECK NUMBER: 222499 CHECK DATE: 7/30/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1202 4463202 26803 15982 3 , 960 . 00 DATACORE 1TB The Mirazon Group Is 1640 Lyndon Farm Court Suite 102 Moraa" .j Louisville,KY 40223 502-240-0404 Bill To _ 3 Date: Invoice_ City of Carmel 07/05/2013 115982 Attn:Terry Crockett Three Civic Square Account Carmel IN 46032 City of Carmel IT _ l)ue:Date Td—'PBumber,. ,. . Reference Net 14 Days 10 7/19/2013 jOr der#3095 1003120155 002 0 Product Details Quant '' Price = Amourit Billable Product Details DataCore SANsymphony-V R9, 1 TB Capacity-License for 1 Group(Price 11.00 $400.00 $4,400.00 Level B:more than 10 TBs)(Government) Government Discount for DataCore SANsymphony-V R9, 1 TB Capacity- 11.00 ($40.00) ($440.00) License for 1 Group(Price Level B:more than 10 TBs) Miscellaneous Invoice Total Product Details: $3,960.00 Invoice Subtotal: $3,960.00 Make checks payable to The Mirazon Group. Sales Tax: 0. Invoice Total: $3,96000 Thank you for your business! ity INDIANA RETAIL TAX EXEMPT PAGE CERTIFICATE NO.003120155 002 0 ® Carmel PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 26803 i 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 SHIPPING LABELS AND ANY CORRESPONDENCE. 3URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 711120'93 Datacore Licenses The Mirazon group Carmel Communications SHIP Term Crockett VENDOR 1640 Lyndon Farm Court,Suite 102 TO 3 Civic Square ►1/I Louisville, KY 4:0223 Carmel, IN 46032 (317)571-2567 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 44-+632.02 1 Each DataCore SANsymphony-v R9,1 TB capacity $3,960.00 $3,960.00 Sub Total: $3,960.00 1% ca, , r ` rn Send Invoice To: City of Carmel Terry Crockett c 3 Civic Square Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT Carmel IS Dept. PAYMENT $3,960.00 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN •SHIP REPAID. THIS APPIA•ION SUFFICIENT TO PAY FOR THE ABOVE ORDER. •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. /f •PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. Director •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE / AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. ®� CLERK-TREASURER ---- - -- DOCUMENT CONTROL NO. A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NDWARRANT ND`_------- ----- ALLOWED 20___ ` |N THE SUM OF$ � � . . ()0 ACCOUNT {}F APPROPRIATION FOR ` � � � .. — ' Board Members PO#or DE | hereby certify that the attached invuioo(a)' or bill(s) is (an*) true and correct and that the materials or services itemized thereon for ' which charge is made were ordered and reoeivedexoa�d , ` � � � �20_--_- Signature /me . � Cost distribution ledger classification if claim paid 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 $3,960.00 ON ACCOUNT OF APPROPRIATION FOR IS Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 26803 I 15982 I 44-632.02 I $3,960.00 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 Monday, July 2013 Dire or , 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)) 07/05/13 I 15982 I I $3,960.00 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