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Home My WebLink About226543 11/25/2013 CITY OF CARMEL, INDIANA VENDOR: 365242 Page 1 of 1 ONE CIVIC SQUARE MIRAZON GROUP CHECK AMOUNT: $54,943.00 ' a CARMEL, INDIANA 46032 1640 LYNDON FARM COURT SUITE 102 Mtrury�o_ LOUISVILLE KY 40223 CHECK NUMBER: 226543 CHECK DATE: 11/25/2013 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1202 4351501 31316 18480 16, 558 . 00 SUPPORT/BACKUP SYSTEM 1202 4463201 31316 18480 38 , 385 . 00 SUPPORT/BACKUP SYSTEM The Mirazon Group 1640 Lyndon Farm Court Miramr. Suite 102 Louisville, KY 40223 (502)240-0404 Bill To: Date Invoice City of Carmel 11/13/2013 118480 Attn:Terry Crockett Account Three Civic Square Carmel, IN 46032 City of Carmel Terms I Due Date PO Number I Reference Net 14 Days 11/27/2013 131316 1 Order#3644 1003120155 002 0 Product Details I Quantityl Pricel Amount Billable Product Details ExaGrid EX7000 Backup Storage System 1.00 $22,791.00 $22,791.00 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 $15,594.00 $15,594.00 ExaGrid 8x5 Support for EX4000 Backup Storage System, 3 Years 1.00 $6,732.00 $6,732.00 Total Product Details: $54,943.00 Invoice Subtotal: $54,943.00 Make checks payable to The Mirazon Group. Sales Tax: $0.00 Invoice Total: $54,943.00 Thank you for your business! �m INDIANA RETAIL TAX EXEMPT PAGE A ® ICI qarmel CERTIFICATE NO.003120155 002 0��! 1!i PURCHASE ORDER NUMBER FEDERAL EXCISE TAX EXEMPT 31396 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. 'URCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION 1116/2013 Exagrid Backup Storage The Mlragon Group Carmel Communications vP SHIP Terry Crockett VENDOR SHIP Lyndon Farm Court, Suite 102 TO 3 Civic Square �IVV�� C Louisville KY 40223 Carmel IN 46032 (317)571-2567 CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT.OF MEASURE DESCRIPTION UNIT PRICE EXTENSION Account 43-615.01 1 Each ExaGrid 8x5 Support for EX4000 system $6,732.00 $6,732.00 1 Each ExaGrid 8x5 Support for EX7000 system $9,826.00 $9,826.00 Sub Total: $16,558.00 Account 44-632.01 1 Each ExaGrid EX7000 Backup Storage i, =t r►i° ��(a) $22,791.00 $22,791.00 a 1 Each, ExaGrid EX4000 Backup Storagtem • °°° $15,594.00 $15,594.00 Sub Total: $38,385.00 q >4� tu cSend Invoice To: _M City of Carmel Terry Crockett 3 Civic Square Carmel,IN 46032- PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT I PROJECT ACCOUNT AMOUNT Carmel IS Dept. PAYMENT $54,943.00 • A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN SHIP REPAID. 6/ THIS APPROPR)ION SUFFICIENT TO PAY FOR THE ABOV%RDER. • •C.O.D.SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY - "J •PURCHASE ORDER NUMBER MUST APPEAR ON ALL � _ SHIPPING LABELS. / `Y ' � t� l/D ctor •THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK-TREASURER DOCUMENT CONTROL NO. 3 1 3 1 6 A.P.V. COPY-SIGN AND RETURN TO CLERIC'S OFFICE VOUCHER NO. WARRANT ALLOWED 20 IN THE SUM OF$ a ON ACCOUNT OF APPROPRIATION FOR C G� 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 20 " Signature ---- — Title _ 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 $54,943.00 ON ACCOUNT OF APPROPRIATION FOR IS Department PO#/Dept. INVOICE NO. ACCT#/TITLE AMOUNT Board Members 31316 18480 43-515.01 $16,558.00 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and that the 31316 18480 44-632.01 $38,385.00 materials or services itemized thereon for which charge is made were ordered and received except Tuesday, November 19, 2013 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)) 11/13/13 18480 $16,558.00 11/13/13 18480 $38,385.00 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