226543 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