226754 12/03/2013 CITY OF CARMEL, INDIANA VENDOR: 365242 Page 1 of 1
0 ONE CIVIC SQUARE MIRAZON GROUP CHECK AMOUNT: $2,660.00
?a CARMEL, INDIANA 46032 1640 LYNDON FARM COURT SUITE 102
LOUISVILLE KY 40223 CHECK NUMBER: 226754
CHECK DATE: 1213/2013
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1202 4351502 31305 18520 2 , 375 . 00 VEEAM BACKUP REPLICAT
1202 4342100 18526 285 . 00 POSTAGE
The Mirazon Group M
1640 Lyndon Farm Court j '
Suite 102 H ra
Louisville,KY 40223
(502)240-0404
Bi{{--,To lnvo�ce ='
City of Carmel 11/15/2013 118526
Attn:Terry Crockett Account_-'
Three Civic Square
Carmel, IN 46032 City of Carmel
Terms Due ate.' . .. 0 ties' Reference
,
Net 14 Days 11129/2013 131316,J I Order#3644 CC31201550026
Protluct_Details
Billable Product Details
shipping and handling 1.00 $285.00 $285.00
Total Product Details: $285.00
Invoice Subtotal: $285.00
Make checks payable to The Mirazon Group. Sales Tax: $0.00
Invoice Total: $285.00
Thank you for your business!
The Mirazon Group
1640 Lyndon Farm Court
Suite 102 M
Louisville, KY 40223
(502)240-0404
BiII.
,o:— Date. Invoice ..11
City of Carmel 11/15/2013 118520
Attn:Terry Crockett Account
Three Civic Square
Carmel, IN 46032 City of Carmel
Terms � .Due,Date� P,OIVumber'� Reference -
Net 14 Day.- 1/129/2013 31305 Order#3623 003120155 002 0
Product Details Quanti Pace 'Amount
Billable Product Details
Veeam Backup&Replication Enterprise for VMware-1 Year Maintenance 10.00 $250.00 $2,500.00
Renewal
Early Bird Discount for Veeam Backup&Replication Enterprise for VMware- 10.00 ($12.50) ($125.00)
1 Year Renewal
Total Product Details: $2,375.00
Invoice Subtotal: $2,375.00
Make checks payable to The Mirazon Group. Sales Tax: $0.00
Invoice Total: $2.375.00
Thank you for your business!
INDIANA RETAIL TAX EXEMPT PAGE
City ®f Carmel CERTIFICATE NO.003120155 002 0 PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35-60000972 31 305
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.
PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION
901312013 T Veeam Annual Support
The Miraaon Group Carmel Communications
VENDOR SHIP Terry Crockett
1640 Lyndon Farm Court,Suite 102 TO 3 Civic Square �l V
Louisville, KY 40223 Carmel, IN 46032
317 571-2567
CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
Account 43-515.®2
1 Each Veeam Backup&Replication Enterprise for Vmware maint renewal $2,375.00 $2,375.00
Sub Total: $2;375.00
All
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Send Invoice To: Auot®A�►�609Cra r g®F� rlod 9 ! 33-92/22194
City of Carmel
Terry Crockett
3 Civic Square
Carmel, IN 46032- PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
Carmel IS Dept. PAYMENT $2,375.00
• A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID. C/
THIS APPROP�iIA ION SUFFICIENT TO PAY FOR THE ABOVE ORDER.
•
•C.O.D.SHIPMENTS CANNOT BE ACCEPTED.
•PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SHIPPING LABELS.
•THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99,ACTS 1945 TITLE Director
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK-TREASURER
DOCUMENT CONTROL No- 31305 A.P.V. COPY-SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO` WARRANT
NO�____-
`
ALLOWED 20___ �
|N THE SUM OF$
(°-
^ .
ON ACCOUNT OF APPROPRIATION FOR
-'
Board Members
PO#or INVOICE NO. ACCT#/TITLE AMOUNT
DEPT# | 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-----
` ' '
` � ___�
�
�
Signature
�
Title �
. '
Cost distribution ledger classification n ' .
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
$2,660.00
ON ACCOUNT OF APPROPRIATION FOR
IS Department
PO#/Dept. INVOICE NO. ACCT#(TITLE AMOUNT Board Members
1202 18526 43-421.00 $285.00 I hereby certify that the attached invoice(s), or
bill(s) is (are) true and correct and that the
31305 18520 43-515.02 $2,375.00
materials or services itemized thereon for
which charge is made were ordered and
received except
Monday, December 02, 2013
/ Di actor , 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))
11/15/13 18526 $285.00
11/15/13 18520 $2,375.00
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