32149 The Mirazon GroupCi
of Carmel
ONE CIVIC SQUARE
CARMEL, INDIANA 46032 -2584
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL - 1997
INDIANA RETAIL TAX EXEMPT
CERTIFICATE NO. 003120155 002 0
FEDERAL EXCISE TAX EXEMPT
35- 60000972
PAGE
PURCHASE ORDER NUMBER
32149
THIS NUMBER MUST APPEAR ON INVOICES, NP
VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
PURCHASE ORDER DATE
DATE REQUIRED
REQUISITION NO.
VENDOR NO.
DESCRIPTION
10/2/2914
Veeam Support
The Mirazon Group
VENDOR 1640 Lyndon Farm Court, Suite 102
Louisville, KY 40223
SHIP
TO
Carmel Communications
Terry Crockett
3 Civic Square
Carmel, IN 46032
(317) 571-2567
CONFIRMATION
BLANKET
CONTRACT
PAYMENT TERMS
FREIGHT
QUANTITY
UNIT OF MEASURE f
DESCRIPTION
UNIT PRICE
EXTENSION
Account 43- 515.02
10 Each Early Bird Discount
10 Each Veeam Backup & Replication Enterprise for Vmware maint renewal
Send Invoice To:
City of Carmel
Terry Crockett
3 Civic Square
Carmel, IN 46032-
PLEASE INVOICE IN DUPLICATE
($12.50)
$250.00
($125.00)
$2,500.00
Sub Total: $2,375.00
ACCOUNT
PROJECT
PROJECT ACCOUNT
1202 Carmel IS Dept 1
s t
SHIPPING INSTRUCTIONS
• SHIP REPAID.`\
• C.O.D. SHIPMENTS CANNOT BE ACCEPTED.
• PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LABELS.
• THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
DOCUMENT CONTROL NO. 32149
ORDERED BY
TITL
CLERK - TREASURER
• OFFICE COPY
PAYMENT
NP 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.
I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN
THIS APPROPR ATIBN SUFFICIENT TO,PAY FOR THE ABOVE ORDER.
AMOUNT
$2,375.00
;Director