242994 03/11/15 CITY OF CARMEL, INDIANA VENDOR: 355319
s `1 ONE CIVIC SQUARE MICHAEL KLITZING CHECK AMOUNT: $********15.40*
CARMEL, INDIANA 46032 1550 REDSUNSET DRIVE CHECK NUMBER: 242994
BROWNSBURG IN 46112 CHECK DATE: 03/11/15
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4343000 15.40 TRAVEL FEES & EXPENSE
Carmel • Clay
Parks&Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
Cabt to Airport for NRPA Program
1/17/2015 Union Cab 101 1125-1-00-4343000 Travel Fees $15.40 Comm.Mtg.
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $15.40
Employee Name(print) Michael Klitzing
.. z
Address 1550 Redsunset Dr.
Check ++ MAR 02 2015
payable to: City, St, Zip Brownsburg, IN 46112 !
Signature: Approved by:
Date: - 13/2/2015 Date:
f
Business Services Division,Revised 7-7-08
FILE: Shared\Administrative\Forms\Staff Forms\Employee Exp Reimb Request
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of 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.
355319 Klitzing, Michael Terms
1550 Redsunset Dr Date Due
Brownsburg, IN 46112
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO# Amount
1/17/15 Reimb Travel expenses for NRPA Comm. Mtg. $ 15.40
Total $ 15.40
1 hereby certify that the attached invoice(s),or bill(s)is(are)true and correct and I have audited same in accordance
with I C 5-11-10-1.6
, 20_
Clerk-Treasurer
Voucher No. Warrant No.
355319 Klitzing, Michael Allowed 20
1550 Redsunset Dr
Brownsburg, IN 46112
In Sum of$
$ 15.40
ON ACCOUNT OF APPROPRIATION FOR
101 General-Fund
I
PO#or Board Members
Dept# INVOICE NO. ACCT#/TITLE AMOUNT
1125 Reimb 4343000 $ 15.40 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
J
March 5, 2015
Signature .
$ 15.40 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
i