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Home My WebLink About250316 10/07/15 CITY OF CARMEL, INDIANA VENDOR: 355319 V: ONE CIVIC SQUARE MICHAEL KLITZING CHECK AMOUNT: $"*""**"126.90* CARMEL, INDIANA 46032 1550 REDSUNSET DRIVE CHECK NUMBER: 250316 'McseN BROWNSBURG IN 46112 CHECK DATE: 10/07/15 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4343000 26.90 TRAVEL FEES & EXPENSE 1125 4344100 100.00 CELLULAR PHONE FEES NYNY Hotel & Casino Slainte Nine Fine Irishmen Pub 9/17/2015 19:51 NFI Pub Check: 6140173 Table: 125 Related CfiE:ck: 6140165 Server: Celeste D.iests: 1 Terminal ; 614 Regular Check Sea1.4: 3 1 Ml GI Columbia 8.00 1 Chicken Pot Pie 21 .00 1 Ml GI Columbia 8,00 Subtotal 37.00 g.l'p Sales Tax 3.00 Total 40.00 Zz�� *****Tip Not Includedt**** This tip guide is provided for your convenience, 15%- 5,55 18%-. 6.66 20%- 7.40 Sales Tax and LET Included When Applicable ". 09/17/15 19:56 SALES DRAFT NFI Pub NEW YORK; NEW YORK 3790 S Las Vegas Blvd Las Vegas, NV 89109 (r02)740-6963 MFRCH ID: (15270 197163 CASHIER: CeIeste TERMINAL: 614 NAME; KLITZING/MICHAEL W ` NUMBER: XXX?;XXXXXXX2005 EXPIRE: XX/XX AUTH: 565484 AMOUNT: 40.00 CHECK: 6140173 TABLE: 125 a: b' TOTAL: 40.00 GRATUITY: �7 ° TOTAL: _ I agree to pay above total amount according to my card issuer agreement. P,Orchant Copy 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 / Reimbursement for use of 8/12/2015 Verizon Wireless 101 1125-1-00-4344100 Cellular Phone Fees $50.00 v personal phone for Department business SEP 2015 Reimbursement for use of 9/12/2015 Verizon Wireless 101 1125-1-00-4344100 Cellular Phone Fees $50.00 personal phone for Department business CBCT 2cA S 9/17/2015 NYNY- Nine Fine Irishmen Pub 101 1125-1-00-4343000 Travel Fees $26.90 ✓ Dinner at NRPA Conference All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $126.90 Employee Name(print) Michael Klitzing Address 1550 Redsunset Dr. Check payable to: City, St, Zip Brownsburg, IN 46112 Signature: Approved by: Date: 9/28/2015 Date: Business Services Division, Revised 7-7-08 FILE: Shared\Administrative\Forms\Staff Forms\Employee Exp Reimb Request Manage Your Account Account Number Date Due VerIZOnwireless P.O.BOX 4002 480873963-00001Past Due ACWORTH,GA 30101 Change your address at Invoice Number 3299387767 vzw.com/changeaddress Quick Bill Summary Aug 13—Sep 12 KEYLINE IIIII��IIIIIIIIIIIII �II�II MICHAEL W KLITZING Previous Balance (see back for details) $108.87 1550 REDSUNSET DR No Payment Received $.00 BROWNSBURG,IN 46112-7734 Balance Forward Due Immediately $108.87 Account Charges and Credits Includes Late Fee of$5.00 $5.00 Monthly Charges $73.99 Usage and Purchase Charges Voice $.00 Messaging $.00 Data $.00 Verizon Wireless News Equipment Charges $27.08 See Where You Use Data Verizon Wireless'Surcharges The Most and Other Charges&Credits $3.57 We know it's important to have tools to Taxes,Governmental Surcharges&Fees $4.26 help monitor your usage.That's why Total Current Charges Due by October 07,2015 $113.90 we've created the new Data Utilization tool in My Verizon.Now you can easily view your data usage by category.Visit vzw.com/datautilization. Total Amount Due $222.77 Our records indicate your account is past due. Please send payment now to avoid service disruption. Pay from Wireless Pay on the Web Questions: #PMT(#768) My Verizon at www.vzw.com 1.800.922.0204 or*611 from your wireless ------------------------------------------------------------------------------------------------------------------------------------------ VN fireless Bill Date September 12,2015 Account Number 480873963-00001 Invoice Number 3299387767 Please Recycle MICHAEL W KLITZING 1550 REDSUNSET DR Total Amount Due BROWNSBURG,IN 46112-7734 Make check payable to Verizon Wireless. $rL'��•77 Please return this remit slip with payment. s ❑❑❑ ■ F-1 El P.O.BOX 25505 LEHIGH VALLEY, PA 18002-5505 F] Check here and fill out the back of this slip if your billing address has changed or you are adding or changing your email address. 32993877670104808739630000100000011390000000222778 NOTICE:Bank account and routing numbers will be retained to enable future payments by phone or online.To opt out,call 1-866-544-0401. Manage Your Account Account Number Date Due veriZonwireless P.O.BOX 4002 , 81: •. 1111 09/07/15 ACWORTH,GA 30101 Change your address at Invoice Number 13285875644 vzw.com/changeaddress Quick Bill Summary Jul 13—Aug 12 KEYLINE IIIIIIIIIIIIIIIIIIIIII MICHAEL W KLITZING Previous Balance (see back for details) $104.52 1550 REDSUNSET DR Payment—Thank You —$104.52 BROWNSBURG,IN 46112-7734 Balance Forward $.00 Monthly Charges $73.99 Usage and Purchase Charges Voice $.00 Messaging $.00 Data $.00 Equipment Charges $27.08 Verizon Wireless'Surcharges _Verizon Wireless News and Other Charges&Credits $3.54 See Where You Use Data Taxes,Governmental Surcharges&Fees $4.26 The Most Total Current Charges $108.87 We know it's important to have tools to help monitor your usage.That's why we've created the new Data Utilization Total Charges Due by September 07, 2015 $108.87 tool in My Verizon.Now you can easily view your data usage by category.Visit vzw.com/datautilization. Pay from Wireless Pay on the Web I Questions: .: 1.800.922.0204 or*611 from your wireless ------------------------------------------------------------------------------------------------------------------------------------------ VN trete wireless Bill Date August 12,2015 0, Account Number 480873963-00001 IWO 1 Invoice Number 3285875644 Please Recycle MICHAEL W KLITZING 1550 REDSUNSET DR Total Amount Due by September 07, 2015 BROWNSBURG,IN 46112-7734 Make check payable to Verizon Wireless. 087 Please return this remit slip with payment. O0 ❑❑❑ ■ El El P.O.BOX 25505 LEHIGH VALLEY, PA 18002-5505 ❑ I��IIL�LII��II��IJJ�L�I�LIL��IJ��L�II Check here and fill out the back of this slip if your billing address has changed or you are adding or changing your email address. 32858756440104808739630000100000010887000000108878 NOTICE:Bank account and routing numbers will be retained to enable future payments by phone or online.To opt out,call 1-866-544-0401. 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 355319 Klitzing, Michael Purchase Order No. Terms 1550 Redsunset Dr Date Due Brownsburg, IN 46112 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO# Amount 9/28/15 Reimb Cell phone Sep, OcY15 9/17/15 Reimb Travel expenses for"RPA Conference 2015 $ 1 $ 266..00 90 Total $ 126.90 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 i Voucher No. Warrant No. 355319 Klitzing, Michael Allowed 20 1550 Redsunset Dr Brownsburg, IN 46112 In Sum of$ $ 126.90 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund/109 Monon Center PO#or INVOICE NO. ACCT#ITITLE AMOUNT Board Members Dept# 1125 Reimb 4344100 $ 100.00 1 hereby certify that the attached invoice(s), or 1091 Reimb 4343000 $ 26.90 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 October 1, 2015 Signature $ 126.90 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund Y