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Home My WebLink About253913 01/26/16 i w.F.9q* �,! "� CITY OF CARMEL, INDIANA VENDOR: 355319 j; 1 ONE CIVIC SQUARE MICHAEL KLITZING CHECK AMOUNT: $*******372.10* s. =a; CARMEL, INDIANA 46032 1550 REDSUNSET DRIVE CHECK NUMBER: 253913 9.y,�TON.�. BROWNSBURGIN 46112 CHECK DATE: 01/26/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4343000 REIMB 322.10 TRAVEL FEES & EXPENSE 1125 4344100 REIMB 50.00 CELLULAR PHONE FEES Carme • 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 .1/12/2016 Verizon Wireless 101 11254-00-4344100. Cellular Phone Fees $50.00 personal phone for Department business JAll receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $50.00 Employee Name(print) Michael Klitzing Address 1550 Redsunset Dr. Check payable to: City, St, Zip Brownsburg, IN 46112' Signature: Approved by: Dater 111�8/2 0 16 Date: Business Services Division,Revised 7-7-08 FILE: Shaared\Administrative\Forms\Staff Forms\Employee Exp Reimb Request verizom' Manage Your Account Account Number Date Due P.O.BOX 4002 ACWORTH,GA 30101 www.vzw.com 480873963-0000102/07/16 Change your address at Invoice Number 3353609995 vzw.com/changeaddress Quick Bill'Summary mart' Dec 13-Jan 12 KEYLINE MICHAEL W KLITZING Previous Balance'(see back for details) $109.19 1550 REDSUNSET DR Payment—Thank You —$109.19 BROWNSBURG,IN 46112-7734 Balance Forward $.00 Monthly Charges $73.99 Usage and Purchase Charges Voice $.00 Messaging $.00 Data $.00 Verizon Wireless'Surcharges and Other Charges&Credits $3.98. _ Verizon Wireless News Taxes,Governmental Surcharges&Fees $4.29 Choose Clicks Over Clutter Total Current Charges $82:26 Reduce clutter this year with paper—free billing.Get an email or text alert when your bill is ready,and pay and view up to Total Charges Due by February 07,2016 $82.26 18 months of bills in My Verizon anytime, 24/7.Visit go.vzw.com/paperfree. Pay from phone Pay ori the Web Questions: #PMT(#768) My Verizon at www.vzw.com 1.800.922.0204 or*611 from your phone ------------------------------------------------------------------------------------------------------------------------------------------ VN verizon✓ Bill Date January 12,2016 Account Number 480873963-00001 Invoice Number 3353609995 piease Recycle MICHAEL W KLITZING 1550 REDSUNSET DR As part of Verizon's Go Green Initiatives,your &02.26 BROWNSBURG;IN .46112-7734 remit envelope is not included. 43 Please see Need-to—Know message for further info. $ ❑❑ . ❑❑ P.O.BOX 25505 LEHIGH VALLEY, PA 18002-5505 - ❑ I��III�iI�IlYnll��n�l�l�l�lnl�l�llnnl�lnlnll -- 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. 33536099950104808739630000100000008226000000082268 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. Carme e Clay Parks&Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense NRPA CPC Meeting in STL;Fuel for 1/12/2016 Marathon Junction 101 1125-1-00-4343000 Travel Fees $10.10 A AO Ford Focus NRPA CPC Meeting in STL; 1/13/2016 Bailey's Range 101, 1125-1-00-4343000 Travel Fees $14.54 8 Wednesday Dinner NRPA CPC Meeting in STL; 1/14/2016 Marriott St:Louis Grand Hotel 101 1125-1-00-4343000 Travel Fees $274.68 Ci 2 nights lodging+parking NRPA CPC Meeting in STL;Fuel for 1/14/2016. Casey's General Store 101 1125-1-00-4343000 Travel Fees $14.20 p AO Ford Focus NRPA CPC Meeting in STL; 1/14/2016 Wendy's 101 1125-1-00-4343000 : Travel Fees $8.58 Thursday Lunch All receipts should be attached in the same order as listed above. 71 No sales tax will be reimbursed. TOTAL: $322.10 Employee Name(print) Michael Klitzing Address 1550 Redsunset Dr. Check payable to: City, St, Zip Brownsburg, IN 46112 Signature: Approved by: Date: 1/18/2016 Date: Business Services Division,Revised 7-7-08 FILE: Shared\Administrative\Forms\Staff Form s\Employee Exp Reimb Request i i� i 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 1/12/16 Reimb Cell phone Jan'16 $ 50.00 1/18/16 Reimb Travel Expenses NRPA CPC Meeting $ 322.10 Total $ 372.10 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$ l $ 372.10 ON ACCOUNT OF APPROPRIATION FOR'`, 101 General Fund i PO#or INVOICE NO. ACCT#/TITLE AMOUNT- I Board Members Dept# 1125 Reimb 4344100 $ 50.00' 1 hereby certify that the attached invoice(s),or 1125 Reimb 4343000 $ 322.101 bill(s) is(are)true and correct and that the materials or services itemized thereon for C which charge is made were ordered and received except January 18, 2016 Signature $ 372.10 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund s ,l