HomeMy WebLinkAbout323010 03/21/18 CITY OF CARMEL, INDIANA VENDOR: 355319
`= CHECK AMOUNT: $*******178.00*
.i; �3 �'• ONE CIVIC SQUARE MICHAEL KLITZING
CARMEL, INDIANA 46032 1660 REDSUNSET DRIVE CHECK NUMBER: 323010
BROWNS BURG IN 46112 CHECK DATE: 03/21/18
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4343000 REIMS 78.00 TRAVEL FEES & EXPENSE
1125 4344100 REIMB 100.00 CELLULAR PHONE FEES
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
VOUCHER NO. WARRANT NO.
An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by
Vendor# 355319 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc.
Klitzing, Michael Payee
1550 Redsunset Dr
Brownsburg, IN 46112 In Sum of$ Purchase Order#
355319 Klitzing,Michael Terms
$ 178.00 1550 Redsunset Dr Date Due
Brownsburg,IN 46112
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO#ornvolce Description
Dept# INVOICE NO. ACCT#rrITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount
1125 Reimb 4344100 $ 100.00 Board Members 3/15/18 Reimb Cell Phone Reimbursement Feb!Mar'18 $ 100.00
Travel xpenses for NRPA Conference
1125 Reimb 4343000 $ 78.00 3/15/18 Reimb Program Committee Meeting $ 78.00
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
$ 178.00 Total $ 178.00
March 16,2018
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-'I'I-10-1.6
Cost distribution ledger classification if A
claim paid motor vehicle highway fund Signature 20_
Accounts Payable Coordinator Clerk-Treasurer
Title
Carmel ® Clair
Parks&Recreation
Employee Expense Reimbursement Request
Date of Account Account
Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense
Reimbursement for use of
2/12/2018 Verizon Wireless 101 1125-1-00-4344100 Cellular Phone Fees $50.00 personal phone for Department
business
Reimbursement for use of
3/12/2018 Verizon Wireless 101 1125-1-00-4344100 Cellular Phone Fees $50.00 personal phone for Department
business
NRPA Conference Program
1/11/2018 Capital Commons Parking Garage 101 1125-1-00-4343000 Travel Fees&Expenses $38.00 Comm.Mtg.at Westin-Indpls
NRPA LHC Mtg at Indiana
2/2/2018 Pan Am Plaza Parking Garage 101 1125-1-00-4343000 Travel Fees&Expenses $12.00 Convention Center
Mayors Lunch or Parks for NRPA
3/8/2018 Indianapolis Marriott Downtown 101 1125-1-00-4343000 Travel Fees&Expenses $28.00 LHC
No sales tax will be
reimbursed. TOTAL: $178.00
Employee Name(print) Michael Klitzing
Address 1550 Redsunset Dr.
Check
payable to: City, St,Zip rownsbur , IN 46112
Signature: Approved by:
//��Date: 3/15/2018 Date:
Business Services Division,Revised 7-7-08
FILE: Shared\Administrative\Fors\Staff Forms\Employee Exp Reimb Request
MARRIOTT INDIANAPOLIS MARRIOTT DOWNTOWN GUEST FOLIO
KLITZING/MICHAEL .00 00/00/00 10054
ROOM NAME RATE DEPART TIME ACCT#
PARKING
TYPE ARRIVE TIME
169
ROOM AXXXXXXXXXXXXX2005 RWD#:
CLERK ADDRESS PAYMENT
DATE REFERENCES CHARGES CREDITS BALANCES DUE
03/08 DAYPARK VALET 28.00
03/08 CCARD-AX 28.00
PAYMENT RECEIVED BY:AMERICAN EXPRESS XXXXXXXXXXXX2005
.00
See our"Privacy &Cookie Statement"on Marriott.com
ReCO!Pt
---- - — — L/R .909 A Payment No.00028653
Capitol ComonS T/D #06 Ticket No.096337
DALE :01/11/18 Entry Time 02/02/2018 (Fri) 10:32.
TIME :04:58: PM Exit Time 02102/2018 (Fri) 11:48
Parking Time 1:16
Receipt No. 17/1342/91 Parking Fee Rate A $12.00
* Original
Ticket: 485800
Entry' : 01/11/18 08:02 AM AMEX
LPR :DC7008 Account # *********** ***2005
TAX included 38.00 Slip # 41693
Authority # 0000501957
Credit u0 Credit Card.Amount $12.00
Trans ID : 259490
Card No, : xxxxxxxx> x2005 i0ta1 $12.00
Card Type: AMEX
Thank You for Your Visit-
Please Come Again
INDIANAPOLIS MARRIOTT DOWNTOWN
350 W MARYLAND ST
INDIANAPOLIS, IN 46225-1051
317-822-3500
MARRIOTT
This statement is your only receipt.You have agreed to pay in cash or by approved personal check or to authorize us to charge your credit card for all amounts charged to you.The amounts shown in the credit column opposite any credit card
x entry in the reference column above will be charged to the credit card number set forth above.(The credit card company will bill in the usual manner.)If for any reason the credit card company does not make payment on this account,you will
oweus such amount.If you are direct billed,in the event payment Is not made within 25 days after check-out,you will owe us interest from the check-out date on any unpaid amount at the rate of 1.5%per month(ANNUAL RATE 18%),or the
maximum allowed by law,plus the reasonable cost of collection,including attorney fees.
Signature X
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