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Home My WebLink About323010 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 OPERATED UNDER LICENSE FROM MARRIOTT INTERNATIONAL,INC.OR ONE OF ITS AFFILIATES