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Home My WebLink About330891 10/09/18 +ut t�AM ! CITY OF CARMEL, INDIANA VENDOR: 355319 j ONE CIVIC SQUARE MICHAEL KLITZING CHECK AMOUNT: $*****1,227.29* =9, ��a; CARMEL, INDIANA 46032 1550 REDSUNSET DRIVE CHECK NUMBER: 330891 MdroN b�. BROWNSBURG IN 46112 CHECK DATE: 10/09/18 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4343000 REIMB 503.10 TRAVEL FEES & EXPENSE 1125 4230200 REIMB 21.40 OFFICE SUPPLIES 1125 4343000 REIMB 602.79 TRAVEL FEES & EXPENSE 1125 4344100 REIMB 100.00 CELLULAR PHONE FEES ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL VOUCHER NO. WARRANT NO. An invoice of bill to be properly itemized must show;kind of service,where performed,dates service rendered,by Vendor# 355319 Allowed 20_ whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. Klitzing, Michael Payee 1550 Redsunset Dr Brownsburg, IN 46112 In Sum of$ Purchase Order# 355319 Klitzing,Michael Terms $ 1,227.29 1550 Redsunset Dr Date Due Brownsburg,IN 46112 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund/109 Monon Center PO#ornvo ce Description Dept# INVOICE NO. ACCT#IrITLE AMOUNT Invoice Date Number (or note attached invoice(s)or bill(s)) PO# Amount 1125 Reimb 4344100 $ 100.00 Board Members 10/1/18 Reimb Cell Phone Reimbursement Aug,Sep'18 $ 100.00 1125 Reimb 4230200 $ 21.40 10/1/18 Reimb Office Supplies $ 21.40 1125 Reimb 4343000 $ 602.79 1 hereby certify that the attached invoice(s),or 10/1/18 Reimb Travel Expenses for NRPA Conference $ 602.79 1091 Reimb 4343000 $ 503.10 bill(s)is(are)true and correct and that the 10/1/18 Reimb Travel Expenses for NRPA Conference $ 503.10 materials or services itemized thereon for which charge is made were ordered and received except $ 1,227.29 Total $ 1,227.29 October 2,2018 I 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 Cost distribution ledger classification if claim paid motor vehicle highway fund Signature -,20— Accounts 20Accounts Payable Coordinator Clerk-Treasurer Title Carmel . Cl.ay Park, &Recreation: : Empaoyee Expense Reimbursement Request : . : . Date of: : Fund Account_ . . . Account. Receipt Vendor listed on receipt. # Line# Budget Description Amount Purpose of Expense: - Reimbursement for use of: 8/12/2018 Verizon Wireless —. 101-11125-1-00-4344100 . Cellular Phone Fees.. $50.00. personal phone;for•Department, business-.August&,September 9/12/20.18- Verimn Wireless :101- 1125-1-00-4344100 Cellular Phone Fees $50.00 . . . . . . . . . . Copies .or istri ution at Program .9/2:5/2018.: FedEx Office. 101 1125-1-00-4230200 Office Supplies.: $10:70 .Committee Meeting Copies for distribution.at Program 9/25/2018'. FedEx Office 101.: 1125-1-00.-4230200 Office.Supplies. $10:70. . ✓ Committee Meeting . . 9/25/20.18 Steak:'n-Shake-- 101 1125=1-0.04343000 Travel Fees&Expenses $7.94 Dinnerat NRPA Conference. Dinner.or5.CCPR staff,.Boar .9/26/2018,: Shula's 1.01. .1125-1-00-4343000' Travel Fees&Expenses $586.95., President&City.Council Member 1 - inner / r 6 CCPR sta. a 09 1091-4343000- Travel;Fees.&.Expenses $503.10 r o Conference .t m 9/27/2018:. Indiana Convention Center Centerplee. -101. 1125-1-00=4343000 Travel.Fees.& Expenses $7..90. Lunch:at N RPA Conference All receipts should_be attached.in the same:order as listed above. 'T No.sales tax will be reimbursed.: , TOTAL: $1,227:29 ✓: Y Em to ee:Name'(print) Michael:Klitzing P Address: 1550"Redsunset Dr:: Check: . . . payable to: 'City,.St;:Zip Brownsburg; IN 4611.2 Signature:_ APRroved by: Date::,:= :. 8/1/2018Date: d l 1�1 I Business Services Division,Revised 7-7-08 FILE:_ Shared\Administrative\Forms\Staff Forms\Employee Exp Reimb Request * 8 $ 3 9 3 " * Indiana Convention Center Steak 'n Srfake k:258 Centerpl ate 011ie I", e�8 f'�'y out . . . . . . . . . . . . . . . . . . . . . . . . . . . . . ____ Date: SEP-27-2018 ` Mart::: TIANA G 9/25/2018 6:50:43 PWI Time: 1:26PM SEAT: 'I Server: Scouting 1 Frisco Melt/FF S.49 Stand: Mary PIZ 1 1`Regular Diet Coke 1 .79 SubTotal 7.28 Tax 0 66 CUSTOMER COPY lotal Pizza Slice $4.25 I Small Soda $3.00 f, pC hIICWFfp�}ESubtotal $7.25 (;IE[ , EASY AS 1-2-5! IN 9.0% SALES TA $0.65 1 . Download Steak 'n Shake App Total $7.90 2. Order & Pay s. Earn Free Food Card Number XXXXXXXXXXXX003 Exp/Bal XXXX AMERICANEXP Auth # 558934-1060717872 Tell Us About Your Experience' CreditCard $7.90 1-571-S1K-N-SHK (1-E;l 1-155-6i'�i5) . Change $0.00 j To contact this store Call ---- --- Call (317)634•-E3ir03 Item CountSign.3 . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . - Card holder agrees to pay according o card issuer agreement. loaf Clfj �� ti{t' CvEil � Shula's Westin Indianapolis 50 South Capitol Ave Westin Indianapolis Indianapolis, IN 46204 50 south Capitol Ave Indianapolis, IN 46204 Phone: (317) 262-8100 Phone: (317) 262-8100 26 Sep'18 10:30 PM 910330061 Neil F. -------------- - --------- GST 13 Check: CHK 5171 CHK 5171 Server: 910330061 Neil F. 245 beo Card Type: American Express 26 Sep'18 10:24 PM Acct Num: ***********3003 ---------------------- --------- Auth Code: 530739 Dine I n Customer: MICHAEL KLITZING 1 Food OPEN 845.00 13x65/beo 169.00 Amount : $1 , 090 . 05 Added % Gratuity 20.00 % Gratuity: Subtotal $845.00 Other $169.00 Grand Total :._ Tax $76.05 Total Due $1 , 090 . 05 X Cardmember agrees to pay the Grand Tota FOR ROOM CHARGES ONLY in Gratuity: --------7;---� accordance with agreement governing 'TOTAL: ___L d �-- use of such card. ROOM # Thank you, please come visit with us again!!! PRINT NAME SIGNATURE SPG # Thank you for dining with us!!! FecHmOfficem September 25,2018 07:41 Page:1 Receipt#:5050116815 AmEx#:XXXXXXXXXXX3003 2018/09/25 07:39 Qty Description Amount 50 PNG B&W S/S 8.5x11 &8.5x14 10.00 SubTotal 10.00 Taxes 0.70 Total 10.70 J The Cardholder agrees to pay the Issuer of the charge card in accordance with the agreement between the Issuer and the Cardholder. FedEx Office Print&Ship Centers 50 S Capitol Ave Indianapolis,IN 46204 (317)917-1529 www.FedExOffice.com Tell us how we're doing and receive $5 off your next$30 print order fedex.com/welisten or 1-800-398-0242 Offer Code: Offer expires 12/31/2018 Get your message out in a big way with everything from full-color banners to photo-quality posters,yard signs, auto magnets and more. Please Recycle This Receipt FedlaOfficem September 25,2018 07:17 Page:1 Receipt#:5050116814 AmEx#:XXXXXXXXXXX3003 2018/09/25 07:14 Qty Description Amount 50 PNG B&W S/S 8.5x11 &8.5x14 10.00 SubTotal 10.00 Taxes 0.70 Total 10.70 The Cardholder agrees to pay the Issuer of the charge card in accordance with the agreement between the Issuer and the Cardholder. FedEx Office Print&Ship Centers 50 S Capitol Ave Indianapolis,IN 46204 (317)917-1529 www.FedExOffice.com Tell us how we're doing and receive $5 off your next$30 print order fedex.com/welisten or 1-800-398-0242 Offer Code: Offer expires 12/31/2018 Get your message out in a big way with everything from full-color banners to photo-quality posters,yard signs, auto magnets and more. Please Recycle This Receipt