HomeMy WebLinkAbout330891 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
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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