181986 02/03/2010 \w CITY OF CARMEL, INDIANA VENDOR: 355319 Page 1 of 1
i j 1. ONE CIVIC S MICHAEL KLITZING
t i r o CARMEL INDIANA 46032 1550 REDSUNSET DRIVE CHECK AMOUNT: $135.00
BRONSBURG IN 46112
CHECK NUMBER: 181986
CHECK DATE: 2/3/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4355200 135.00 SUBSCRIPTIONS
Carmel Clay
Parks&Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
'9 Online employee scheduling
12/26/10 When to Work 101 100- 000 4355200 Subscriptions $135.00 service (12/27/09 1/26/10)
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $135.00
Employee Name (print) Michael Klitzing 1 r
Address 1550 Redsunset Dr. c_ JAN 1 5 2010 iti
Check
payable to: City, St, Zip Brownsburg, IN 46112 BY:
Signature: da,..0010"""-- Approved by:
Date: 07,,, Date:
Business Services Division, Revised 7 -7 -08
FILE: Shared\AdministrativelForms \Staff Forms \Employee Exp Reimb Request
1'
Michael Klitzing
From: AutoForward @mail.WhenToWork.com on behalf of WhenToWork.com
[billing @mail.WhenToWork.com]
Sent: Saturday, December 26, 2009 3:05 AM
To: Michael Klitzing
Subject: Your WhenToWork renewal has been processed
Dear Michael Klitzing,
Your WhenTowork.com automatic monthly renewal has been processed.
Your credit card has been billed $135 for a recurring monthly subscription on your WhenToWork
Carmel Clay Parks Recreation account 21996201 for a total of up to 300 employees.
(Your account is currently at 244 employees.)
Your account is now paid through Jan 26, 2010.
(You can stop your automatic renewal using the Settings Make A Payment page.)
Please contact us if you have any suggestions or comments about our system.
Thanks for choosing WhenTowork.
Sarah
billing(a?When2Work. corn
and the staff at:
https: /WhenToWork.com
Internal Virus Database is out of date.
Checked by AVG www.avg.com
Version: 8.5.424 Virus Database: 270.14.49/2480 Release Date: 11/04/09 07:37:00
1
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by
whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc.
Payee
Purchase Order No.
355319 Klitzing, Michael Terms
1550 Redsunset Dr Date Due
Brownsburg, IN 46112
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
1/4/10 Reimb Online employee scheduling service 12/27 1/26/10 135.00
Total 135.00
I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance
with IC 5- 11- 10 -1.6
20
Clerk- Treasurer
Voucher No. Warrant No.
355319 Klitzing, Michael Allowed 20
1550 Redsunset Dr
Brownsburg, IN 46112
In Sum of$
135.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or Board Members
INVOICE NO. ACCT #/TITLE AMOUNT
Dept
1125 Reimb 4355200 135.00 I 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
28 -Jan 2010
/A-/
Signature
135.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund