182420 02/17/2010 CITY OF CARMEL, INDIANA VENDOR: 355319 Page 1 of 1
ONE CIVIC SQUARE MICHAEL KLITZING
CHECK AMOUNT: $249.52
CARMEL, INDIANA 46032 1550 REDSUNSET DRIVE
BROWNSBURG IN 46112 CHECK NUMBER: 182420
CHECK DATE: 2117/2010
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4341993 REIMB 114.52 CATERING SERVICE
1125 4355200 REIMB 135.00 SUBSCRIPTIONS
McAl1ster^s Deli
Carmel IN
2271 Pointe Parkway
CO(NCl, IN 46032
311-817-8000
EMP: GREG S
Date 01/26/10 Time 08:24
Table 405
5523|l
Card Number xxXxXxXXxXx65457 XX/xx
Ao\h-Code.. 07220C Ctrl: 55079
AmOurl� l l4 52
To 1
Curdmomba/ agrees in pay total in
oCco/dd[c8 with agreement governing
use of such oonj.
Customer Copy
McAl1ster's Deli
Carmel, IN
2271 Pointe Parkway
Cd[08l, IN 40032
317-817-8000
5-523l1
GREG S Table 405
Tun 01/26/10 8:24 AN Guests 6
l [SANDY l 0.08
8 TRAD. TKY 80.00
8 TRAD. HAM 22.50
3 TRAD. OF 22.50
3UbTUidl 105.00
Taxes 9.52
TOta] 114.52
A0UUUt Applied 114.52
Tendered 114.52
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Carmel lay
Pa rks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
Online employee scheduling
1/26/2010 When to Work 101 100 000 4355200 Subscriptions $135.00 service (1/27/10 2/26/10)
Central Park Master Plan Update
1/26/2010 McAllister's Deli 101 100- 000 4341993 Catering $114.52 Lunch Meeting
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $249.52
Employee Name (print) Michael Klitzing
Address 1550 Redsunset Dr.
Check
payable to: City, St, Zip Brownsburg, IN 46112
Signature: Approved by:
Date: �/7�5� Zo I c7 Date:
Business Services Division, Revised 7 -7 -08
FILE: Shared\Administrative \Forms \Staff Forms\Employee Exp Reimb Request
Michael Klitzing
From: AutoForward @mail.WhenToWork.com on behalf of WhenToWork.com
[billing @mail.WhenToWork.com]
Sent: Tuesday, January 26, 2010 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 240 employees.)
Your account is now paid through Feb 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 When2Work.com
and the staff at:
https: /WhenToWork.com
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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
1126110 Reimb Online employee scheduling service 1127 2/26/10 135.00
1126110 Reimb Central Pk Master Plan update lunch meeting 114.52
Total 249.52
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- 11- 10 -1.6
1 20
Clerk- Treasurer
i
Voucher No. Warrant No.
355319 Klitzing, Michael Allowed 20
1550 Redsunset Dr
Brownsburg, IN 46112
In Sum of
249.52
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT#fTITLE AMOUNT Board Members
Dept
1125 Reimb 4355200 135.00 hereby certify that the attached invoice(s), or
1125 Reimb 4341993 114.52 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
11 -Feb 2010
Signature
249.52 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund