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190832 10/13/2010 CITY OF CARMEL, INDIANA VENDOR: 355319 Page 1 of 1 ONE CIVIC SQUARE MICHAEL KLITZING CARMEL, INDIANA 46032 1550 REDSUNSET DRIVE CHECK AMOUNT: $506.40 BROWNSBURG IN 46112 CHECK NUMBER: 190832 CHECK DATE: 10/13/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4343000 REIMB 326.40 TRAVEL FEES EXPENSE 1125 4355200 REIMB 180.00 SUBSCRIPTIONS C armel ar ks &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 9/26/2010 When to Work 10 100.000.4355200 Subscriptions $180.00 service (9/27 10126/10) All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $180.00 Employee Name (print) Michael Klitzing Address 1550 Redsunset Dr. Check payable to: City, St, Zip Brownsburg, IN 46112 Signature: Approved by: Date: f d f �I Date: T Business Services Division, Revised 7 -7 -08 51 a FILE: SharedlAdministrative %Forms\Staff Forms \Employee Exp Reimh Request OCT 0 4 1010 ]BY: ....��.f.,`�........ v Paula Schlemmer From: Michael Klitzing Sent: Sunday, September 26, 2010 11.09 AM To: Paula Schlemmer Cc: Audrey Kostrzewa Subject: Fwd: Your WhenToWork renewal has been processed Paula. Would you please complete a reimbursement form for me on the following expense. Don't want to lose track of it when I return from vacation. Thanks, Michael W. Klitzing, CPRP Assistant Director Carmel Clay Parks Recreation 317.573.4018 Sent from my Wad Begin forwarded message: From: WhenToWork.com billin(,�Lt,,mail5.WlienToWork.com Date: September 26, 2010 3 :04:53 AM EDT To: mklitzing (tt?carmelclavparks.cotn Subject: Your WhenToWork renewal has been processed Reply -To: "WhenToWork Billing" billin (c),When2Work.corn Dear Michael Klitzing, Your WhenTo Work. coan automatic monthly renewal has been processed. Your credit card has been billed $180 for a recurring monthly subscription on your WhenToWork Carmel Clay Parks Recreation account 4 21996201 for a total of up to 400 employees. (Your account is currently at 266 employees.) Your account is now paid through Oct 26, 2010. (You can stop your autornatic 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,When2Wofk.corn and the staff at: htti)s: /WhenToWork.com t Carmel y Parks& Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense Travel to NRPA Congress 9/23/2010 Delta (via AmEx Travel) 101 4343000 Travel Fees Expenses $326.40 (10/25/10 10/29/10) All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $326.40 Employee Name (print) Michael Klitzing Address 1550 Redsunset Dr. Check payable to: City, St, Zip Brownsburg, IN 46112 Signature: Approved by: Date: Date: Jan r6. 1�'✓ Business Services Division, Revised 7 -7 -08 ,f I� FILE: Shared \Administrative\FormslStaff Forms \Employee Exp Reimb Request `t �V Q BY. 1 t TrlpDeta Page Iof3 mm�m�m�m� Your trip details Know Before You Qo s Print this �page and keep for your wrordx- m Read the policies. a Contact uwimmediately if any issues arise with your reservation before o, during your trip. Note: We sent a confirmation message to the email address you provided (mklitzing@indy ,Your American Ex press ID is: 5026 6877 7577 Your phone number for this trip: 317 This is an e-ticket, so no paper ticket will be mailed to you. What is an e-ticket? Please note: Seat requests are not guaranteed and may be changed by the airline. In addition, flight sc ulg�� may be changed by the airline. Itinerary Primary Contact� MICHAEL KLITZING Travel Tools: For questions about this itinerary, call 800-297-2977 OnUne fliaht Gheck-in Lookup fl.ignt,stalus Flight: 1 Round-Trip Ticket All flight times are local to each city. For your boarding pass, use reference code GUY5W3 for online or airport check-in. Mon, Oct 25, 201 Indianapolis (IND) to Minneapolis International Airport (MSP) Depart: 07�20pnn Indianapolis, IN (IND) to Delta Air Lines Arrive: 08:14pm Minneapolis, MN (MSP) Flight 291 (on McDonnell Douglas Confirmation GUY5W3 Adult fare rules Requested Seats: 23D Total Travel Time: 1 hr 54 mins For your boarding pass, use reference code GUY5W3 for online or airport check-in. Fri, Oct 29, 201 Minneapolis International Airport (MSP) to Indianapolis (IND) Depart: 03:15pm Minneapolis, MN (MSP) to �_k Delta Air Lines Arrive: 05:49pm Indianapolis, IN (IND) Flight 2689 (on Airbus A320- Confirmation GUY5W3 Adult fare rules Realiested Seats,: 16D Total Travel Time: 1 hr 34 mins Passenger Name Frequent Flyer Information MICHAEL KLITZING You can add your frequent flyer number at the airport. i h[OoS//«o bove\ urohos do;j'sess id=9A|AA5 9/23/2010 TripDetails Page 2 of 3 Travel Atertl The TSA has adjusted its ban on liquids, aerosols, and gels, so you can now carry the following items on board your flight: a Travel -size toiletries (3 ounces or less) that fit comfortably in a quart -size, clear plastic zip -top bag. One zip -top bag is permitted per passenger. Beverages and other items purchased in the secure boarding area. a At the security checkpoint, place the zip -top bag of liquids in a bin or on the conveyor belt for inspection. i E a Passengers carrying on larger amounts of prescription liquid medications, baby formula, and diabetic glucose treatments must declare these at the security checkpoint for additional screening. E i Arrive at the airport early. Enhanced security measures may mean longer lines at security checkpoints. i i This new security policy applies to all domestic and international flights departing from U.S. airports. We always recommend checking the TSA Web site www.tsa. gov) for the most up -to -date information about security procedures. If you 1 are departing from a non -U.S. airport, be sure to check that airport's security policies and pack accordingly. i Pricing 1 Adult: $298.01. Taxes Fees: $28.39 Total: $326.40 We charged a total of $325.40 to your American Express© Card XXXX XXXX -XXXX -1007. i m American Express Travel Fees and airline charges will be shown as separate line items on your credit card statements. Travel Checklist i m Printed itinerary—As you will not receive a paper ticket, we suggest you print this page to take along with you on your trip. o Photo ID —Every passenger must have a valid government- issued photo ID (such as a drivers license or passport). Please note that the name on the photo ID must match the passenger name in the reservation. m TSA Secure Flight Information —Any information you provided has been added to your reservation. m Special ServiceslMeal Requests Please confirm your special request or meal request with the airline. a Terminaligate information —Check with the airline for updated terminallgate information the day of your travel. Also please note, you can verify the flight status online. Due to increased security measures you should plan to arrive at the airport two hours prior to departure. o What to expect at the airport —The airline will issue your boarding pass upon check -in. Some airlines allow you to pre print your boarding pass with an online check -in feature. m Schedule Changes ---The airline may change your flight itinerary at any time. If we are notified of an itinerary change, we will contact you by email and/or phone. If the airline has not provided you with an acceptable alternative itinerary, our agents will try to reaccommodate you according to the airline// s policy and availability. m Baggage guidelines —Be sure to review your airline's baggage allowance guidelines. Airline rules for checked baggage allowances vary. Many carriers allow passengers two checked bags and one carry -on while some only permit two checked bags. All carry -on baggage will be subject to search. Review the Transportation, Secunty Administrations guidelines for baggage. 1 Instructions and Policies i General Policies m Once the ticket has been issued the name on the ticket cannot be changed. m Ticket is non refundable. f m Ticket changes may incur penalties and /or increased fares. e Airline baggage fees may apply and may not be included in the price. m There are times when we are unable to confirm a reservation. In the rare event that this occurs, we will attempt to reach you by phone and email so that we can reaccommodate you. You must call us back within 48 hours or we may not be i j https: /go.amcricanexpress- travel. com /checkout/ Retrieves L irchase.do,jsessionid= 9A1AA5... 9/23/2010 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 9126/10 Reimb Online employee scheduling service 9/27- 10/26/10 180.00 9123/10 Reimb Travel to NRPA Congress 10/25/10 326.40 Total 506.40 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 20_ Clerk- Treasurer i Voucher No, Warrant No. 355319 Klitzing, Michael Allowed 20 1550 Redsunset Dr Brownsburg, IN 46112 In Sum of 506.40 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 Reimb 4355200 180.00 1 hereby certify that the attached invoice(s), or 1125 Reimb 4343000 326.40 bills) is (are) true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except 7 -Oct 2010 Signature 506.40 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund