HomeMy WebLinkAbout195518 03/16/2011 CITY OF CARMEL, INDIANA VENDOR: 355319 Page 1 of 1
ONE CIVIC SQUARE MICHAEL KLITZING CHECK AMOUNT: $135.00
CARMEL, INDIANA 46032 1550 REDSUNSET DRIVE
BROWNSBURG IN 46112
CHECK NUMBER: 195518
CHECK DATE: 3/16/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4355200 135.00 SUBSCRIPTIONS
Car e Clay
arks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
(/;�`j Ds Online employee scheduling
2/28/2011 When to Work 101 100 -000- 4355200 Subscriptions $135.00 service (2/27/11 3/26/11)
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
Address 1550 Redsunset Dr. t` FEB
Check
payable to: City, St, Zip Brownsburg, IN 46112
Signature: Approved by:
Date: 2_1 zFl ff Date:
Business Services Division, Revised 7 -7 -08
FILE: SharedlAdministrative \Forms%Staff Forms\Employee Exp Reimti Request
2/28/2011 Thank you for your payment
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Feb 28, 2 Cai s
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Thank you for your Payment.
Your Account has now been marked paid.
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Please print this confirmation for your records.
NOTE: Your credit card will be automatically
charged this amount each month. Automatic billing can be turned
off at any time from your Settings /Billing page.
Invoice: #1022821996201 -300 -1
Company: Carmel Clay Parks Recreation
WhenToWork Account: 21996201
Subscription Information
Number of Employees: 300
Length of Time: 1 months
Paid Through 03/26/2011
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Amount Charged: 135
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Payment Information
Name on Card: Michael Klitzing
Address: 1550 Redsunset Dr.
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City: Brownsburg
State Indiana 46112 I
Country: Brownsburg j
Contact Info
Phone: 317- 450 -1250 j
E- Mail mkIitzing@carmelclayparks.co 1
You can print a copy of your invoices at anytime
from the bottom of your Settings >Payments page.
...whentowork.com /mgrauthorizecc 1/ 2
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
2128/11 Reimb Online employee scheduling 2127 3/26/11 135.00
Total 135.00
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
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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 INVOICE NO. ACCT#ITITLE AMOUNT Board Members
Dept
1125 Reimb 4355200 135.00 1 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
10 -Mar 2011
Signature
135.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
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