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Home My WebLink About196427 04/13/2011 CITY OF CARMEL, INDIANA VENDOR: 355319 Page 1 of 1 ONE CIVIC SQUARE MICHAEL KLITZING CHECK AMOUNT: $186.00 CARMEL, INDIANA 46032 1550 REDSUNSET DRIVE v4•�� BROWNSBURG IN 46112 CHECK NUMBER: 196427 CHECK DATE: 4/13/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4343000 REIMB 51.00 TRAVEL FEES EXPENSE 1125 4355200 REIMB 135.00 SUBSCRIPTIONS Carmel 0 Clay Parks &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 3/26/2011 When to Work 101 100- 000 435520 Subscriptions $135.00 service (3/27/11-4/26/11) 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. Check payable to: City, St, Zip Brownsburg, IN 46112 Signature: f Approved by: Date: Z Date: Business Services Division, Revised 7 -7 -08 MAR 3 0 2011 FILE: Shared \Administrative\FormslStaff FormslEmployee Exp Reimb Request BY: Michael Klitzing From: AutoForward @mail5.WhenToWork.com on behalf of WhenToWork.com [billing @mail5.WhenToWork.com] Sent: Saturday, March 26, 2011 3:04 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 264 employees.) Your account is now paid through Apr 26, 2011. (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 i C armel clay P arks &Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense Airfare transfer to NAA Conference 4/1/2011 Southwest Airlines 1081 4343000 Travel Fees Expenses 51.00 for 1 ESE employee All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $51.00 Employee Name (print) Michael W.Klitzing Address 1550 Redsunset Drive Check payable to: City, St, Zip Brownsbur IN 46112 Signature: Approved by: 1 Date: I Date: Business Services Division, Revised 7 -7 -08 FILE: Shared %AdministrativelForms\Staff FormslEmployee Exp Reimb Request A PR 4 1011 BY: Southwest Airlines Purchase Confirmation Page 1 of 2 SO.ITHWEST.Gt)M' 'Thank you for your purchases l APR p42011 Air Confirmation: WF7ZIZ Indianapolis, IN to Orlando, FL (04/15/2011 04/18/2011) BY' Air Car Hotel Confirmation: WF7Z1Z Choose from 14 different rental Shop over 40,000 hotels Air Total: $270.40 companies. Browse hotels Browse cars Total Paid Now $270.40 Trip Total $270.40 Air Passenger Type Name Confirmation Number Rapid Rewards Number ADULT NIKEESHA BRUCE WF7ZIZ None Entered ITINERARY DePAR r Indianapolis, IN to Orlando, FL #476 Dcpart Indianapolis, IN (IND) 3:00 PM APR I day, Ai;ril 1 20 i 1 Arrive in Orlando, FL (NICO) 5:15 PM 15 Travel Tine 2 i 1;, (Nonstop) A Ead Check wit KIL :TURN Orlando, Fl. to Indianapolis. IN 0536 Depart Orlando, FL (MCO) 12:05 I'M APR \9onslU;, Ap:0 IY, 201 i Arrive in Indianapolis, IN (IND) 2:30 I'M 18 �wel limn 2 n 25 rtt �bnslop) A Earl jird Clicck_!n PRICE Passenger Tvpe Trip Routing Fare Type Base Fare Govt "taxes and Fees Quantity Total Adult Depart IND -NICO Wanna ret Awa $139.53 $21.17 1 $160.70 Adult Relurl] MCO -IND »'imia.Ger.Away. 592.09 $17.61 1 $109,70 Please read the ra, e rules a .sizciated wish this purehase. $231.62 $38.78 1 70 4t1 Rapist Rewards points will be deposited into ilie Member's account once the entire ticket Total has been flown, exchanged, ar 1eru11ded ii Npp[i cable). Due 5270.40 Total $270.40 Billing Purchaser Name Billing Address Michael Klitzing 1550 Redsuuset Drive Brownsburg, IN 46112 Form of Payment Amount Applied $51.00 https: /www. southwest. coin reservations /confiriii.- resei ?disc= 0 %3A30 %3A 130... 4/1/2011 Southwest Airlines PUrchase Confirmation Page 2 of 2 Original Balance Applied Remaining $219.40 Travel Funds WD7ZWG -875R Total Paid Now $270.40 Trip Total $270.40 9 https:// www.southwest.com/reservatioaas /confirm- reservatiotas.htrnl ?disc= 0 %3A30 %3A 130_. 4/1/2011 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 3126111 Reimb Online employee scheduling 3127 4/26/11 135.00 4/4/11 Reimb Airfare transfer to NAA Conference 51.00 Total 186.00 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_ Cierk- Treasurer I Voucher No. Warrant No. 355319 Klitzing, Michael Allowed 20 1550 Redsunset Dr Brownsburg, IN 46112 In Sum of 186.00 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund 108 ESE PO# or Board Members Dept ept INVOICE NO. ACCT #IT €TLE AMOUNT 1125 Reimb 4355200 135.00 1 hereby certify that the attached invoice(s), or 1081 -99 Reimb 4343000 51.00 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 7 -Apr 2011 rnkA, Signature 186.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund