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Home My WebLink About197271 05/11/2011 CITY OF CARMEL, INDIANA VENDOR: 355319 Page 1 of 1 ONE CIVIC SQUARE MICHAEL KLITZING CARMEL, INDIANA 46032 1550 REDSUNSET DRIVE CHECK AMOUNT: $2,365.27 9 BROWNSBURG IN 46112 CHECK NUMBER: 197271 CHECK DATE: 5/11/2011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4463000 REIMB 2,208.27 FURNITURE FIX'T'URES 1125 4355200 REIMB 157.00 SUBSCRIPTIONS Carme Parks ecreat,oln Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense Online employee scheduling 4/26/2011 When to Work 101 100 000 4355200 Subscriptions $135.00 service (4127111 5/26/11) Online employee scheduling 4/26/2011 When to Work 101 100 -000- 4355200 Subscriptions $22.00 service (4/27/11 5/26/11) All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $157.00 Employee Name (print) Michael Klitzing Address 1550 Redsunset Dr. Check payable to: City, St, Zip Brownsburg, [N Signature. Approved by: Date: Date: Business Services Division, Revised 7 -7 -08 FILE: Shared \Administrative\Forms\Staff Forms\Employee Exp Reimb Request Michael Klitzing From: AutoForward @mail5.WhenToWork.com on behalf of WhenToWork.com [billing @mail5.WhenToWork.com] Sent: Tuesday, April 26, 2011 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 318 employees.) Your account is now paid through May 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 billing2When2Work.com and the staff at: https://WhenToWork.com Merchant Whentowork 1 360 E 1 st St #301 Tustin, CA 92780 US deBM WW W Description: Upgrade to 350 employees for monthly subscription Order Number: P.O. Number: I Customer ID: 21996201 Invoice Number: 21996201 -350U I i Billing Information Shipping Information Michael Klitzing i Carmel Clay Parks Recreation Shipping: 0.00 Tax: 0.00 E E E Total: USD 22.00 Date /Time: 26 Apr -2011 08:02:11 Transaction ID: 3591590909 Transaction Status: Captured /Pending Settlement Authorization Code: 130335 Payment Method: XXXX O Carmel o Clay PaFks &Recreati ®n Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense jolt 5/4/2011 Workstations USA x1#8' 1091- 4463000 Furniture Fixtures $2,208.27 4 mobile computer workstations All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $2,208.27 f:7 y Employee Name (print) Michael Klitzing 1 Address 1550 Redsunset Dr. MAY 0 4 2011, Check payable to: City, St, Zip Brownsburg, IN 46112 Signature: Approved by: Date: �/j Date: Business Services Division, Revised 7 -7 -08 FILE: Shared \Administrative%Forms\Staff Forms\Employee Exp Reimb Request Serra Garske From: WorkstationsUSA.com Customer Care bounces+RCU882YFN1 170TI@ivgbounce.com] on behalf of WorkstationsUSA.com Customer Care [CustomerCare@ivgmail.com] Sent: Wednesday, May 04, 2011 12:17 PM To: Serra Garske Subject: WorkstationsUSA.com Order Number 2775784 Received Dear Michael, *Workta sfionsUSA ell Thank you for ordering from WorkstationsUSA.com. We are emailing to confirm that we have received the following order: 4�1 Order Number: 2775784 a wn 2 Order Total $2,208,27 ffliffiR w E Payment Type: Call-In; phone in payment 41� A�n der status online. If you have any Please note that you can t..r.a c k your ,.oJ1_.., questions regarding your order, simply respond to this email, or visit htt www.WorkstationsUSA.corn modules /ContactUs. aspx?orderID 2775784, Thank you, ivgStores Customer Service WorkstationsUSA. corn, an ivgStores website. if YoLi 1'c recejvi". enla k, ffOff' US, unsubscribe. hd C'C On ivqStores Hundreds of Stores Millions of Shoppers WorkstafionsUSA.com: View Order Page I of 2 I 13 A *Workstations USA 1-800-380-5056 Workstations Alt Workstations Ergonomic Corner Workstations Classroom Adjustable Ht. Multi-Seat Office Chairs All Compter Furniture i Account Order Status Vie•. Cart Checkout Process Customer Details Review Order Order Completed Thank you! We appreciate your business and hope you shop with us again soon, You can check on your orders status by logging into your account and clicking on the order. Please call us at 1-800-380-5056 to complete your order. Your order will be completed when payment has been verified. Please check your order status regularly for changes. Do you need to Resubmit Your Payment? Order Status: Order Number WU•2775784 Order Date 51412011 12:16:45 PM Order Status Pending (Contact U s with your questions) Store Comments 514/2011 12:12:07 PM Order Status: Pending 51412011 12:12:40 PM Order Status: Pending 51412011 12:14:12 PM Order Status: Pending 5/4/2011 12:14:50 PM Order Status: Pending 5/412011 12 PM Order Status: Pending 514/2011 12:16:45 PM Order Status: Pending Billing Address: Name Michael Klitzing Address 1550 Redsunsel Dr City Brownsburg Zip 40112 Location Indiana, UNITED STATES Phone 3175734026 Company Carmel Clay Parks Shipping Address: Name Carmel Clay Parks and Rec Address 1235 Central Park Dr E. City Carmel Zip 46032 Location Indiana. UNITED STATES Phone 3175734026 Delivery Address Type Residential Shipping Instructions Payment Details: Payment Method Call-in: phone in payment Items Shipping Quantity Total Brawny 60-Inch Wide 2-Person Computer Table w Casters $450.73 Deluxe Inside Delivery 4 $1,802.92 a Sub Total; $1.802.92 Shipping: $405.35 Tax: $0.00 Total: $2,208.27 Computer, Ergonomic Corner Work Stations Order today and save! 0:. 1-800-380-5056 -800 330.505i' https://secure.workstationsusa.com/modules/CartViewOrder.aspx?Payment=success&idOrd... 5/4/2011 ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of service, where performed, dates service rendered, by whom, rates per day, number of hours, rate per hour, number of units, price per unit, etc. Payee Purchase Order No. 355319 Klitzing, Michael Terms 1550 Redsunset Dr Date Due Brownsburg, IN 46112 Invoice invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 4/26/11 Reimb Online employee scheduling service 4/27 5/26/11 157.00 514/11 Reimb 4 mobile computer workstations 2,208.27 Total 2,365.27 I hereby certify that the attached invoice(s), or bill(s) is (are) true and correct and I have audited same in accordance with IC 5- 11- 10 -1.6 20_ Clerk- Treasurer i Voucher No. Warrant No. 355319 Klitzing, Michael Allowed 20 1550 Redsunset Dr Brownsburg, IN 46112 In Sum of$ 2,365.27 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 Reimb 4355200 157.00 l hereby certify that the attached invoice(s), or 1091 Reimb 4463000 2,208.27 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 4 -May 2011 Signature 2,365.27 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund