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164795 10/16/2008 CITY OF CARMEL INDIANA VENDOR: 355319 Page 1 of 1 ONE CIVIC SQUARE MICHAEL KLITZING CARMEL, INDIANA 46032 1550 REDSUNSET DRIVE CHECK AMOUNT: $1,144.00 BROWNSBURG IN 46112 CHECK NUMBER: 164795 CHECK DATE: 10/16/2008 DEPA ACCOU PO NUMBER INVOICE NU MBER AMO DES CRIPT IO N ..1125 4341999 135.00 OTHER PROFESSIONAL FE 1125 4343000 1,009.00 TRAVEL FEES EXPENSE a Carmel ly P arks &recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense Airline ticket for M. Klitzing to 8/14/2008 Southwest Airlines 101 4343000 Travel Fees &Expenses $229.00 NRPA Conference Airline tickets for K. Schneider T. 9/4/2008 Southwest Airlines 101 4343000 Travel Fees Expenses $472.00 Pinter to NRPA Airline ticket for E. Randell to 9/11/2008 Southwest Airlines 101 4343000 Travel Fees Expenses $308.00 NRPA Conference Online employee scheduling 9/11/2008 When to Work 101 4341999 Other Professional Fees $135.00 service All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $1,144,00 Employee Name (print) Michael Klitzing RIECF -TVI D Address 1550 Redsunset Dr. SEP 7 2008 Check payable to: City, St, Zip Brownsburg, IN 46112 BY: Signature: Approved by: Date: R� I7���S Date: Business Services Division, Revised 7 -7 -08 FILE: Shared\Administrative\Forms \staff Forms \Employee Exp Reimb Request Michael Klitzing From: Southwest Airlines SouthwestAirlines @mail.southwest.com] Sent: Thursday, August 14, 2008 9:52 PM To: Michael Klitzing Subject: Ticketless Confirmation KLITZINGIMICHAEL 2TFJ8P 00 0 o N Receipt and Itinerary as of 08114108 8:51 PM Conm�atton <Number��� LU Confirmation Date: 08/14/08 Received: MICHAEL P�sseng erinfo rnn at�o Passenger�Name account�Number� �Ik,��� ,!��`iT cket#��,�,�� �y�xpfr�ation�,� `KL'ITZING /MICHAEL i 00000326321730 a 526 850558;2650 2 08/14/09 All travel involving funds from this Confirmation Number must be completed by the expiration date. Sat�Oct 1:1 2430 Depart INDIANAPOLIS IN (IND) at 8 05 AM Arnue m BALTIMORE WASHNTN (BWI} of 9 40 AM Sat Oct 18 a3 27 ;3�4�� part�BALT�IMORE WASHNTN (B I) at�10 35 AV` Arrive m INDIAN/1POLISIN(IND) at12 251?M ,T M� i d lly, un n r Air 193.48 Tax 21.52 PFC Fee 9.00 Security Fee 5.00 Total Payment: $229.00 Current payment(s) Valid only on Southwest Airlines. NON REFUNDABLE /STANDBY REQ UPGRADE TO YL Ail travel involving funds from this Confirmation Number must be completed by the expiration date. Any change to this itinerary may result in a fare increase. Fare Calculation: NRF- 1 INDWNBWI S21 NTNR 104.00 BWIWNIND S21 NTNR 104.00 $208.00 ZPIND BWI XFIND4.50 BWI4.50 AYIND2.50 BW12.50 $229.00 1 B Passengers who do not obtain a boarding pass and are not present and available for boarding in the departure gate area at least ten minutes prior to scheduled departure time may have their reserved space cancelled and will not be eligible for denied boarding compensation. �Soouth�west Co NotECe of fncorpor. °atecl 3erriis` `'��s�'`'" Air transportation by Southwest Airlines is subject to Southwest Airlines` Passenger Contract of Carriage, the terms of which are incorporated by reference. J l a llottce oflncorporated Terms w�_ a (x T v ;'v .f s, x ,�3'"' s c s S ¢s X 3' 3` W V' *.i'�> z 3 �K, a, x. D D 3 KR,. 3 aif.r 3 AdtlttionaE, informatton for N ���Trauelers $i �t Free BaggageAllo�nance I Checfun Reguirements Docum VVv Refundx{nformat�orr Policy i Sou #hwestAirEines`tDesUnat1ons F E .9",' Ei� 3 i�„�s g r mr i 3 is� A �r 5 f'E"' w' �e b n ITR an natdvvou of fligiil tlepartureorCarnval status ma7kext messages o nyour cell ph ne pager F personal tligikal assistant d EPDA) ore mail accounf �3r use our aukorrmated ph ©n s iccehby telling 9 88& SWA T ,R'IP 2 Southwest Airlines Air Booking Confirmation Page I of 2 Home 1 AbouLSOUl11wesi, I Hell) RiP —117CTC MUM "JANA PLAN sEua FLIGHT BOOKED Southwest Airlines Purchase Confirmation Thank you for using southwest.com to purchase your Ticketless Travel Southwest Airlines Confirmation Number(s) my'soutl7west (4606THWimmooffir Passenger Type Confirmation Number Passenger Account Number Disability Assistance Store travel prefere Adult 2BZF3G Tess Pinter None Entered None Entered purchase into n tim future boo kings. Setup Adult 2BZF3G Kate Schneider None Entered None Entered MySoMth Air Itinerary Trip Date Day Stops Routing Flight Routing Details 00 Depart Oct 12 Sun Nonstop IND-BWI 1436 Depart Indianapolis (IND) at 1:25 PM Arrive in Baltimore (BWI) at 3:00 PM Return Oct 16 Sat Nonstop BWI-IND 2734 Depart Baltimore (BWI) at 10:35 AM Arrive in Indianapolis (IND) at 12:25 PM Sav Do 'o cff Z Idple lleviarcl Credit on any two clay rental 9-4 Pricing from Ala Corporate Passenger U.S. Security ID /Rate 7014210. LLJ r', n�' Type Trip Routing Type of Fare Base Fare Taxes PFC Feel Passenger(s) Total Depart IND -BWI SLanna Get A a $106.05 $11.45 $4.50 $2.50 2 $249.00 Adult Return BW-IND Wanna Get Away $9395 $10.55 $4.50 $2.50 2 $223.00 Total $200,00 $22.00 $9.00 Wou $472.00 1 Seculty Fee is the government-imposed September 11 th Security Fee. More Rooms. More Choices. An e xperience has arrived uthwest.com. Billing Information Credit Card Holder Name: Michael Klitzing Billing Address: 1550 Redsunset Drive Sit Whom You Like Brownsburg, IN 46112 Learn more about Confirmation Number: 28ZF3G choosing your seat on Southwest. Passenger Type: Adult Passenger Name(s): Tess Pinter Kate Schneider Sign Up for S pecial Offe Form of Payment: MasterCard: XXXXXXXXXXXX8314 $472.00 U.S. Security CLICK I Air Base Fare Taxes PFC Feel Passenger(s) Total 1� 4 j U IND BWI $200.00 $22,00 $9.00 $5.00 2 $472.00 BVVI IND 1 Security Fee is the government-imposed September 11 th Security Fee. Enr in our frequent flyer program, Rapid Rewards. r1. Sd Agply for the Please visit Travel Tools, where you can subscribe to Flight Status Messaging or find Policies, Travel Tips, and Southwestr other Tools to manage your reservation. For your convenience, you are now able to check flight Information using Aidines our automated phone service by calling I 888-SWAJRIP. Rapid Rewards Visa Signature card and receive 6 bo nus credits after your first purchase and Snack Service Double Reward Dollars on all ry If your flight segment is less than 600 miles in length, you will be seed peanuts/pretzels. On nonstop flight segments Southwest Aidiritta urchses that are 601 to 1270 miles Icing, you will be served a packaged snack appropriate to the time of day for your travel. On flights longer than 1271 miles, a travel snack box will be served. Southwest Airlines does not serve sandwiches or meals; however, you may bring something to eat onboard. CHECKIN REQUIREMENTS AND REFUND INFORMATION Southwest Airlines Tickelless Travel is nontransferable. Govemment-issued photo identification is required at time of .heckin, Customer Checkin Requirement: Flights Operated by Southwest Airlines Customers who do not claim their reservations at the departure gate desk at least ten (10) minutes before scheduled departure time for flights operated by Southwest Airlines will have their reserved space cancelled and will not be eligible for denied boarding compensation. Refunds Any change to this itinerary may result in a fare increase. To make application for a refund of any unused air fare, please write Southwest Airlines Refunds Department 6RF, P.O. Box 36611, Dallas, TX 75235.1611. Refund requests must include a copy of this document and/or your confirmation number, date of travel and flight number, and all credit card billing information including the amount and purchase reference numbers. CONDITIONS OF CONTRACT Southwest Airlines Co. Notice of Incorporated Terms Air transportation operated by Southwest Airlines is subject to Southwest bttps://www.southwest.com/cgi-bin/confirmResPage 9/4/2008 Southwest Airlines Air Booking Confirmation Page 2 of 2 Airlines' Passenger Contract of Carriage the terms of which are incorporated by reference. Incorporated terms include but are not limited to: (1) Limits on liability for loss, damage to, or delayed delivery of passenger baggage, including fragile, perishable, and certain other irreplaceable and/or high -value goods or Contents, as specified in Article 75 of the Contract of Carriage, Baggage liability for covered items (except disability assistive devices) is limited to $3,000 per fare paying Customer unless excess valuation coverage is purchased. (2) Claims restrictions, including timeperads in which Customers must file a claim or bring an action against Southwest. (3) Our rights to change terms of the Contract. (4) Rules on reservations, checkin times, refusal to carry, and smoking. (5) Our rights and limits of liability for delay or failure to perform service, including schedule changes, substitution of alternate air carriers or aircraft, and rerouting. (6) Overbooking if we deny you boarding due to an oversale and you have obtained your boarding pass and are present and available for boarding in the departure gate area at least ten minutes before scheduled departure, with few exceptions, we compensate you. You may inspect Southwest's Contract of Carriage and Customer Service Commitment at any Southwest ticket counter or online at southwest.com, or obtain a copy by sending a request to: Southwest Airlines, V.P. Customer Relations, PO Box 36647, Dallas, TX 75235- 1647. Now When traveling on any flight operated by another carrier, that operating carriers contract of carriage applies. (e) 2007 Southwest Airlines CO. Patent Pending ice°+ CXD (:D O GV Fes PW CL Ui C/) 1� W https: /www. southwest .com /cgi- bin/confirmResPage 9/4/2008 Southwest Airlines Air Booking Confirmation Page 1 of 2 Home F,dneC Scz 6nesi aeh> t i si.rC��.E�1 �a� (a ,ate, BUOYED Southwest Airlines Purchase Confirmation Thank you for using southwest.com to purchase yourTlcketless Travel Southwest Airlines Confirmation Number(s) I soul west" 1 kit:ouTHWES .Cofkr Passenger Type Conflrmation Number Passenger Account Number Disability Assistance 1 Store travel preferences. Adult 2G 6 R'73 Emily Randell None Entered None Entered Purchase info and time on future bookings. Sel up I Air Itinerary MvScuthwesl account now! 00 Trip Date Day Stops Routing Flight Routing Details f b ...I N Depart Oct 13 Mon Nonstop IND -BWI 1436 Depart Indianapolis (IND) at 1 25 PM 11•*w Arrive in Baltimore (BWI) at 3:00 PM g� Return Oct 19 Sun Nonstop BWI -IND 1132 Depart Baltimore (8WI) at 12,45 PM .,v P Arrive in Indianapolis (IND) at 2;30 PM i j Pricin Save Up fo 2 00 g Receive Tripe Rapid Reward LU Passenger U.S. Security Credit on any two day rental Type Trip Routing Type of Fare Base Fare Taxes PFC Feel Passengers) Total from Alamo. Corporate ID(Rate 7074210. Depart IND -BWI Wanda GetAway $139,53 $1397 $4.50 $2.50 1 $160.50 Adult Return BWI -IND Wanna Gel Away $127.44 $1106 $4.50 $2.50 1 $147,50 f Total $266.97 $27.03 $9.00 $5.00 $308.00 1 Security Fee is the government- imposed September 11th Security Fee. i x. More Rooms. More Choices. r Billing Information I A new hote ex perience has Credit Card Holder Name: Michael Klitzing r arrived at s o ut In we sLcom. Billing Address: 1550 Redsunset Drive Brownsburg, IN 46112 f Sit Where You Like Confirmation Number: 2G6873 s I Passenger Type: Adult Learn more a I choosin Passenger Name(s): Emily Pendell I on Southwest. i Form of Payment: MasterCard. XXXXXXXXXXXX8314 $306.00 U.S. Security Total Air Base Fare Taxes PFC Feel Passenger(s) Total l Sign UP for Special One ,rsl, IND BWI I BWI IND $266.97 $27.03 $9.00 $5.00 1 $308.00 i MICK r1 I 1 Security Fee is the government imposed September 11th Security Fee. i SAV E, 9 .,,s SouTFflvE3fAWLN6s';' e3 •k IQ ec al I ELLoll in our frequent flyer i I program, Rapid Rewards Please visit Travel- Tools, where you can subscribe to Flight Siatus Messaging or find Policies, Travef Tips, and I other Tools to manage your reservation. For your convenience, you are now able to check flight information using our automated phone service by calling 1- 888- SWA•TRIP. 1 Aooly for the+ +gym; Southwest' i 'A Rap d I v „n'.,,,v I Rewards Snack Service i Visa Signature card and If your flight segment is less than 600 miles in length, you will be served peanutstpretzels, On nonstop flight segments i receive 8 bonus credits after that are 601 to 1270 miles long, you will be served a packaged snack appropriate to the time of day for your travel. On your first purchase and flights longer than 1271 miles, a travel snack box will be served. Southwest Airlines does not serve sandwiches or meals; Double Reward Dollars on all I however, you may bring something to eat onboard, SouthwestAirlines purchases. CHECKIN REQUIREMENTS AND REFUND INFORMATION Southwest Aidines Ticketless Travel is nontransferable, Government issued photo identification is required at time of cheokin. Customer Checkin Requirement: Flights Operated by Southwest Airlines Customers who do not claim their reservations at the departure gale desk at least ten (10) minutes before scheduled departure time for flights operated by Southwest Airlines will have their reserved space cancelled and will not be eligible for denied boarding compensation. Refunds Any change to this itinerary may result in a fare increase_ To make application for a refund of any unused air fare, please write Southwest Airlines Refunds Department 6RF, P.O. Box 36611, Dallas, TX 75235.1611. Refund requests must include a copy of this document and /or your confirmation number, date of travel and flight number, and all credit card billing information including The amount and purchase reference numbers, CONDITIONS OF CONTRACT Southwest Airlines Co_ Notice of Incorporated Terms Air transportation operated by Southwest Airlines is subject to Southwest Aid! no s' Passenger Ccmract,gl_Cartiagg„ the terms of which are incorporated by reference. Incorporated terms include but are not limited to: (1) Limits on liability for loss, damage to, or delayed delivery of passenger baggage, including fragile, perishable, and certain other irreplaceable and /or high -value goods or contents, as specified in Article 75 of the Contract of Carnage. Baggage liability for covered items https /www. southwest .con /cgi- bin/confirmResPage 9/11/2008 rage i oT i m 0 Sep 11, 2008 Close Window Print Thank you for your Payment. Your Account has now been marked paid. 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: #8091121996201 -300 -1 Company: Carmel Clay Parks Recreation WhenToWork Account: 21996201 Subscription Information o Number of Employees: 300 Length of Time: 1 months Paid Through: 10/26/2008 Amount Charged: 135 C/) Payment Information GQ Name on Card: Michael Klitzing Address: 1550 Redsunset Drive City: Brownsburg State IN 46112 Country: Brownsburg Contact Info Phone:3175734018 E- Mail mklitzing @carmelclayparks.com Questions, comments, problems or suggestions? C ONTAC T WhenToWork https /www2.whentowork.com/cgi- bin /w2wB.dll /mgrauthorizecc ?SID= 18349594104ACB 9/11/2008 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 Michael Klitzing Terms 1550 Redsunset Dr Date Due Brownsburg, IN 46112 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 8114108 Reimb. Southwest Airlines NRPA Conference M.Klitzing 229.00 9/4108 Reimb. Southwest Airlines NRPA Conference K.Schneider,T.Pinter 472.00 9111108 Reimb. Southwest Airlines NRPA Conferenc E.Randell 308.00 9/11/08 Reimb. When to Work Online employee scheduling service 135 Total 1,144.00 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 Voucher No. Warrant No. 355319 Michael Klitzing Allowed 20 In Sum of 1,144.00 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 Reimb 4343000 229.00 1 hereby certify that the attached invoice(s), or 1125 Reimb 4343000 472.00 bill(s) is (are) true and correct and that the 1125 Reimb 4343000 308.00 materials or services itemized thereon for 1125 Reimb 4341999 135.00 which charge is made were ordered and received except 1 -Oct 2008 Signature 1,144.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund