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162828 08/20/2008
CITY OF CARMEL, INDIANA VENDOR: 355319 Page 1 of 1 ONE CIVIC SQUARE MICHAEL KLITZING CHECK AMOUNT: $683.92 CARMEL, INDIANA 46032 1550 REDSUNSET DRIVE 4 roN �o BROWNSBURG IN 46112 CHECK NUMBER: 162828 CHECK DATE: 8/20/2008 DEPARTMENT AC P NUM INVOICE NUMBER AMOUNT DESCRIPTION 1047 4343000 546.64 TRAVEL FEES EXPENSE 1047 4355200 12.99 SUBSCRIPTIONS 1 4357004 50.00 EXTERNAL INSTRUCT FEE 1125 4343000 74.29 TRAVEL FEES EXPENSE l I t,a e clalk Parks& Recreation Employee Expense Reimbursement Name (print): Michael Klitzing Date of Receipt Vendor listed on receipt Fund Department Account tine Account Description Amount Purpose of Expense 712/2008 ACF National Convention 104 1047 4357004 External Instruction Fees 50.00 Reg. for ACF Convention for C. Redmon 7/3/2008 MGM Grand 104 1047 4343000 Travel Fees Expenses 540.64 Hotel for ACF Convention V for C. Redmon 7/18/2008 Hilton Indianapolis 104 1047 4343000 Travel Fees Expenses 6.00 Parking fees; mtg. w/ Susie Bruce downtown 7/19/2008 Restaurant Owner.com 104 1047 4355200 Subscriptions 12.99 Monthly subscription fee TOTALS 609.63 Signature Date: Approved by: Date: All receipts should be attached in the same order as listed above. K:1Reimbursementsl [2008.07.01- b.xls]Expense Reimb AUG 0 A 2008 R V. 1 Membership has its advantages! Page 1 of 2 Resources to turn your good res#auran# YY i YY in #o a great business Home I Contact us I Tell a Friend I Search Member Area r Home I Membership has its advantages! Became a inerilber got r rnediat <tctss to all of c =gyp• OlP eSi)ll rCPS. 1 Membership has its advantages! RestaurantOwner.com is a resource for Searcti independent restaurant operators who are serious about improving their business. Within Restaurantowner.com you'll find a t I comprehensive and constantly updated collection of valuable, easy -to -use resources all of it'° F click here, professionally developed for, and from, the view point of the independent restaurant operator. x If you'd like to join immediately without reading the rest of this page, use Secure ,Online .._0rder Who Should Join Form. Most of our members report that they get Contributors more than full return on their membership Download Resources investment within the first few weeks. Click over to our testimonials_.page to see what some of our Member Benefits members are saying. Privacy Policy Tell a Friend Discussion Forum moderated by our contributors,. &.,_advlso_rs Terms of use Our searchable resource library of hundreds of how. -to articles Member Comments Knowledge building special reports State -of- the -art multimedia, skill- building online_semin_a_rs. 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Marketing Receive immediate access to all of our resources now for a one -time registration of just $99 and a Startup &Growth g Technoly m m embersh ip fe of 12.99 Cancel n 9 y anytime. Subscribing now guarantees that you'll immediately receive access to everything you need http://www.restaurantowner.com/public/lO.cfni 5/16/2008 Transaction Detail Page of Please p Transaction Detail RESTAURANT OWNER,COM SUGARLAND TX Transaction Date 07119/2008 ,S. Transaction Amount $12-99 Reference Number MT082030073000010776916 Merchants that provide business and trade services that Merchant Type typically are not considered professions. Examples of companies and Sercies include publishing Method Card Nurnbe Qpp 81 Card number entered via the Internet or electronically Aured Card Presence 0 Card present at time of sale Close Window h 8 na://vvnnv.hobocccditoerd.cnnoecare/tzuoaactiou_doiui19TraoaI)ote=07/lq/ZUU8&Siotenoen... 8/4/2008 M I Flexible Earnings Card Quick Look Account Summary Statement Date Manage your account online at See About Your Payment on reverse for an explanation of these amounts. www.gmflexcard.com ......'C.i1tl..... CrlS 1 ar ddid #h xra s 0 .0 dIOU go to waves Dni1!'i�xcard W Transaction Date Post Dale Description Amount Reference Number 06123 06125 06126 06!28 CONTINEN HOUSTON TX 5588.80+ MT0818000760000102W954 06126 06128 MGM GRAND RESERVATIONS LAS VEGAS NV $135.16+ MT081800076000010263986 06127 06!28 06(28 06128 NEW CHEF /ONLINE LOSANGELES CA $176.35- MT0818W07900001 01 84 493 06127 06/30 07/03 07105 MGM GRAND RESERVATIONS LAS VEGAS NV $540.64 MT081670075000010204450 07tO4 07105 1007515 24 STMT97 701 -03 015903/PM GFE1 00000058 123NNN7NNNNI (Please detach and return bottom portion with payment and retain top portion for your records. Do not staple or clip your check to the form below.) H SB C Account Number Payment Due Date 08/13108 New Balance $ Current Payment Due 547.00 Save a Clamp Peyyour bill online at Include account number on check to HSBC CARD SERVICES. Do not send cash. Send payment 7 to 10 gmnexcara.comiioain days prior to Payment Due Date to ensure timely delivery. tSee reverse for more information Amount Enclosed CI MICHAEL W KLITZING Irr t1 t 1t t tl tl It 1 1111 1 11 11 11 r 1550 REDSUNSET DR I I I II 111 I 11111111 1 111 1 111 11111 BROWNSBURG IN 46112 -7734 HSBC CARD SERVICES DEPT 9600 1111 1 11' 1 1 I1-III- I' 1111111111.11111. 1111111111 t 11111i111 CAROL STREAM IL 60126 -9600 New address or phone number? Please check box, using black ink, and complete reverse side. 0004700 0460566 5522340000986313 7 E3 I Flexible Earnings Card Quick Look Acc ount Summary Statement Date Manage your account online at See About Your Payment on reverse for an explanation of these amounts. www.gmflexcard.com fdhttrOf95 7 n�.xeansata rt1 on l tvw gt»flt� a _altr Transaction Date Post Date Description Amount Reference Number 07112 07112 Jtecollrtt Jlctivlt Previous Balance Payments and Other Credits Purchases, Cash Advances, Finance Charges New Balance Fees and Other Debits $3,619.86 $ $000 $4,605.66 Fin anCP!0hatge CaEcu101t1611 Average Daily Daily Periodic Nominal Annual Finance Cash Advance/ Annual Balance Rate Percentage Rate Charge Transaction Fees Percentage Rate $0.00 0.04176 %(v) 15.24 %(v) $0.00 $0.00 0.000% Purchases $0,00 0.05751 %(v) 20.99%(v) $0.D0 $0.00 0.000% Cash Advances v indicates variable rate $�L�DOCL�Q New address or phone number? Please check box, using black ink, and complete reverse tide. Transaction Detail Page I of I Close Window Please print for your records Transaction Detail AMERICAN CULINARY FEDE 904-8244468 FL Transaction Date 07/0212008 POST DATE 07103/2008 Transaction Amount $50.00 Reference Number MT081850080000010203368 Organizations or associations that are not described by a more specific MCC. Examples include historical clubs Method Card Number 81 Card number entered via the Internet or electronically Captured Card Presence 5 Card not present at time of sale Internet Transaction Billing Di ute Information J Close Window https://www.hsbecrediteard.com/ecare/transaction 8/4/2008 2008 ACF National Convention Culinary Salon Sponsored by: The International Culinary Schools at The Art Institutes July 15 -16, 2008 MGM Grand Garden Arena Las Vegas Competition is open to both Professionals and Students. Categories for entry are as follows: Show platters need to be for 8 persons and one portion on a display plate. Each must include two protein items, two garnishes, one salad and appropriate sauce; (all items must be glazed): Cate A Cooking SELECT ONE: A -1: Meat, Beef, Veal, Lamb or Pork, A -2 Fish and/or Shellfish; A -3 Poultry; A-4 Game; A -5 Hors d'oeuvres with 8 varieties including sauces and garnish Category B Cooking: SELECT ONE: B -1: Six different cold appetizer plates; B -2: Six different hot appetizer plates (presented cold); 13-3: One 5 course tasting menu gastronomique for one person, prepared hot and presented cold, comprising of two appetizers, one consume, one salad, and one entree all within proper tasting portions and contemporary presentations; B-4: One restaurant platter for four persons prepared hot but displayed cold and one vegetarian platter for two prepared hot but displayed cold. Category C Patisserie /Confectionery: SELECT ONE: C -1: One Celebration; C -2: 1 buffet platter fancy cookies, chocolates or petit fours (8 varieties 8 portions); C -3: 6 different hot or cold plated desserts (shown cold); C-4: Wedding Cake; C -5: Novelty Cake Category D Showpiece: SELECT ONE: D -1: Carving (tallow, fruit/vegetable, cheese, butter, etc.; D -2: Saltillage; D -3: Pastillage; D4: Chocolate; D -5: Marzipan; D -6: Cooked Sugar $500 Cash prize for first place winners in each category All entries are eligible for ACF Competition medals Participant Name: c6e_ ACF Member ��74 If paying be credit card complete the following 1g `r j information and fax form to (904) 825 -4758. Zd�r Address 0t�'� St e b City V.c1 G r',45 Name on Card: WI 01 I w f �2 r-c State Zip 4t-) 40 3 Credit Card Daytime Phone 3' 7 3 CATEGORIES FEES Car older sig ature: $50 per entry for ACF members 4 $75 per entry for non -ACF members 61 Category x 1 entries 46" CG If paying by check, make payable to: ACF and mail Category x entries completed registration form and check to address below. Category x entries American Culinary Federation Category x entries Attn: Events Management 180 Center Place Way St. Augustine, FL 32095 Total S Questions? Call 800 624 -9458 x -114, Tracy Smith. K:\EventMgt% CONVENTION 120081Competitionslcold food application 2008.doc Transact Detail Page n[| Please rint for vour records Transaction Detail MGM GR RESE L VEGAS Transaction Date 0710312008 POST DATE 07105/2008 Transaction Amount $540.64 Reference Number MT081870075000010204450 Merchant Type MGM Grand Hotel (Lodging-Hotels) Method Card Number 01 Card Number manually keyed Captured Card, Presence 0 Card present at time of sale SiffinQ Dispute Information Close Window https://www.hsbccrediteard.com/ecare/transaction 8/4/2008 ROOM RESER V ATION CREDIT CARD AUTHORIZATION TMt CITV Of EHTlC FAX THIS FORM TO (702) 591 -1030 To: FROM Q 11 DATE: f a Pax Numb `r reLi C Nu�} Country Code City C e LocAl Number (Intemationol) o I OH- CREDIT CARD HOLDER ACCOUNT INFORMATION CREDIT CARD NUM DER EXPIRATI9!� D CREDIT CA ' PHONE M�r, 9,� 9L43 3 9 73 BILLIN ACME ty State ip code Please be advised! All above information is required and MUST match the information on file with the credit card company. o The MGM will NOT guarantee resorvation(s) until we receive this completed Form by the due elate and all information is verified. Return this form no later than o FAX (702) 891 -1030. 0 OR your reservation (s) will CANCEL OR additional nights will NOT BE PROCESSED E 1" night's deposit has already been charged This form is for: DO All Nights' Room and Tarr Only First Night's Deposit only Guest Name Reservation No ArrivaUDeparture First Night 'rotas Charges Including (f p. f)eposit Charged 13eposit Grand Total l acknowledge and authorize only the charges marked above for the person(s) shown above to ho chsrSed to my credit d tnl. tf t should hek cuncet uny nr ull or the ilhove rest:rvations, t must contact MGM Grand Reservatinns at Ieasi 48 hours before the scheduled check -in date (s) in order to receive a refund. Visit Us on the Web at www,Mgmgrand.COm Debit Card users only, this ailth ori2atiOn am may affec your checking account until settlement of transaction.) CARD HOLDER'S SIGNA'T'URE: DATE: 7 I a AVS Date uDeryisor Z.Z'd t7S2S2ZSZti2ZG :01 :woad 2S :9t e002- 1212 -Nflt U ra�c L vi i Thank you for selecting MGM Grand, Las Vegas. It is our pleasure to confirm your reservation, and we look forward to welcoming you as a guest to our hotel. If you need any assistance with your reservation, please contact MGM Grand at 877- 880 -0880. Confirmation: IL1440 Arrival: Sun July 13, 2008 Staying: 5 nights Departure: Fri July 18, 2008 Guests: 1 Accommodations: West Wing King Room(s) Amer. Culinary Fed. Check -In: 3:00 PM; Check -put: 11:00 AM Please note room preferences and special requests are not guaranteed. Guest Information Billing Information Charles Redmon Total: $675.80 1235 Central Park Dr E Deposit Raid: $135.16 Carmel, IN 46032 Credit Card: 6313 Contact Information Please contact the Concierge to assist with arranging show tickets, restaurant, golf, and spa reservations. Call: 1.877.660.0660 Hours: 6:00am 12:00am PST Terms Conditions Guarantee/ Deposit: Reservations require a one -night (room and tax) deposit at the time of booking. Authorized credit card holder must present same credit card at check -in. At check -in, the credit card will be authorized for $200 above room and tax charges to cover incidental charges, debit cards are not accepted. No- Show /Cancellation: Reservations must be cancelled 48 hours prior to arrival date. Failure to do so will result in a one -night room and tax cancellation /no -show charge. Extra Person Charge: Rates are based on single or double occupancy. An additional $35.00 USD per person charge, per night, will be applied for 3rd and 4th party occupants. Maximum of four adults per room. Check In 3:00pm /Check Out 11:00am: For a late check out between 12:00pm and 6:00pm, a half -day prevailing rate charge will be applied. Must be at least 21 years old or older to check in. We are unable to guarantee specific room types and locations, however a sincere effort will be made. Average Rate: The rate quoted is an average rate. Actual daily rates may vary. Your first night deposit will be the amount of the actual first night's daily rate plus nine percent (9 hotel tax. Should you need to revise your arrival date on your existing reservation the rate is subject to change. https: reservations.mgmmirage.com/ print /00I /itinerary.aspx ?res jvGujhuDvP9bxtUmiV... 6/26/2008 PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM 14c, 101 tign) MILEAGE CLAIM 1GOVERNMENTAL UNIT) ON ACCOUNT OF APPROPRIATION NO, FOR. _'!"l (OFFICE AOARq DL OA 1tfsTT :1QN) SPEEDOMETER DATE FROM TO AUTO MILEAGE READING NATURE OF BUSINESS MILES C so. J a POINT POINT START FINISH TRAVELED PER 141LE z ISSN A Ra GL t_.C rc "ZQ 1 c!� b 2,33 1 t 22_ AUTO LICENSE NO. 1 t jt j 11� TOTALS l� I SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. t Pursuant to the provisions and penalties of Chapter 155, Acts 1953, I hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after aliowing all just credits and that no part part f of the same has been paid. Date LO -13 RECEIVED AUG 0 4 2008 BY: 1550 Redsunset Dr, Brownsburg, IN 46112 to 1050 Des Peres Rd, St Louis, MO 631.31-- Page 1 of 1 Directions to 1050 Des Peres Rd, St Louis, MO 63131 271 mi —about 4 hours 22 wins Save trees, trio green' Download Google Maps on your phone atgoogle.com /gmm v} 1550 Redsunset Dr Brownsburg, IN 46112 1. Head south on Redsunset Dr toward Arborwoods Dr go 0.2 mi total 0-2 mi 2 Turn �rlght at Arborwoods'Dr- x t go 344 ft 1%, total 3mi 3. Turn left at N 600E h.._.� go 0 mi 0. About 1 min total 0 6 mi 4 Turrt. left at US '13,6 J� go 39.ft. total 0 6:mi 5. Turn right at W Northfield Dr go 1.9 mi About 4 mins. �y, total 2.5 mi 6 Turn 9eft at!N Green St/IN 26Z go 0 ml About`Ymin y totaii26mi: 7. Turn right to merge onto 1 -74 E go 7.1 mi About 7 mins total 9.7 mi 8 Take::exlt 73A to merge onto�l 4fi5 S71�74 E s go :6,4 mi. About'B mms total -16.1 mi 9. Take exit 9B to merge onto 1 -70 W toward St Louis go 213 mi Entering Illinois total 229 mi About 3 hours 15 mins 10: Continue on' 1270`W (srgris fio Kansas ClYyll 270 W) a g6;40 3 m total ass Entering Mlssourt mi x bout '4 mins 11. Take exit 9 for Manchester RdIMO -100 go 0.3 mi total 270 mi 12. Keep right <at the fork, follow signs for Manchester Rd WIMO' -100 W and merge go Q:4 mi total 270 mi on ,M anchester',Rd /MO 100 W 11 Take the Des Peres Rd exit go 0.1 mi total 270 mf 14 Turn right at Publications Dr �E go 249 ft. totaf•270rmi 15. Continue on Des Peres Rd go 0.5 mi About 1 min total 271 mi 16.' Turn left at 'Old des Peres Rd 2 :2$'ft: total`271.mi A ga. 1050 Des Peres Rd St Louis, MO 63 These directions are for planning purposes only. You may find that construction projects, traffic, weather, or other events may cause conditions to differ from the map results, and you should plan your route accordingly. You must obey all signs or notices regarding your route. Map data ©2008 NAVTEQT"", Sanborn http: /maps.google.com /maps ?f=d &saddr =1550+ Redsunset +Dr., +Brownsburg, +IN +46112... 8/4/2008 1550 Redsunset Dr, Brownsburg, IN 46112 to 205 Edwardsville Rd, Troy, IL 62294 Go... Page 1 of 1 Directions to 205 Edwardsville Rd, Troy, IL 62294 maps 233 mi about 3 hours 43 mins Save trees. Go greenl Download Google Maps on your phone at google.comlgmrtt v� 1550 Redsunset Dr Brownsburg, IN 4611 1. Head south on Redsunset Dr toward Arborwoods Dr go 0.2 mi total 0.2 mi 2: Turn right at Arborwoods Dr' go 344 ft p totafD 3 cni.. 3. Turn left at N 600 E go 0.3 mi About 1 min �0� total 0.6 mi 4. Turn'left atUS 136p go 394 total 0 6 mi 5. Turn right at W Northfield Dr go 1.9 mi About 4 mins total 2.5 mi 6: Turn =left atYN Greeri StJIN 267` x F total:2 6 mi About 1 7. Turn right to merge onto 1 -74 E go 7.1 mi About 7 rains total 9.7 mi 8.` Take exit 73A to,.rrierge onto I'465 Sll 74 E go 6.4 mi About-8 mina total' 16.1. mi' 9. Take exit 9B to merge onto 1 -70 W toward St Louis go 213 mi Entering Illinois total 229 mi About 3 hours 15 mins 1;0.. Take'the exlt on the left onto 1 55 Sll 70 VII toward St Louis go 1.7 "mi` total:231 mi About 2 mins F 11. Take exit 18 for IL -162 toward Troy go 0.3 mi total 231 mi A 12.. Turn ;left at' dsvllle Rd fi total 23 rrii About;4 205 Edwardsville Rd Troy, IL 62294 These directions are for planning purposes only. You may find that construction projects, traffic, weather, or other events may cause conditions to differ from the map results, and you should plan your route accordingly. You must obey all signs or notices regarding your route. Map data (92008 NAVTEQTM http: /maps.google.com /maps ?f =d &saddr =l 5 50 +Redsunset +Dr., +Brownsburg, +IN +46112... 8/4/200$ 1050 Des Peres Rd, St Louis, MO 63131 to 205 Edwardsville Rd, Troy, IL 62294 Googl... Page 1 of 1 Directions to 205 Edwardsville Rd, Troy, IL jile., 62294 ,p 44.3 mi about 47 mins Save trees. Go green! Download Google Maps on your phone atgoogie.comlgmm 1050 Des Peres Rd St Louis, M 63131 1. Head north on Old des Peres Rd toward Manchester Rd go 0.2 mi total 0.2 mi 1.° Slight right at.Manchestert Rd E y go 328 ft, About, 1 MI s� ;t to tarp -3 mi 3. Merge onto 1 -270 S via the ramp to Memphis go 10.2 mi About 11 mins G total 10.5 mi 4.. Contintae on 1" =255 EM ga P �J 24 1 mi -i7terirtg Illinais total 34.5 mi -About 23�mins 5. Take the exit onto 1 -55 N /1 -70 E toward Indianapolis /Chicago go 8.1 mi About 9 mins total 42.6 mi 6 Take e &it 18 f6r IL 162 towardTroy x go 0.3 mi a t m+ 7. Turn right at Edwardsville Rd /IL -162 E go 1.4 mi About 3 mins total 44.3 mi 205 Edwardsville Rd Troy, IL 62294 These directions are for planning purposes only. You may find that construction projects, traffic, weather, or other events may cause conditions to differ from the map results, and you should plan your route accordingly. You must obey all signs or notices regarding your route. Map data 02008 NAVTEQTM, Sanborn http: //maps. google. com /maps ?f= d &saddr =105 0 +Des +Peres +Rd., +Des +Peres, +MO +63131... 8/4/2008 PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM HO. 101 UBBS) MILEAGE CLAIM vJ, Kl z: r+� TO (GOVERNMENTAL UNIT) ON ACCOUNT OF APPROPRIATION NO. FOR tOFFICE. BOARD. DEPARTMENT OR INST[TUTION) SPEEDOMETER DATE FROM TO READING AUTO MILE C AGE NATURE OF BUSINESS MILES POINT POINT START FINISH TRAVELED PER }LILY I I f AUTO LICENSE NO. I�1 1�1N j TOTALS SPEEDOMETER READING columns are to be used only when distance between points cannot he determined by fixed mileage or official highway map.. VVV Pursuant to the provisions and penalties of Chapter 155, Acts 1953, hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after allowing all just credits and that no part of the same has been paid. Date 8 os nBY: E I 1/ ED o t[ I l 2S L( 3 `-1 3 a I /u�l �-g QJ� f 0 X 2008 �r c ^a Michael Klitzing Work Related Mileage Record DATE FROM DESTINATION PURPOSE MILEAGE RATE AMOUNT 07/01/08 Monon Center Administrative Office Travel from AM staff meeting 1.3 $0.585 $0.76 07/02/08 Administrative Office Monon Center Ch. 8 interview in aquatics 1.3 $0.585 $0.76 07/02/08 Monon Center Administrative Office Return trip to office 1.3 $0.585 $0.76 07/03/08 Monon Center Administrative Office Staff meeting 1.3 $0.585 $0.76 07/07108 Administrative Office Meeting House Judi Silverman meeting (round trip) 1.3 $0.585 $0.76 07/07/08 Administrative Office Monon Center Staff meeting 1.3 $0.585 $0.76 07/07/08 Monon Center Administrative Office Return trip to office 1.3 $0.585 $0.76 07/08/08 Monon Center Administrative Office Travel from AM staff meeting 1.3 $0.585 $0.76 07108/08 Administrative Office Monon Center Board meeting 1.3 $0.585 $0.76 07/10/08 Administrative Office Monon Center Staff meeting 1.3 $0.585 $0.76 07/10/08 Monon Center Administrative Office Return trip to office 1.3 $0.585 $0.76 07/15/08 Monon Center Administrative Office Travel from AM staff meeting 1.3 $0.585 $0.76 07/17/08 Administrative Office City Hall Budget workshop 1.0 $0.585 $0.59 07/18/08 Administrative Office Monon Center Staff meeting 1.3 $0.585 $0.76 07/18/08 Monon Center Indianpolis (downtown) Susie Bruce meeting 15.4 $0.585 $9.01 07/18/08 Indianpolis (downtown) Administrative Office Return trip to office 14.7 $0.585 $8.60 07/20108 Administrative Office Monon Center Staff meeting 1.3 $0.585 $0.76 07/20/08 Monon Center Administrative Office Return trip to office 1.3 $0.585 $0.76 07/21/08 Administrative Office Monon Center Staff meeting 13 $0.585 $0.76 07/22/08 Administrative Office Monon Center Board meeting 1.3 $0.585 $0.76 07/29/08 Administrative Office Monon Center Staff meeting 1.3 $0.585 $0.76 07/29/08 Monon Center Administrative Office Return trip to office (via College) 1.7 $0.585 $0.99 Month Total: 56.2 $32.88 FBY: IVEM 2008 Page 1 of 1 k 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 Date Due Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 811/08 Reimb Mileage July 08 32.88 8/4/08 Reimb Mileage 4/21108 49.41 8 /4 /08 Reimb Reg. for ACF Convention C.Redmon 50.00 8/4/08 Reimb Hotel for ACF Convention C.Redmon 540.64 8/4/08 Reimb Parking fees mtg. w /Susie Bruce Downtown 6.00 8/4/08 Reimb Month! y subscription Restaurant Owner.com 12.99 Total 1683.92 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 Michael Klitzing Allowed 20 lDT In Sum of p, ATION FOR 101 General 8104 Program Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 Reimb 4343000 32.88Z I hereby certify that the attached invoice(s), or 1125 Reimb 4343000 41.41 v bill(s) is (are) true and correct and that the 1047 Reimb 4357004 50.00 materials or services itemized thereon for 1047 Reimb 4343000 540.64 V which charge is made were ordered and 1047 Reimb 4343000 6.00 received except 1047 Reimb 4355200 12.99' 4 -Aug 2008 �VL.PJ`"L Signature 683092 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund s I y: