HomeMy WebLinkAbout203518 11/09/2011 CITY OF CARMEL, INDIANA VENDOR: 355319 Page 1 of 1
ONE CIVIC SQUARE MICHAEL KLITZING
CHECK AMOUNT: $157.00
CARMEL, INDIANA 46032 1550 REDSUNSET DRIVE
o BROWNSBURG IN 46112 CHECK NUMBER: 203518
CHECK DATE: 1119/2011
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4355200 157.00 SUBSCRIPTIONS
b
Carmel 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
10/26/2011 When to Work 101 100 000 4355200 Subscriptions $157.00 service (10/27/11- 11/26/11)
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 OCT �01
Address 1550 Redsunset Dr.
Check BY.....................
payable to: City, St, Zip Brownsburg, IN 46112
Signature: /1� Approved by:
Date: �J J Z�J I Date:
Business Services Division, Revised 7 -7 -08
FILE: Shared \Administrative \Forms \Staff Forms \Employee Exp Reimb Request
I
Michael Klitzing
From: AutoForward @mail5.WhenToWork.com on behalf of WhenToWork.com
[billing @mail5.WhenToWork.com]
Sent: Wednesday, October 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 $157 for a recurring monthly subscription on your WhenToWork
Carmel Clay Parks Recreation account 21996201 for a total of up to 350 employees.
(Your account is currently at 274 employees.)
Your account is now paid through Nov 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
1
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice of bill to be properly itemized must s ow-, kind of service, where price perr performed, dates service rendered, by
whom, rates per day, number of h rate N
Payee Purchase Order No.
Terms
355319 Klitzing, Michael Date Due
1550 Redsunset Dr
Brownsburg, IN 46112
Invoice Invoice
Description PO Amount
Date Number (or note attached invoice(s) or bill(s)) 157.00
10/26/11 Reimb Online employee scheduling service 10/27 11/26/11
Total 157.00
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
i
Voucher No. Warrant No.
355319 Klitzing, Michael Allowed 20
1550 Redsunset Dr
Brownsburg, IN 46112
In Sum of
157.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 Reimb 4355200 157.00 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
3 -Nov 2011
Signature
157.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund