The URL can be used to link to this page

Home My WebLink About204873 12/20/2011 CITY OF CARMEL, INDIANA VENDOR: 355319 Page 1 of 1 ONE CIVIC SQUARE MICHAEL KLITZING CHECK AMOUNT: $2,896.25 CARMEL, INDIANA 46032 1550 REDSUNSET DRIVE BROWNSBURG IN 46112 CHECK NUMBER: 204873 CHECK DATE: 12/2012011 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4346000 6.25 CLASSIFIED ADVERTISIN 1081 4357004 2,890.00 EXTERNAL INSTRUCT FEE 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 NAA Convention Registration for 12/5/2011 National Afterschool Association 108 1081 -99- 4357004 External Instruct Fees $290.00 A. Baldauf NAA Convention Registration for 12/5/2011 National Afterschool Association 108 1081 -99- 4357004 External Instruct Fees $360.00 D. Solazzo NAA Convention Registration for 12/5/2011 National Afterschool Association 108 1081 -99- 4357004 External Instruct Fees $290.00 T. Buckingham NAA Convention Registration for 12/5/2011 National Afterschool Association 108 1081 -99- 4357004 External Instruct Fees $360.00 S. Holton NAA Convention Registration for J. 12/5/2011 National Afterschool Association 108 1081 -99- 4357004 External Instruct Fees $290.00 Hammons NAA Convention Registration for J. 12/5/2011 National Afterschool Association 108 1081 -99- 4357004 External Instruct Fees $360.00 Dowell NAA Convention Registration for 12/5/2011 National Afterschool Association 108 1081 99 4357004 External Instruct Fees $290.00 B. Johnson NAA Convention Registration for 12/5/2011 National Afterschool Association 108 1081 -99- 4357004 External Instruct Fees $360.00 V. Simmonds NAA Convention Registration for J. 12/5/2011 National Afterschool Association 108 1081 -99- 4357004 External Instruct Fees $290.00 Brown All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $2,890.00 Employee Name (print) Michael Klitzin g DEC 3101 1 Address 1550 Redsunset Dr. Check payable to: City, St, Zip Brownsburg, IN 46112 Signature: Approved by: Date: L G Date: Business Services Division, Revised 7 -7 -08 FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request NAA 8400 Westpark or, 2nd FI McLean, VA 22102 Page 1 Invoice Date Notice Date Customer ID Invoice PO Due Date Invoice Amt 12/05/2011 12/05/2011 1 08633552 00008476 01/02/2012 $290.00 Bill To: Ship To: Ms Amy Baldauf Ms Amy Baldauf Carmel Clay Parks Recreation Carmel Clay Parks Recreation 1235 Central Park Drive East 1235 Central Park Drive East Carmel, IN 46032 Carmel, IN 46032 USA USA Invoice Detail Item Description QTY Rate Tax Total NAA Convention(04 /02/2012- 04/04/2012) -ME2 1 .00 $0.00 Member 2 Day Pass for Registration #2827 1 $290.00 .00 $290.00 Note: Purchases $290.00 Tax $0.00 Freight $0.00 Total Invoice $290.00 Payments $290.00 Balance Due $0.00 Page 1 NAA 8400 Weslpark or, 2nd FI McLean, VA 22102 Page 1 Invoice Date Notice Date Customer ID Invoice PO Due Date Invoice Amt 12/05/2011 12/05/2011 1 08636758 00008487 01/02/2012 $360.00 Bill To: ShipTo: Deneyse Solazzo Deneyse Solazzo Carmel Clay Parks Recreation Carmel Clay Parks Recreation 1235 Central Park Drive East 1235 Central Park Drive East Carmel, IN 46032 Carmel, N46032 USA USA Invoice Detail Item Description QTY Rate Tax Total NAAConvention(04 /02/2012- 04/04/2012)- -NME2J 1 .00 $0.00 Member 2 Day Pass and Membership Fee for Registration 42836 1 $360.00 .00 $360.00 Membership: Full Offering 1 $60.00 .00 $60.00 Adjustment for Membership Amount 1 ($60.00) .00 ($60.00) Note: Purchases $360.00 Tax $0.00 Freight $0.00 Total Invoice $360.00 Payments $360.00 Balance Due $0.00 Page 1 NAA 8400 Westpark Dr, 2nd FI McLean, VA 22102 Page 1 Invoice Date Notice Date Customer ID Invoice PO Due Date Invoice Amt 12/05/2011 12/05/2011 1 06109471 00008474 01/02/2012 $290.00 Bill To: Ship To: Ms Tiffany Buckingham Ms Tiffany Buckingham Carmel Clay Parks Recreation Carmel Clay Parks Recreation 1235 Central Park Drive East 1235 Central Park Drive East Carmel, IN 46032 Carmel, IN 46032 us us Invoice Detail Item Description QTY Rate Tax Total NAA Convention(04 /02/2012- 04/04/2012) -ME2 1 .00 $0.00 Member 2 Day Pass for Registration #2824 1 $290.00 .00 $290.00 Note: Purchases $290.00 Tax $0.00 Freight $0.00 Total Invoice $290.00 Payments $290.00 Balance Due $0.00 Page 1 ruin 8400 Westpark Dr, 2nd Fl McLean, VA 22102 Page 1 Invoice Date Notice Date Customer ID Invoice PO Due Date Invoice Amt 12/05/2011 12/05/2011 1 06108988 00008484 01/02/2012 $360.00 Bill To: ShipTo: Shavonne Holton Shavonne Holton Carmel Clay Parks and Recreation Carmel Clay Parks and Recreation 1235 Central Park Drive East 1235 Central Park Drive East Cannel, IN 46032 Carmel, IN 46032 US US Invoice Detail Item Description QTY Rate Tax Total NAAConvention (04/02/2012 04/04/2012)- -NME2J 1 .00 $0.00 Member 2 Day Pass and Membership Fee for Registration 42833 1 $360.00 .00 $360.00 Membership: Full Offering 1 $60.00 .00 $60.00 Adjustment for Membership Amount 1 ($60.00) .00 ($60.00) Note: Purchases $360.00 Tax $0.00 Freight $0.00 Total Invoice $360.00 Payments $360.00 Balance Due $0.00 Page 1 NAA 8400 Westpark Dr, 2nd Fl McLean, VA 22102 Page 1 Invoice Date Notice Date Customer ID Invoice PO Due Date Invoice Amt 12/05/2011 12/05/2011 1 06109474 00008475 01/02/2012 $290.00 Bill To: Ship To: Ms Jennifer Hammons Ms Jennifer Hammons Carmel Clay Parks Recreation Carmel Clay Parks Recreation 1235 Central Park Drive East 1235 Central Park Drive East Carmel, IN 46032 Carmel, IN 46032 Us Us Invoice Detail Item Description QTY Rate Tax Total NAA Convention(04 /02/2012- 04/04/2012) -ME2 1 .00 $0.00 Member 2 Day Pass for Registration #2826 1 $290.00 .00 $290.00 Note: Purchases $290.00 Tax $0.00 Freight $0.00 Total Invoice $290.00 Payments $290.00 Balance Due $0.00 Page 1 r�aA 8400 Westpark Dr, 2nd Fl McLean, VA 22102 Page 1 Invoice Date Notice Date Customer ID Invoice PO Due Date Invoice Amt 12/05/2011 12/05/2011 1 08636757 00008485 01/02/2012 $360.00 Bill To: Ship To: James Dowell James Dowell Carmel Clay Parks Recreation Carmel Clay Parks Recreation 1235 Central Park Drive East 1235 Central Park Drive East Dallas, TX 46032 Dal las, TX 46032 USA USA Invoice Detail Item Description QTY Rate Tax Total NAA Convention(04 /02/2012 04/04/2012)- -NME2J 1 .00 $0.00 Member 2 Day Pass and Membership Fee for Registration #2834 1 $360.00 .00 $360.00 Membership: Full Offering 1 $60.00 .00 $60.00 Adjustment for Membership Amount 1 ($60.00) .00 ($60.00) Note: Purchases $360.00 Tax $0.00 Freight $0.00 Total Invoice $360.00 Payments $360.00 Balance Due $0.00 Page 1 NAA 8400 Westpark or, 2nd Fl McLean, VA 22102 Page 1 Invoice Date Notice Date Customer ID Invoice PO Due Date Invoice Amt 12/05/2011 12/05/2011 I 06109475 00008483 01/02/2012 $290.00 Bill To: Ship TO: Ben Johnson Ben Johnson Carmel Clay Parks Recreation Carmel Clay Parks Recreation 1235 Central Park Drive East 1235 Central Park Drive East Carmel, IN 46032 Carmel, IN 46032 Us Us Invoice Detail Item Description QTY Rate Tax Total NAAConvention(04 /02/2012- 04/04/2012) -ME2 1 .00 $0.00 Member 2 Day Pass for Registration #2832 1 $290.00 .00 $290.00 Note: Purchases $290.00 Tax $0.00 Freight $0.00 Total Invoice $290.00 Payments $290.00 Balance Due $0.00 Page 1 1 MA 8400 Westpark Dr, 2nd FI McLean, VA 22102 Page 1 Invoice Date Notice Date Customer ID Invoice PO Due Date Invoice Amt 12/05/2011 12/05/2011 1 06108990 00008486 01/02/2012 $360.00 Bill To: Ship To: Valeska Simmonds Valeska Simmonds Carmel Clay Parks and Recreation Carmel Clay Parks and Recreation 1235 Central Park Drive East 1235 Central Park Drive East Carmel, M 46032 Cannel, IN 46032 US US Invoice Detail Item Description QTY Rate Tax Total NAAConvention(04 /02/2012- 04/04/2012)- -NME2J 1 .00 $0.00 Member 2 Day Pass and Membership Fee for Registration #2835 1 $360.00 .00 $360.00 Membership: Full Offering 1 $60.00 .00 $60.00 Adjustment for Membership Amount 1 ($60.00) .00 ($60.00) Note: Purchases $360.00 Tax $0.00 Freight $0.00 Total Invoice $360.00 Payments $360.00 Balance Due $0.00 Page 1 NAA 8400 Westpark or, 2nd FI McLean, VA 22102 Page 1 Invoice Date Notice Date Customer ID Invoice PO Due Date Invoice Amt 12/05/2011 12/6/2011 1 06109476 00008473 01/02/2012 $290.00 Bill To: Ship To: Ms Jennifer Brown Ms Jennifer Brown Carmel Clay Parks Recreation Carmel Clay Parks Recreation 1235 Central Park Drive East 1235 Central Park Drive East Carmel, IN 46032 Carmel, IN 46032 us us Invoice Detail Item Description QTY Rate Tax Total NAA Convention(04 /02/2012- 04/04/2012) -ME2 1 .00 $0.00 Member 2 Day Pass for Registration #2823 1 $290.00 .00 $290.00 Note: Purchases $290.00 Tax $0.00 Freight $0.00 Total Invoice $290.00 Payments $290.00 Balance Due $0.00 Page 1 NAA 8400 Westpark or, 2nd FI McLean, VA 22102 Page 1 Invoice Date Notice Date Customer ID Invoice PO Due Date Invoice Amt 12/05/2011 12/05/2011 1 06109476 00008473 01/02/2012 $290.00 Bill To: Ship To: Ms Jennifer Brown Ms Jennifer Brown Carmel Clay Parks Recreation Carmel Clay Parks Recreation 1235 Central Park Drive East 1235 Central Park Drive East Carmel, IN 46032 Carmel, IN 46032 us us Invoice Detail Item Description QTY Rate Tax Total Cal 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 11/13/2011 Facebook.com 108 1081 -99- 4346000 Classified Advertisements $4.23 ESE Facilitator job advertisement 11/30/2011 Facebook.com 108 1081 -99- 4346000 Classified Advertisements $2.02 ESE Facilitator job advertisement All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $6.25 Employee Name (print) Michael Klitzing PEC 132U11 Address 1550 Redsunset Dr. Vin:..... Check payable to: City, St, Zip Brownsburg IN 46112 Signature: �I Approved by: Date: I z/5l1i Date: Business Services Division, Revised 7 -7 -08 FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request 1215111 Transaction #9006159456266 Facebook,lnc Azoounc��44l2�9�2�/ok�(` 160l m�Ave 1550 Redoynmc1 D/w� Pa�A�u,CA�43U4-1Il1 0m�n��u'� l'�1�i Un�ed Stateo Un�``� �{^r� Transaction #9006159456266 Description Facebook Ads Payment Account 244124922270610 Transaction Date 11/13/20112:01am Total Payment $4.23 Method American Expnessxxxxxxxxxxxx1OO7 Status Payment Completed Daily Total For advertising services provided froml1/07/2011 12:00amtol1/08/2011 12:00ann Ad ID Ad Name 1 Details Amount 6003353031330 Work with Kids! 2 clicks $2.05 Daily Total Daily Total For advertising services provided from11106/3011 12:00an*tol1/07/2011 12:00anm Ad ID _je Details Amount 6003353031330 Work with Kids! 2 clicks $2.18 Daily Total $2.18 xxpo://,ww.mn:»ovx.00nxaxumanaoomimng_tmnoxctiun.pxpract~z441z*. n� 12m/11 Transaction #9006322224152 F�cebuok'Inc. Acro"n�'2�4l/««27�/v�� 16OlS[akhznn�A*e 155ORe�suoat[\�' Palo 94]U4-1111 Gnu�.�sbung Uoted ULeo Un|ied6{a,p� Transaction #9006322224152 Descr Facebook Ads Payment Account 244124032270616 Transaction Date 11/30/2811I:38pm Total Payment $2.02 Method Status Payment Completed Daily Total For advertising services provided hnm1l/29/2011 13:00amkol1/30/2011 12:00amm 1 Ad ID Name Details Amount 6003353031330 Work with Kids! 1 click $1.08 Daily Total $1.08 Daily Total For advertising services provided fromll/21/2011 12:00anu o11/22/2R11 12:80amn Amount i Ad ID A d Name Details 6003353031330 Work with Kids! 1 click $0.94 Daily Total »opv:/xwww.mm:unox.cnmmu*manaoomimng2mnoacmon.phnraut=u441ow' 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 12/6/11 Reimb National Afterschool Assoc. convention registration 2,890.00 12/5/11 Reimb ESE Facilitator job ad Facebook.com 6.25 Online employee scheduling service 11/27 12/26/11 Total 2,896.25 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 2,896.25 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1081 -99 Reimb 4357004 2,890.00 1 hereby certify that the attached invoice(s), or 1081 -99 Reimb 4346000 6.25 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 15 -Dec 2011 Signature 2,896.25 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund I I