HomeMy WebLinkAbout205520 01/17/2012 CITY OF CARMEL, INDIANA VENDOR: 355319 Page 1 of 1
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ONE CIVIC SQUARE MICHAEL KLITZING CHECK AMOUNT: $157.00
CARMEL, INDIANA 46032 1550 REDSUNSET DRIVE
BROWNSBURG IN 46112 CHECK NUMBER: 205520
CHECK DATE: 1/1712012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4357004 REIMB 157.00 EXTERNAL INSTRUCT FEE
Carme
Parks &Recre
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
Online employee scheduling
12/26/2011 When to Work 101 100 000 4355200 Subscriptions $157.00 service (12/27/11- 1/26/12)
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 o ►moo ITfY �7g
Address 1550 Redsunset Dr. nEC 2 9 2011
Check
payable to: City, St, Zip Brownsburg, IN 46112
BY:
Signature: Approved by:
Date: ��Z�l Date:
Business Services Division, Revised 7 -7 -08
FILE: SharedWdministrative \Forms \Staff Forms \Employee Exp Reimb Request
Michael Klitzing
From: AutoForward @mail5.WhenToWork.com on behalf of WhenToWork.com
[billing @mail5.WhenToWork.com]
Sent: Monday, December 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 275 employees.)
Your account is now paid through Jan 26, 2012.
(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
billinR(@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 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 ate Number (or note attached invoice(s) or bill(s)) PO Amount
26/11 Reimb Online employee schedulin service 12/27/11 1/26/12 157.00
Total 157.00
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
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 4357004 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
11 -Jan 2012
Signature
157.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund