206318 02/14/2012 CITY OF CARMEL, INDIANA VENDOR: 355319 Page 1 of 1
ONE CIVIC SQUARE MICHAEL KLITZING
CARMEL, INDIANA 46032 1550 REDSUNSET DRIVE CHECK AMOUNT: $61.27
BROWNSBURG IN 46112 CHECK NUMBER: 206318
4 iio i o.
CHECK DATE: 2/14/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1081 4346000 REIMB 61.27 CLASSIFIED ADVERTISIN
P,
Carme e Clay
Parks &Recreation
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
1/21/2012 Facebook.com 108 1081 -99- 4346000 Classified Advertisements $21.31 ESE Facilitator job advertisement
1/27/2012 Facebook.com 108 1081 -99- 4346000 Classified Advertisements $19.15 ESE Facilitator job advertisement
2/2/2012 Facebook.com 108 1081 -99- 4346000 Classified Advertisements $20.81 ESE Facilitator job advertisement
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $61.27
Employee Name (print) Michael Klitzing D
Address 1550 Redsunset Dr. F EB 0 8 2012
Check
payable to: City, St, Zip Brownsburg, IN 46112
Signature: Approved by:
Date: Z�$ rl L Date:
Business Services Division, Revised 7 -7 -08
FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request
2/8/12 American Express US: Manage Your Card Account: Online Statement
Transaction Date: 01/21/2012 Sat
Transaction Description: FACEBOOK .COM"TVQM322WWW.FB.ME /CC CA
FACEBOOK ADVERTISING
Amount 21.31
Doing Business As: FACEBOOK ADVERTISING
Merchant Address: 1601 CALIFORNIA AVE
PALO ALTO
CA
94304
UNITED STATES
E
Reference Number: 320120210437025853
Category: Business Services Advertising Services
)s:// online. americanexpress. com /myca /estmt/us /Iist.do ?req uest_ type =a...
1/1
2/8/12 American Express US: Manage Your Card Account: Online Statement
Transaction Date: 01/27/2012 Fri
Transaction Description: FACEBOOK .COM*DG6N322WWW.FB.ME /CC CA
FA CEBOOK ADVERTISING i
Amount 19.15
Doing Business As: FACEBOOK ADVERTISING
Merchant Address: 1601 CALIFORNIA AVE
PALO ALTO
CA
94304
UNITED STATES
Reference Number: 320120270004183844
Category: Business Services Advertising Services
)ttps: online. americanexpress. com /myca /estmUus /list.do ?request type =a... 1 /1
2/8/12 American Express US: Manage Your Card Account: Online Statement
Transaction Date: 02/02/2012 Thu
j Transaction Description: FACEBOOK .COM*E8NN322WWW.FB.MEJCC CA
I 97728111914 FACEBOOK ADVERTISING
FACEBOOK ADVERTISING
Amount 20.81
Doing Business As: FACEBOOK A DV ERTIS ING
Merchant Address: 1601 CALIFORNIA AVE
PALO ALTO
CA
94304
UNITED STATES
E Reference Number: 320120330075987618
Category: Business Services Advertising Services
https: online. americanexpress. com /myca /estmt/us /list.do ?request type =a... 1/1
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
Date Number (or note attached invoice(s) or bill(s)) PO Amount
2/8/12 Reimb ESE Facilitator job advertisement 61.27
Total 61.27
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
61.27
ON ACCOUNT OF APPROPRIATION FOR
108 ESE
PO# or INVOICE NO. ACCT #MTLE AMOUNT Board Members
Dept
1081 -99 Reimb 4346000 61.27 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
9 -Feb 2012
Signature
61.27 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund