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Home My WebLink About169039 02/17/2009 CITY OF CARMEL, INDIANA VENDOR: 355319 Page 1 of 1 0 ONE CIVIC SQUARE MICHAEL KLITZING CHECK AMOUNT: $270.00 CARMEL, INDIANA 46032 1550 REDSUNSET DRIVE BROWNSSURG IN 46112 CHECK NUMBER: 169039 CHECK DATE: 2/17/2009 DEPARTMENT A CCOUNT PO NUMBER INVOICE NUMBE AMOUNT DESCRIPTI T 1125 4345500 REIMB 270.00 PUBLICATION OF LEGAL Carmel 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 Online employee scheduling 12/26/2008 When to Work 101 4355200 Subscriptions $135.00 service (11/27/08 12/26/08) Online employee scheduling 1/26/2008 When to Work 101 4355200 Subscriptions $135.00 service (12/27/08 1/26/09) All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $270.00 Employee Name (print) Michael Klitzing Address 1550 Redsunset Dr. F 60OZ 0 83-J Check payable to: City, St, Zip Brownsburg, IN 46112 Signature: Approved by: Date: Date: Business Services Division, Revised 7 -7 -08 C EIVED FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request FEB 0 4 2009 �V: Michael Klitzing From: AutoForward @mail.WhenToWork.com on behalf of WhenToWork.com [billing @mail.W henToWork.com] Sent: Friday, December 26, 2008 3:06 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 $135 for a recurring monthly subscription on your WhenToWork Carmel Clay Parks Recreation account 21996201 for a total of up to 300 employees. (Your account is currently at 171 employees.) Your account is now paid through ]an 26, 2009. (You can stop your automatic renewal using the billing page under Company Information.) 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: /WhenToWorl<.com 1 Transaction Detail Page 1 of 1 Close Window Ple.. a. se..prin.t_ for y your _records Transaction Detail WHENTOWORK 7143899695 CA Transaction Date 12/26/2008 POST DATE 12/27/2008 Transaction Amount $135.00 Reference Number MT083620078000010135593 M Merchants engaged in specialized services 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 Dispute Information i Close Window https: /www.hsbecrediteard.com/ecare/ transaction _detail ?TransDate =12/26 /2008 &Statemen... 2/4/2009 Michael Klitzing From: AutoForward @mail.WhenToWork.com on behalf of WhenToWork.com [billing @mail.WhenToWork.com] Sent: Monday, January 26, 2009 3:06 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 $135 for a recurring monthly subscription on your WhenToWork Carmel Clay Parks Recreation account 21996201 for a total of up to 300 employees. (Your account is currently at 217 employees.) Your account is now paid through Feb 26, 2009. (You can stop your automatic renewal using the billing page under Company Information.) 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: /WhenToWorl<.com 1 Transaction Detail Page 1 of 1 Close Window P lease .pr.'r..n..t. for..yo...ur. re.c..ords Transaction Detail K 7143899695 CA Transaction Date 01/26/2009 POST DATE 01/27/2009 Transaction Amount $135.00 Reference Number MT090270080000010146723 Merch...a.n..t..Type Merchants engaged in specialized services Method Card Number 81 Card number entered via the Internet or electronically Ca ptured Card Presence 5 Card not present at time of sale Internet Transaction I i I I i Billing Dispute Information Close Window https: /www.hsbccrediteard. com/ecare /transaction detail ?TransDate =01 /26 /2009 &Statemen... 2/4/2009 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 1550 Redsunset Dr Date Due Brownsburg, IN 46112 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) Amount 2/4/09 Reimb. When to Work Online employee scheduling service 270.00 Total 270.00 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 Michael Klitzing Allowed 20 In Sum of 270.00 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 Reimb 43455920 270.00 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 13 -Feb 2009 Signature 270.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund I