HomeMy WebLinkAbout170951 04/16/2009 CITY OF CARMEL, INDIANA VENDOR: 355319 Page 1 of 1
ONE CIVIC SQUARE MICHAEL KLITZING
s l' CHECK AMOUNT: $9,132.24
CARMEL, INDIANA 46032 1550 REDSUNSET DRIVE
BROWNSBURG IN 46112 CHECK NUMBER: 170951
CHECK DATE: 4/16/2009
DEPART v A CCOUN T PO NUMBER INVOIC NUM AMOUNT DES
1046 4343002, REIMB 8,997.24 EXTERNAL TRAINING TRA
1125 4355200 REIMB 135.00 SUBSCRIPTIONS
Carmel clay
Parks &Recreate ®n
Employee Expense Reimbursement Request
Date of Fund Account Account
Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense
Online employee scheduling
3/26/2009 When to Work 101 100 Subscriptions $135.00 service (3/27/09 4/26/09)
Airtravel for 6 ESE mgt staff to
3/26/2009 Expedia.com 1046 100 900 4343002 Training Travel $4,304.40 Nat. Afterschool Assoc. Conf.
Airtravel for 3 ESE mgt staff to
3/26/2009 Expedia.com 1046 100 900 4343002 Training Travel $2,836.20 Nat. Afterschool Assoc. Conf.
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $7,275.60
Employee Name (print) Michael Klitzing MAR 2 6 2009
Address 1550 Redsunset Dr.
Check L
payable to: City, St, Zip Brownsburg, IN 46112
Signature: Approved by:
Date: �f Z(�JS Date:
Business Services Division, Revised 7 -7 -08
FILE: Shared\Ad min istrative \Forms \Staff Forms \Employee Exp Reimb Request
Michael Klitzing
From: AutoForward @mail.WhenToWork.com on behalf of WhenToWork.com
[billing @mail.WhenToWork.com]
Sent: Thursday, March 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 234 employees.)
Your account is now paid through Apr 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: /WhenToWork.com
1
Michael Klitzing
From: travel @expedia.com
Sent: Thursday, March 26, 2009 11:14 AM
To: Michael Klitzing
Subject: Expedia travel confirmation New Orleans, LA Apr 1, 2009 (Itin# 127001171733)
Travel Confirmation
Thank you for booking your trip with Expedia. This email is your receipt for the travel item(s) you just booked; a
complete itinerary that includes all applicable ticket numbers, reservation IDs,etc. will follow in the next 4 days.
Remember that you can always view your itinerary online for the most up -to -date information. Our interactive demo can
show you how easy it is to get information about your itinerary.
SfiThankYo
pemard% Wtaork
Did you know about all the ways you can earn ThankYou Points on Expedia?
Although this itinerary doesn't qualify for ThankYou Points, you can still earn points if you add a hotel booking today or
any time before you travel.
Learn more about how to earn points for future bookings.
Your ticket purchase has not been confirmed by the airline. Please check your complete itinerary after 24 hours have
passed for ticket confirmation information.
Total ticket cost: .00
$236.40
Taxes Fees: $236
Airfare total: $4,304.40
EM 4
Traveler names: Ben Johnson, Jennifer Sewell, Jennifer Hammons, Tiffany Buckingham, Georgianna Edwards,
Shannon Sherman
Indianapolis (IND) to 04/01/09 6:15 pm 7:52 pm Continental 2361
Houston (IAH) Operated By:
EXPRESSJET
AIRLINES INC DBA
CO EXPRESS
Houston (IAH) to New 04101/09 10:54 pm 11:59 pm Continental 3123
Orleans (MSY) Operated By:
EXPRESSJET
AIRLINES INC DBA
CO EXPRESS
New Orleans (MSY) to 04/04/09 9:15 am 12:02 pm US Airways 3255
Charlotte (CLT) Operated By: US
AIRWAYS
EXPRESS
REPUBLIC
AIRLINES
Charlotte (CLT) to 04/04/09 1:15 pm 3:07 pm US Airways 3306
Indianapolis (IND) Operated By: US
AIRWAYS
EXPRESS
REPUBLIC
AIRLINES
View your itinerary for complete and up -to -date trip details, or to make changes online.
Customer Support
i
Itinerary number: 127001171733
If you have questions about your reservation, fill out our itinerary assistance form We'll respond within 24 hours: For
immediate assistance call Expedia at 1- 800 EXPEDIA (1- 800 397 -3342) or 1- 404 728 -8787 and have the itinerary
number ready.
What else can we help you with?
d�Se hotels�in New Orleans
e-,- on s
av
Hilton New Orleans Riverside G Search for more
From $750.00 per night hotels
RM
x r
:Sa�ePon carsmNew Orleans,
L dauu t a. .�m
At the airport: e Search for more cars
Economy
Midsize
Full Size
Safe on Actiu�it B�Seruices in N Ww Orleans _3 x
Signtseeing Search for more Activities Services
Dining options
4aµ
tZi Ground transportation
Attraction passes
Want to know about great travel deals? S iqn up to receive Expedia emails!
Thank you for choosing Expedia.
http: /www.expedia.com
2
Michael Klitzing
From: Ben Johnson
Sent: Thursday, March 19, 2009 9:26 AM
To: Michael Klitzing
Subject: Flight to New Orleans
Attachments: image001.gif; image002.gif; image003.gif; image004.gif; image005.gif; image006.gif;
image007.gif; image008.gif; image009.gif
Michael... would you be able /willing to book our flights again this year (nine total people) here is the list and the
preferred flights (from expedia southwest is not a possibility) thanks
Ben Johnson, en er Sewell, Jennife�rHammons, Ti any Buckingham, Georgianna Edwards, Shannon Sherman,
Shavonne Holtorf, Valeska Simmonds, Cyndi Canada
*y�s^ '"=ri q "i^s E", .a, ^4�^ 3AzE y"✓ R
°from $362 01+ $40 90 tax &fees $402 91per person� sW x ..Ttt
6:15 pm Depart Indianapolis (IND) Wed 1 -Apr Continental =x2361 1423
Arrive New Orleans (MSY) 10:23 pm Duration: 5hr Connect in Houston (IAH)
8mn
Preview seat availability U- Choose this departure
Book this flight today without booking fees!
See
w,
�F
erson
$399 01+ $39 40taxes�& fees�$438 41 perp
s�
F. 'h&c i,.._ -aa 3
9:15 am Depart New Orleans (MSY) Sat 4 -Apr US Airways 4 a3255 �4=3306
Arrive Indianapolis (IND) 3:07 pm Duration: 4hr 52mn Connect in Charlotte (CLT)
Preview seat availability G Choose this return
Book this flight today without booking fees!
KE See details
1
Michael Klitzing
From: travel @expedia.com
Sent: Thursday, March 26, 2009 11:28 AM
To: Michael Klitzing
Subject: Expedia travel confirmation New Orleans, LA (2) Apr 1, 2009 (Itin# 127001451402)
Travel Confirmation
Thank you for booking your trip with Expedia. This email is your receipt for the travel item(s) you just booked; a
complete itinerary that includes all applicable ticket numbers, reservation IDs,etc. will follow in the next 4 days.
Remember that you can always view your itinerary online for the most up -to -date information. Our interactive demo can
show you how easy it is to get information about your itinerary.
Thank You t
RV ww2% NONMO.
Did you know about all the ways you can earn ThankYou Points on Expedia?
Although this itinerary doesn't qualify for ThankYou Points, you can still earn points if you add a hotel booking today or
any time before you travel.
Learn more about how to earn points for future bookings.
Your ticket purchase has not been confirmed by the airline. Please check your complete itinerary after 24 hours have
passed for ticket confirmation information.
Total ticket cost: $2,718.00
Taxes Fees: $118.20
Airfare total: $2,836.20
o
Traveler names: Shavonne Holton, Valeska Simmonds, Cyndi Canada
Indianapolis (IND) to 04/01/09 6:15 pm 7:52 pm Continental 2361
Houston (IAH) Operated By:
EXPRESSJET
AIRLINES INC DBA
CO EXPRESS
Houston (IAH) to New 04/01/09 9:15 pm 10:23 pm Continental 1423
Orleans (MSY)
New Orleans (MSY) to 04/04/09 9:15 am 12:02 pm US Airways 3255
Charlotte (CLT) Operated By: US
AIRWAYS
EXPRESS
REPUBLIC
AIRLINES
Charlotte (CLT) to 04/04/09 1:15 pm 3:07 pm US Airways 3306
Indianapolis (IND) Operated By: US
AIRWAYS
EXPRESS
REPUBLIC
AIRLINES
View your itinerary for complete and up -to -date trip details, or to make changes online.
Customer Support
Itinerary number: 127001451402
If you have questions about your reservation, fill out our itinerary assistance form We'll respond within 24 hours: For
immediate assistance call Expedia at 1- 800 EXPEDIA (1- 800 397 -3342) or 1- 404 728 -8787 and have the itinerary
1
number ready.
What else can we help you with?
3
h E+u
Sa�eon otels�inNew
Le Pavillon Hotel 8 Search for more
From $225.67 per night
hotels
Intercontinental New Orleans
From $199.00 per night
Ramada Inn Suites New Orleans
From 89.87 per night
Saue'oricars m'New Orleans s
At the airport: Q Search for more cars
Economy
Midsize
Full Size
Sightseeing 8 Search for more Activities Services
Xining options
Ground transportation
Attraction passes
Want to know about great travel deals? Sign up to receive Expedia emails!
Thank you for choosing Expedia.
http: /www.expedia.com
2
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
Lodging for Nat. Afterschool
4/5/2009 Ambassador Hotel New Orleans 1046 100 900 4343002 Training Travel $464.16 Assoc. Conference
Lodging for Nat. Afterschool
4/5/2009 Ambassador Hotel New Orleans 1046 100 900 4343002 Training Travel $464.16 Assoc. Conference
Lodging for Nat. Afterschool
4/5/2009 Ambassador Hotel New Orleans 1046 100 900 4343002 Training Travel $464.16 Assoc. Conference
Lodging for Nat. Afterschool
4/5/2009 Ambassador Hotel New Orleans 1046 100 900 4343002 Training Travel $464.16 Assoc. Conference
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $1,856.64
Employee Name (print) Michael Klitzing
Address 1550 Redsunset Dr.
Check
payable to: City, St, Zip Browns IN 461 12
Signature: Approved by:
Date: Li /X/ o 9 Date:
Business Services Division, Revised 7 -7 -08
FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request APR O S 2009 v
B7:.
C armel e a
y
Parks &Recreation
Administrative Offices 1411 E 116th Street Carmel, IN 46032
P 317.848.7275 F 317.571.4136 www.car.melclayparks.com
FACSIMILE TRANSMITTAL SHEET
TO: FROM:
COMPANY: DATE:
FAX NUMBER: TOTAL NO. PAGES (INCLUDING COVER):
3 f 3
RE:
2 t3
Confidentiality Note: The Information contained In this facsImI(e.message Is legally privileged and confidential Informetlon Intended
only for the use of the Individual or entity named above. If the leader of this message Is not the Intended recipient, you are notified of
that dissemination, distribution, or copying of.this fax Is strlctly prohibited, If you have recelved this fax In error, please Immedlately
notify the sender. at the telephone number provided above and return the original message to us at the address above via the United
States Postal Service. Thank you.
AMBASSADOR HOTEL NEW ORLEANS
CREDIT CARD AUTHORIZATION FORM
ATTENTION: J rl e A 5 �o ��0 C•O-� ��n e u y
COMPANY /GROUP NAME: L C-Icy cr
PHONE C FAX 1 1� S"7(
I, i eL1c,e�` k'z HEREBY AUTHORIZE NEW ORLEANS BOUTIQUE
HOTELS; QUEEN &CRESCENT Ht4IEL, ROYAL ST. CHARLES HOTEL, AND /OR GARDEN DISTRICT HOTEL TO
PROCESS CHARGES FOR
(Event or Guest Name)
(Date of Event or Arrival Date of Guest) y (I a
THE CHARGES WHICH ARE TO BE BILLED TO MY CREDIT CARD ARE AS FOLLOWS:
ROOM, TAX AND RESORT FEE ONLY
ROOM, TAX AND INCIDENTALS*
PLANNED MEETING OR EVENT CHARGES
OTHER
I UNDERSTAND THAT MY CARD WILL BE CHARGED FOR MY ROOM BLOCK (RESERVATIONS), PLANNED
MEETING /EVENT FOR THE ESTIMATED TOTAL OF IF THE FINAL TOTAL FOR THE
RESERVATION/FUNCTION EXCEEDS THIS AMOUNT, A SECOND CHARGE FOR THE BALANCE WILL BE ADDED
TO THE CARD WITHIN 5 DAYS OF DEPARTURE. IF THE CHARGES FOR THE RESERVATION/FUNCTON ARE LESS
THAN ESTIMATED, A REFUND FOR THE AMOUNT OF THE OVERPAYMENT WILL BE CREDITED TO YOUR CARD
WITHIN 10 DAYS OF DEPARTURE. *INCIDENTALS DEPOSIT IS $100.00 PER ROOM PER DAY. PLEASE NOTE
THAT SPECIAL EVENTS DATES REQUIRE FULL NON REFUNDABLE PREPAYMENT PRIOR TO ARRIVAL DATE.
CREDIT CARD
EXPIRATION DATE:
CARDHOLDER'S NAME ON CARD: M -�►a�` 1.-1- �l •kz
CARDHOLDER'S SIGNATURE:
BILLING ADDRESS OF CREDIT CARD: 1!3,50 E2•-� S n ��d p f
PLEASE ATTACH A COPY OF THE FRONT AND BACK
OF YOUR CREDIT CARD.
PLEASE FAX OR MAIL THIS FORM TO:
NEW ORLEANS BOUTIQUE HOTELS PHONE: (504) 679 -6321
344 Camp Street FAX: (504) 679 -6314
New Orleans, La 70130
Z 13 '7 o 2 -'7 c
903
9oY
cos
Transaction Detail Page 1 of 1
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Transaction Detail
AMBASSADOR HOTEL NEW ORLEANS LA
Transaction Date 04/05/2009
POST DATE 04/07/2009
i
Transaction Amount $464.16
Reference Number MT090970079000010247806
i
i
Merchant Type. Lodging Hotels
s
Method Card Number
Captured 01 Card Number manually keyed
Card Presence 0 Card present at time of sale
i
Billing Dispute Information
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Ple..a_s..e..print. for..y..our_records.
Transaction Detail
3
AMBASSADOR HOTEL NEW ORLEANS LA
Transaction Date 04/05/2009
POST DATE 04/07/2009
Transaction Amount $464.16
Reference Number MT090970079000010247807
Me Lodging Hotels
Method Card Number 01 Card Number manually keyed I
Captured
Card Presence 0 Card present at time of sale
r
Billing Dispute Information
Close Window
https: /www.hsbccrediteard.com/ecare/ transaction_ detail ?TransDate =04/05 &Statemen... 4/8/2009
Transaction Detail Page 1 of 1
Close Window
Pl..e...ase...print for yo..u.r records
Transaction Detail
AMBASSADOR HOTEL NEW ORLEANS LA
i
Transaction Date 04/05/2009
POST DATE 04/07/2009
I Transaction Amount $464.16
i
Reference Number MT090970079000010247808
M_e.rc..a.nt.Typ.e. Lodging Hotels
I
Method Card Number 01 Card Number manually keyed
Captured
4
i Card Presence 0 Card present at time of sale
i
5d1b Dispute Information
i
Close
Window_............_____.____..
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Please print_for you.r_records
Transaction Detail
AMBASSADOR HOTEL NEW ORLEANS LA
i
Transaction Date 04/05/2009
POST DATE 04/07/2009
Transaction Amount $464.16
I
Reference Number MT090970079000010247809
Merch..a_n..t._Type. Lodging Hotels
i
Method Card Number 01 Card Number manually keyed
Captured
Card Presence 0 Card present at time of sale
E
t
I
i
I Billing Dispute Information
Close Window
https: /www.hsbccreditcard.com/ecare/ transaction_ detail ?TransDate =04/05 &Statemen... 4/8/2009
Apr 08 09 11:46a Rina Saavedra 504 599 -2104 p.1
I —V
A3IBASSADOR
FACSIMILE TRANSMITTAL SHEET
FROM:
Linda Acosta Rina Saavedra.
COMPANY: DATE:
4/8/2009
PAC NUMBER: TOTAL NO. OF PAGES INCLUDING COVrR:
317- 573 -5254 5
PI ]ON R NUMBER: SENDER'S RErF.RENCE, NUMBER:
RE: YOUR REFFRENCF, NUMBER:
URGENT FOR RNVIF—W PLEA &I': COMMENT PI,EASE REPLY PLEASE RIsCYCLI
NOTE$ /CO A1M F. N'1'S:
535 TCHOUPITOULAS STREET, NEW ORLEANS, LA 70130
TEL# 504 599 -2103
FAX 504 599 -2104
Apr 08 09 11:46a Rina Saavedra 504 599 -2104 p.3
735 Tchoupitaulas St_
�7ew OrleaLas, LAS. 70-130
�tir11.�►�1�'�1c►�lc PI 504.$27 5271
1-.16t' 4 l P 1. K A N�N FX= 51)4.
KLfCZING, MICHAEL 43 ACCOUNT: 21370282904
NATIONAL AFTER SCHOOL ASSOCIATION ARRIVAL: 4/1/21)09
1550 RED SUNSET DR. DEPARTURE: 4/4/2009
BROWNBURG, IN 46112 ROOM: 423
DATE DESCRIPTION COMMENT CHARGES CREDITS
4 1 %'OC4 Rf, 0OK FEf: kE50RT PEE
1 %1i OC!1 KMI ('11ARCE 1 1 4 °3 KI.IT %SIC, MICHAEI. ti„
4 1;' OOfI OCCU'PdNCY ";1X 0('CU'ANTY TAX c I .p.0
4 ;1 `2009 8001.1 TAX RO011 TA'% 3l (i.i7
j2009 RE.iWl' FEE RESORT PEE
4; "3/'3009 ROD MARGE
1 101)
TAX 0W'PANCY TAX
ROOM TAX 8001# 'I':1!; j1 f.;. 7
/3/2009 RESORT PCE RHOU' ?EE :7.95
R00M C}IARCE uKl W'FING, MIF" AD, rJ 3129.00
4/a/2u09 OCCUi'AlCY'rA,�( OC(WANCY TAX $1.00
4 ?OCM TAX ROOM TAX.
1%4/29G MASTER CnRD MASTER GIRD
BALANCE DUE: (50.00) CR
FOR FUTURE RESERVATIONS PLEASE CALL
US 888-527 -5271 UK
c..
1 AGREE THAT MY UABIUTY FOR THIS BILL 6 NOT WAIVED AND AGREE TO BE HELD PERSONALLY LIABLE IN THY, EVENT THAT TAE INDICATED PERSON OR CONIPANY ORASS R
OCLATION FAS TO PAY FOR
ANY PA RT OF THE PULL .AMOUNT O"IFSE CHARGES
Slc�.inTRE
Apr 08 09 11:46a Rina Saavedra 504 599 -2104 p.2
535 Tchbupicvulas St_
"qew Qrlcans, I-A 70 1.3 E)
1t.CIC�Id PH- 50
F:�� 4) 19 F X: 5 04- 527 527 0
KLITZING, MICHAEL #4 ACCOUNT: 213702829D5
NATION AFTER SCHOOL ASSOCIATION ARRIVAL: 4AP-009
1550 RED SUNSET DR. DEPARTURE: 4 /4j7 M9
BROWNBURG, IN 46112
ROOM: 456
DATE DESCRIPTION COMMENT CHARGES CREDITS
1 1 X001 lti ?Oltl' Ft RE OR'I' FEE ;7.75
9'l; "?D09
ROOM ::IL +.RGI{ 456 KtJTl,CJC. MIC AE1. •r,'.I 5,t2o.00
TAX CCCIIYr ?[;C "r "I'r1X I All
4!'1 %2[1CO ROOM TAk IiO011 'f.',;( �IEi.7i
4 WSORI' FEF RrSOk'P FEE
1;'2; "ti0O9 ROOM CHARGE i n1,IT.7,Ih;G 'dICHI.EI. u -1 128.00
4/- 200C' OCCUPANCY "f:1 KMIPANC'Y TAX Z:1.00
1 2i20 O; ROOM ':'AX ROOM TAX 1
1,'3�`ZD00 IlI OI ?T PrE RESOW FIJ:
I;',,'OOfI RUOM CIIAEt(�f: �•15(S hl,l'f?ING, �Ih;'IL• ?L'L ;I?7.CO
.1 2GO9 M111 1'tVX OCCOPAN(A TAX $L(1O
1 2009 itO(N TAX ROOM 'rAX I.'i.77
C,'IR MAaT1:R rdRl) l61.1(N,
BALANCE DUE: (SO.00) CR
FOR FUTURE RESERVATIONS PLEASE CALL
US 88&527 -5271 UK
1 AGREE THAT MY LLADILITY FORTIIS BELL 1S NOT WAIVED AND AGREE TO BE HELD PERSONALLY LIABLE IN THE EVENT THAT TFIE INDICATED PERSON OR COMPANY OR ASSOCIATION' FAILS TO PAY FOR
ANl' PART OF TItE FULL AMOUNT OF THESE CHARGES.
,JGIATEIRE
Apr 08 09 11:47a Rina Saavedra 504- 599 -2104 p.4
535 Tchaupi.toulas St_
1 -cw Orleans, LA 70-1-30
ALNIxt.k -3A Do 1: 504 .:527 -527 1
F. 'N% 4) IC I. K N FX: :504- 527.5
KLITZING, MICHAEL t2 ACCOUNT: 21370282903
NATIONAL AFTER SCHOOL ASSOCIATION ARRIVAL: 4/1!2009
1550 RED SUNSET DR. DEPARTURE: 4142009
BROWNBURG, IN 46112
ROOM: 439
DATE DESCRIPTION COMMENT CHARGES CREDITS
1: 1 %2009 I�a:.�ORT FE;Ii RESORT 1
41 /1 /ao9 ROOM (:IIARGE W.139 KIJT?ING. MIC1L1EI, 2 ;129.00
/1 OCCIWANCY T Occt!PAIacY'llAX $1.00
4; 1/2009 ROOM 'AX ROOM TAX j lei.
1 /2;Y00!; RESORT I'I:F; RESORT °EE
4 'x!'009 ROOM CHARGE 1439 KLI77.IX•G• NIICIIAEL '2 $129.00
4 ?i200i1 OC. ^.11PANCY TAX OC(TPAVY TAK jl g0
•1 1;2/ 0A ROOM TAX ROOM TAX 71 `i. r
RESORT ;111] E;FSUR'I' 1'EE
4 %31.'_( }0, ROOM CI(A:1GP 439 F;I.IIZIIJG. M101AEL '2 l'9.11i1
O(TUPANCY TAX (ICCCF'AVCY TA%
4x`3/2000 ROOM TAX ROOM TAX
4 MASTER CAf',I) 0STER ('a);0 S4f;4.1G
BALANCE DUE: (SO.00) CR
FOR FUTURE RESERVATIONS PLEASE CALL
US 888 -527 -5271 UK
r
I AGREE THAT MY LL4BHlTV FOR TIBS BILL 15 NOT WAIVED AND AGREE TO BE HELD PERSONALLY LIABLE DI THE EVENT THAT THE LNDICATED PER OR COMPANY OR ASSOC74TiON FAILS 7H PAY FOR
ANY PART OF THE PULL AMOUNT OF THESE CHARGES.
SIGNATURE 1 1 i
Apr 08 09 11:47a Rina Saavedra 504 599 -2104 p.5
535 TchoupacouL -vs .St.
Vey, Or leans, T -A 7 01 3 t)
x�r�z. ;.at�crlt PIJ: 504.527.5271
FX: 5".527 -5270
KLITZING. MICHAEL #1 ACCOUNT: 21370282899
NATIONAL AFTER SCHOOL ASSOCIATION ARRIVAL: 4/1/2009
1550 RED SUNSET DR.
DEPARTURE: 4/4/2009
BROWNBIJRG, CV 4b112
ROOM: 4Z4
DATE DESCRIPTION COMMENT CHARGES CREDITS
RESORT FEE RESORT PEE
1 %1 1 2 900 Y.00m CIIARGF. a ;121 K ITZING. 111CHAEl, e I
4,il 2009 OCCGF,'�CY r:1X OCCUPANCY T:1X :].CO
ROOM '[',1X RCOM 'IYLX j1fi.77
iJ2 %200' RESORT f EJ: Rti?OR'I' PFE
1;2;2009 FOOL{ C1lARG3 KLIT`ANG, MICHAEL ul S129 C
wnn9 CCUJI'ANCY TAX OCCUPANCY TAX S,
of,
1% 12009 1?00.41 TAX ROOM 'I AA
ITSORT FEE RESORT' PEE n
.95
RocAi C.lfARCE: x424 K1.I7'1NC. 6HCHAFI, rl $129.0
I;' 2009 OMUP.4\(Y 'FAX OCCUPARY 'I'A.X
1;'3120M ROOM TAX ROOM TAN =16.71
VA TER {;.dRL MASTER CARD
BALANCE DUE: (50.00) CR
FOR FUTURE RESERVATIONS PLEASE CALL
US3W527 -5271 UN
1 AGREE THATMY LIABILITY FOR THIS BILL IS NOT WAIVED AND AGREE TO EX HELD PERSONALLY IAABLE IN THE EVENTTRATTHC INDICATED PERSON OR COMPANY ON ASSOCIATION PAILS TO PAY FOR
ANY PART OF THE FULL AMOCNT OF THESE CHARGES.
SIGNATURF.
:;E I GY I
r
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
3/26/09 Reimb. When to Work Online employee scheduling service 135.00
3/26/09 Reimb. Airtravel for ESE staff to conference 7,140.60
4/8/09 Reimb. Lodging for Nat Afterschool Assoc Conf 1,856.64
Total 9,132.24
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
355319 Klitzing, Michael Allowed 20
1550 Redsunset Dr
Brownsburg, IN 46112
In Sum of$
I
9,132.24
i
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund 104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 Reimb 4355200 135.00 1 hereby certify that the attached invoice(s), or
1046 Reimb 4343002 7,140.60 bill(s) is (are) true and correct and that the
1046 Reimb 4343002 1,856.64 materials or services itemized thereon for
which charge is made were ordered and
received except
8 -Apr 2009
Signature
9,132.24 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund