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Home My WebLink About173405 06/10/2009 CITY OF CARMEL, INDIANA VENDOR: 355319 Page 1 of 1 ONE CIVIC SQUARE MICHAEL KLITZING CHECK AMOUNT: $157.00 i�'�'.•.: CARMEL, INDIANA 46032 1550 REDSUNSET DRIVE BROWNSBURG IN 46112 CHECK NUMBER: 173405 CHECK DATE: 6/10/2009 DEPARTMENT ACC PO NUM INVOICE NU MBER AMOUNT DESCRI 1125 4355200 157.00 SUBSCRIPTIONS Carmel 0 Clay harks &.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 5/26/2009 When to Work 101 100-000-4355200 Subscriptions $135.00 service (5/27/09 6/26/09) All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $135.00 Employee Name (print) Michael Klitzing Address 1550 Redsunset Dr. 4 Check 5 :1 MAY 2 6 2009 payable to: City, St, Zip Brownsburg, IN 46112 Signature: 4!/' Approved by: Date: 5�Z4�09 Date: Business Services Division, Revised 7 -7 -08 FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request Michael Klitzing From: AutoForward @mail.WhenToWork.com on behalf of WhenToWork.com [billing @mail.WhenToWork.com] Sent: Tuesday, May 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 345 employees.) Your account is now paid through Tun 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 billingoWhen2Work.com and the staff at: https: /WhenToWork.com 1 Carmel 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 Online employee scheduling 5/26/2009 When to Work 101 100 Subscriptions $22.00 service (5/27/09 6/26/09) Increased of employees from 300 to 350 for summer All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $22.00 Employee Name (print) Michael Klitzing 11 1 MAY 27 2009 J Address 1550 Redsunset Dr. B< Check payable to: City, St, Zip Brownsburg, IN 46112 Signature: Approved by: Date: IZ 7 02 Date: Business Services Division, Revised 7 -7 -08 FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request WhenToWork 1100 Irvine Blvd, #128 Tustin, CA 92780 Web: WhenToWork.com E -Mail: billing @when2work.com INVOICE To: Carmel Clay Parks Recreation Michael Klitzing Date: 5 -26 -09 Invoice No.: 21996201 -350U mklitzing @carmelclayparks.com Terms: Paid Number of Description Service Period Amount Employees Up to 350 Upgrade to existing Employee thru 6 -26 -09 $22 SchedulingSubscription Paid 5/26/09 via credit card Amount Due $22 MEMO: WhenToWork, Inc. Federal Tax ID: 20- 4595404 The limit of employees can be used for the combined total number of employees in all of your individual WhenToWork accounts. No refunds are given for partial use of time period or reduction in employee total. Exceeding the number of employees chosen will result in additional costs. ACCOUNTS PAYABLE VOUCHER CITY OF CARMEL An invoice of bill to be properly itemized must show; kind of s units, price performe t dates service rendered, by whom, rates per day, number of hours, rate per hou r Payee Purchase Order No. Terms 355319 Klitzing, Michael Date Due 1550 Redsunset Dr Brownsburg, IN 46112 Invoice Invoice Description PO Amount Date Number (or note attached invoice(s) or bill(s)) 135.00 5/26109 Reimb. when to work' 6/27/09- 6/26/0 22.00 5126109 Reimb. when to work increased of employees Total 157.00 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 Klitzing, Michael Allowed 20 1550 Redsunset Dr Brownsburg, IN 46112 In Sum of 157.00 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund 104 Program Fund PO# or INVOICE NO. ACCT #/TlTLE AMOUNT Board Members Dept 1125 Reimb 4355200 135.00 1 hereby certify that the attached invoice(s), or 1125 Reimb 4355200 22.00 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 4 2009 1 v Signature 157.00 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund I