HomeMy WebLinkAbout177737 09/29/2009 CITY OF CARMEL INDIANA VENDOR: 355319 Page 1 of 1
ONE CIVIC SQUARE MICHAEL KLITZING CHECK AMOUNT: $1,928.44
CARMEL, INDIANA 46032 1550 REDSUNSET DRIVE
BROWNSBURG IN 46112 CHECK NUMBER: 177737
CHECK DATE: 9/29/2009
DEP ACCOUNT PO NUMBER INVOIC N UMBE R AMOU DESCRIPT
1047 4343002 REIMB 1,382.00 EXTERNAL TRAINING TRA
112 -5 4343002 REIMB 343.30 EXTERNAL TRAINING TRA
1125 4343003 REIMB 46.14 TRAVEL LODGING
1125 4355200 REIMB 157.00 SUBSCRIPTIONS
Carm 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
8/26/2009 When to Work 101 100 000 4355200 Subscriptions $157.00 service (8/27/09 9/26/09)
Meal at prep meeting with PROS
8/26/2009 D onatos Pizza 101 100 000 4343003 Travel Lodging $46.14 Joe Miller
Michael Klitzing travel to Salt Lake
9/12/2009 Delta 101 100 000 4343002 Training Travel Lodging $343.30 City for NRPA
Tess Pinter Kate Schneider
9/12/2009 Delta 1047 100 100 4343002 Training Travel Lodging $942.80 travel to SLC for NRPA
Audrey Hughey travel to Salt Lake
9/12/2009 Delta 1047 100 100 4343002 Training Travel Lodging $439.20 City for NRPA
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $1,928.44
Employee Name (print) Michael Klitzing 1 �r 0
Address 1550 Redsunset Dr.
Check SEP 1 5 2009 l
payable to: City, St, Zip Brownsburg, IN 46112
Signature: Approved by:
Date: �'1r� 9 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: Wednesday, August 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 $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 332 employees.)
Your account is now paid through Sep 26, 2009.
(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
billing When2Work.com
and the staff at:
https: /WhenToWorl<.com
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Version: 8.5.409 Virus Database: 270.13.69/2328 Release Date: 08/26/09 12:16:00
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Transaction Detail
DONATOS PIZZA #0089Q93 CARMEL IN
Transaction Date 08/26/2009
POST DATE 08/28/2009
Transaction Amount $46.14
t
Reference Number MT092400077000010194698
Merch...a. t_Type. Fast Food Restaurants
Method Card Number 01 Card Number manually keyed I
Ca ptured
E
Card Presence 0 Card present at time of sale
I
I
I Billing Dis Information
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https: /www.hsbecreditcard.com/ecare/ transaction_ detail ?TransDate =08/26 /2009 &Stateme... 9/14/2009
.Book a Flight at Delta.com Page 1 of 2
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Flight Confirmation Number: PTU23H
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Your Flight Selection:
Departs Arrives Stops Flights Cabin (Class) Travel Time
Outbound: Indianapolis, IN (IND) to Salt Lake City, UT (SLC) on Wed, 14 Oct 2009
8:05am 9:52am Nonstop Delta 1123 Coach (L) 3 hr 47 min
IND SLC MD -90
In- Flight Services
Return: Salt Lake City, UT (SLC) to Indianapolis, IN (IND) on Sat, 17 Oct 2009
6:15am 11:42am Nonstop Delta 1454 Coach (T) 5 hr 06 min
SLC CVG MD -90
In- Flight Services
12:30pm 1:21pm Nonstop Delta 6210 Coach (T)
CVG IND Embraei 145
operated by Freedom Airlines Inc
In- Flight Services
Book with confidence. See Delta's Best Fare Total balance due (including taxes fees): $343.30 (USD)
Guarantee.
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view faxes /L+ ?es pout',
view tlrenge R <ancenatiuii i>ofr,ies.
Vice: Ix cigage. POlde.
This ticket is non mftirdahie.
Miles earned 3304
MQM earned 3304 (details)
Seat Special Services
Passenger From To Assignment (e.g. Wheelchair)
Mr, Michael Klitzing Indianapolis, IN (IND) Salt Lake City, UT (SLC) 19A
SkyMiles 2667801852 Change Seats Add /Edit
Salt Lake City, UT (SLC) Cincinnati, OH (CVG) 2-1C
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Cincinnati, OH (CVG) Indianapolis, IN (IND) 07B
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Passenger Information
Contact
Telephone number: 317 450 -1250 (Home)
Billing Information
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Payment Type: VISA, ,....k- -5457
Payee: Mi. Michael Klitzing
1550 Redsunset Dr
Brownsburg, IN 46112, United States
Price per Passenger of Psgrs Total Price of Ticket(s)
Fare U.S. Tax(es) Base Fare Taxes /Fees Subtotal
$291.16 (USD) $21.84 (USD) $313.00 (USD) $30.30 (USD) $313.30 (USD) 1 $343.30 (USD)
View fare rules
View Taxes/ Fees
Total Amounts Charged
Flight: $343.30 (USD)
Total amount charged (including taxes/lees): $343.30 (USD)
J2009 Delta Air tines, Inc.
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b -11- �G7
A D E LTA f
Your purchase is complete. Thank you for choosing Delta.
Flight Confirmation Number: PSiFI2
What's Next
Now that you've finished booking your trip:
In order to comply with the Transportation Security Administration's Secure Flight Program, Delta is now
collecting additional data for all passengers.
Provide your Secure Flight Passenger Data now.
Your eTicket receipt(s) and confirmation have been sent to mklitzing @indy.m.com.
You may check in for your flight, email receipts and itineraries, choose your seats, or cancel your reservation by
managing your itinerary online.
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Your Flight Selection:
Departs Arrives Stops Flights Cabin (Class) Travel Time
Outbound: Indianapolis, IN (IND) to Salt take City, UT (SLC) on Sun, 11 Oct 2009
8:05am 9:47am Nonstop Delta 1123 Coach (L) 3 hr 42 min
IND SLC Boeing 737
In- Flight Services
Return: Salt Lake City, VT (SLC) to Indianapolis, IN (IND) on Fri, 16 Oct 2009
5:10pm 10:36pm Nonstop Delta 1634 Coach (L) 3 hr 26 min
SLC IND MD -90
In- Flight Services
Book with confidence. See Delta's Best Fare
Guarantee. Total balance due (including taseslfees): $439.20 (USD)
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This ticket is n r0,n0t
Miles earned 2710
MQM earned 2710 (details)
Seat Special Services
Passenger From To Assignment (e.g. Wheelchair)
Mrs. Audrey Hughey Indianapolis, IN (IND) Salt Lake City, 11T (SLC) 21F
Change Seats Add /Edit
Salt Lake City, UT (SLC) Indianapolis, IN (IND) 30C
Change Seats Add /Edit
Passenger Information
Contact
Telephone number: 317 450-1250 (Home)
Billing Information
Payment Type: VISA, *a.<. *f, 5457
Payee: Mr, Michael Klitzing
1550 RedsunseL Dr
Biownsburg, IN 46112, United States
Price per Passenger of Psgrs Total Price of Ticket(s)
Fare U.S. Taxies) Base Fare Taxes /Fees Subtotal
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$388.84 (USD) $29.16 (USD) 5418.00 (USD) $21.20 (USD) $439.20 (USD) 1 $439.20 (USD)
View fare rules
View Taxes /Fees
Total Amounts Charged
Flight: $439.20 (USD)
Total amowi[ charged (inducting taxes/fees): $439.20 (USD)
(Z)2009 Delta Air Lines, Inc.
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A D E L T A=
Your purchase is complete. Thank you for choosing Delta.
Flight Confirmation Number: PRSCAR
What's Next
Now that you've finished booking your trip:
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collecting additional data for all passengers.
Provide your Secure Flight Passenger Data now.
Your eTicket receipt(s) and confirmation have been sent to mklitzing @indy.mcorn.
You may check in for your flight, email receipts and itineraries, choose your seats, or cancel your reservation by
managing your itinerary online.
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Your Flight Selection:
Departs Arrives Stops Flights Cabin (Class) Travel Time
Outbound: Indianapolis, IN (IND) to Salt Lake City, UT (SLC) on Fri, 09 Oct 2009
3:15 pm 4:0Ipm Nonstop Delta 6026 Coach (L) 5 hr 22 min
IND CVG Embraer lay
operated by Chautauqua Airlines
In- Flight Services
4:45pm 6:37pm Nonstop Delta 1213 Coach (L)
CVG SLC MD -90
In- Flight Services
Return: Salt Lake City, UT (SLC) to Indianapolis, IN (IND) on Sat, 17 Oct 2009
8:40arn 12:48prn Nonstop Delta 4682 Coach (K) 6 hr 15 min
SLC MEM CRJ 900
operated by Skywest Airlines
In- Flight Services
2:20pm 4:55pm Nonstop Delta 2562 Coach (K)
MEM IND CRJ 100
operated by Pinnacle Airlines
In- Flight Services
Book with confidence. See Delta's Best Fare
Guarantee. Ticket price per passenger (including taxes /fees): $471.40 (USD)
O
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Miles earned 3710
MQM earned 3710 (details)
Seat Special Services
Passenger From To Assignment (e.g. Wheelchair)
Ms. Kate Schneider Indianapolis, IN (IND) Cincinnati, Oil (CVG) 14C
Change Seats Add /Edit
Cincinnati, OH (CVG) Salt Lake City, UT (SLC) 30A
Change Seats Add /Edit
Salt Lake City, Ur (SLC) Memphis, 'rN (MEM) 09A
Change Seats Add /Edit
Memphis, TN (MEM) Indianapolis, IN (IND) Not Assigned
Change Seats Add /Edit
Mrs. Tess Pinter Indianapolis, IN (IND) Cincinnati, OH (CVG) 15C
Change Seats Add /Edit
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Cincinnati, OH (CVG) Salt Lake City, UT (SLC) 32E
Change Seats Add /Edit
Salt Lake City, UT (SLC) Memphis, TN (MEM) 09D
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Memphis, TN (MEM) Indianapolis, IN (IND) Not Assigned
Change Seats Add /Edit
Passenger Information
Contact
Telephone number: 317 -450 -1250 (Home)
Billing Information
Payment Type: Master Card, k 8314
Payee: Mr. Michael Klitzing
1550 Redsunset Dr
Brownsburg, IN 46112, United States
Price per Passenger of Psgrs Total Price of Ticket(s)
Fare U.S. Tax(es) Base Fare Taxes /Fees Subtotal
$404.65 (USD) $30.35 (USD) ;435.00 (USD) $36.40 (USD) $471.40 (USD) 2 $942.80 (USD)
View fare rules
View Taxes /Fees
Total Amounts Charged
Flight: $942.80 (USD)
Total amount charged (including Uxesi fees): ;942.90 (USD)
03;2009 Delta Air Lines, Inc.
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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
8/26/09 Reimb Online employee scheduling 157.00
8/26/09 Reimb Meal at prep mtg w/ Pros and Joe Miller 46.14
9112109 Reimb Air fare for NRPA M. Klitzing 343.30
9/12/09 Reimb Air fare for NRPA K.Schneider,T.Pinter 942.80
9/12/09 Reimb Air fare for NRPA A. Hughey 439.20
Total 1,928.44
4 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
1,928.44
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund 104 Program Fund
PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members
Dept
1125 Reimb 4355200 157.00 1 hereby certify that the attached invoice(s), or
1125 Reimb 4343003;' 46.14 bill(s) is (are) true and correct and that the
1125 Reimb 4343002 343.30 materials or services itemized thereon for
1047 Reimb 4343002 942.80 which charge is made were ordered and
1047 Reimb 4343002 439.20 received except
24 -Sep 2009
Signature
1,928.44 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund