HomeMy WebLinkAbout178245 10/14/2009 CITY OF CARMEL, INDIANA VENDOR: 355319 Page 1 of 1
ONE CIVIC SQUARE MICHAEL KLITZING
i CHECK AMOUNT: $135.00
.Jo CARMEL, INDIANA 46032 1550 REDSUNSET DRIVE
<oM do: BROWNSBURG IN 46112 CHECK NUMBER: 178245
CHECK DATE: 10/14/2009
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1125 4355200 135.00 SUBSCRIPTIONS
Carmel 0 cla
Parks Recreat io 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
9/28/2009 When to Work 101 100-000-435S200 Subscriptions $135.00 service (9/27/09 10/26/09)
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
�t S E P 2 3 2009
Address 1550 Redsunset Dr.
Check 7
payable to: City, St, Zip Brownsbur IN 46112 S' ......o,a „00000,aaevea
Signature: Approved by:
Date: 1 7 /7Sy �S Date:
J
Business Services Division, Revised 7 -7 -08
FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request
c
Thank you for your payment Page 1 of 1
i Sep 28, 2009 Close
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Thank you for your Payment.
Your Account has now been marked paid.
Please print this confirmation for your records.
NOTE: Your credit card will be automatically
charged this amount each month. Automatic billing can be turned
off at any time from your Settings /Billing page.
Invoice: #9092821996201 -30 -1
Company: Carmel Clay Parks Recreation
WhenToWork Account: 21996201
Subscription Information
Number of Employees: 300
Length of Time: 1 months
Paid Through: 10/26/2009
Amount Charged: 135
Payment Information
Name on Card: Michael Klitzing
Address: 1550 Redsunset Dr.
City: Brownsburg
State IN 46112
Country: Brownsburg
Contact Info
Phone: 317 450 -1250
E- Mail*: mklitzing @carmelclayparks.com
Questions, comments, problems or suggestions?
CONTACT WhenToWork
J
https /www2.whentowork.com/egi- bin /w2wB.dll /mgrauthorizecc ?SID= 273302126i3B2 9/28/2009
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 Klitzing, Michael Terms
1550 Redsunset Dr Date Due
,r
Brownsburg, IN 46112
Invoice Invoice Description
Date Number (or note attached invoice(s) or bill(s)) PO Amount
9/28/09 Reimb Online employee scheduling 9/27 10/26/09 135.00
Total 135.00
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
1 20
Clerk- Treasurer
Voucher No. Warrant No.
355319 Klitzing, Michael Allowed 20
1550 Redsunset Dr
Brownsburg, IN 46112
In Sum of
135.00
ON ACCOUNT OF APPROPRIATION FOR
101 General Fund
PO# or INVOICE NO. ACCT WTITLE AMOUNT Board Members
Dept
1125 Reimb 4355200 135.00 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
7 -Oct 2009
Signature
135.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund