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Home My WebLink About178750 10/28/2009 CITY OF CARMEL, INDIANA VENDOR: 355319 Page 1 of 1 ONE CIVIC SQUARE MICHAEL KLITZING CHECK AMOUNT: $541.40 CARMEL, INDIANA 46032 1550 REDSUNSET DRIVE BROWNSBURG IN 46112 CHECK NUMBER: 178750 CHECK DATE: 10128/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1125 4343002 REIMB 541.40 EXTERNAL TRAINING TRA •r 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 10/13/2009 Delta (a) 1125 100 000 4343002 Training Travel Lodging $15.00 Baggage fee for 1 bag 10/14/2009 Jason's Deli (b) 1125 100 000 4343002 Training Travel Lodging $9.69 Lunch Dinner for M. Klitzing, K. 10/14/2009 Skybox (c) 1125 100 000 4343002 Training Travel Lodging $71.76 Schneider, T. Pinter A. Hughey 10/16/2009 Delta (d) 1125 100 000 4343002 Training Travel Lodging $15.00 Baggage fee for 1 bag 10/16/2009 Jason's Deli (e) 1125 100 000 4343002 Training Travel Lodging $11.19 Lunch 10/16/2009 Squatters (f) 1125 100 000 4343002 Training Travel Lodging $18.94 Dinner Lodging 10/14 10/17 (excluding 10/17/2009 Hyatt Place (g) 1125 100 000 4343002 Training Travel Lodging $352.22 parking fee) Dinner on 10/15 10/17/2009 Indy Park Ride Fly (h) 1125 100 000 4343002 Training Travel Lodging $39.60 4 days parking 10/17/2009 Xpress Shuttle (i) 1125 100 000 4343002 Training Travel Lodging $8.00 Suttle service to SLC airport All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $541.40 Employee Name (print) Michael Klitzing Address 1550 Redsunset Dr. Check payable to: City, St, Zip Brownsburg, IN 46112 Signature: Approved by: Date: Date: G) 1 Park Ride Indy Park Ride Fly, LLC. 3875 Plainfield Road Indianapolis, IN 46231 1- 888 230 -0300 User ID 10000 Date 10/17/09 14:00 Ticket 6015705 Name Klitzing, Michael Customer 31084 Ticket FPP: 4 New Account FPP: 113 Vehicle SILVER MB License WN1186 Open Date 10/14/09 06:53 Close Date 10/17/09 13:57 Parking Charges Weeks $54.00 0 0.00 Days 9.00 4 36.00 Coupons 0.00 Discount 0 0.00 Subtotal 36.00 Airport Tax 10.000% 3.60 Sales Tax 7.000% 0.00 Parking Total 39.60 Service Charges Coupons 0.00 Subtotal 0.00 Airport Tax 10.000% 0.00 Sales Tax 7.000% 0.00 Service Total 0.00 Grand Total 39.60 Payments MC _3313 Auth:26337Z 39.60 X Hyatt Place Salt Lake City/ Downtown /The Gateway Oct 17, 2009 H YAT T PLACE 55 North 400 West 4:20 am Salt Lake City, UT 84101 Telephone: (801)456 -6300 Fax: (801)456 -6301 MICHAEL KLITZING Account 2149 701 CICERO RD. Room Number: 204 NOBLESVILLE, IN 46060 Rate: $102.00 Pay Method: VISA5457 Arrival Date: Wednesday, October 14, 2009 Departure Date: Saturday, October 17, 2009 Member Date Department `Reference Voucher Roor 1 Debit Credit 10/14/2009 Room Charge Auto Posted 204 $102.00 10/14/2009 State Occupancy Ta> Auto Posted 204 $6.99 10/14/2009 County Occupancy T Auto Posted 204 $4.85 10/14/2009 City Innkeepers Fee Auto Posted 204 $1.02 10/14/2009 State Occupancy Ta> Auto Posted 204 $0.07 10/14/2009 County Occupancy T Auto Posted 204 $0.05 10/14/2009 Parking Auto Posted 204 $10.00 10/15/2009 Gallery Food Food 6241 204 $2.25 10/15/2009 State Tax F &B Tax 6241 204 $0.02 10/15/2009 State Sales Tax Tax 6241 204 $0.15 10/15/2009 Gallery Food Food 6241 204 $4.50 10/15/2009 State Tax F &B Tax 6241 204 $0.05 10/15/2009 State Sales Tax Tax 6241 204 $0.31 10/15/2009 Room Charge Auto Posted 204 $102.00 10/15/2009 State Occupancy Ta> Auto Posted 204 $6.99 10/15/2009 County Occupancy T Auto Posted 204 $4.85 10/15/2009 City Innkeepers Fee Auto Posted 204 $1.02 10/15/2009 State Occupancy Ta> Auto Posted 204 $0.07 10/15/2009 County Occupancy T Auto Posted 204 $0.05 10/15/2009 Parking Auto Posted 204 $10.00 10/16;2009 Room Charge Auto Posted 204 $102.00 10/16/2009 State Occupancy Ta) Auto Posted 204 $6.99 10/16/2009 County Occupancy T Auto Posted 204 $4.85 10/16/2009 City Innkeepers Fee Auto Posted 204 $1.02 1011612009 State Occupancy Ta> Auto Posted 204 $0.07 10/16/2009 County Occupancy T Auto Posted 204 $0.05 10/16/2009 Parking Auto Posted 204 $10.00 10/17/2009 Visa CHECKED- OUTV15457 204 $382.22 I agree that my liability for all charges is not waived. Your privacy is important to us. Balance: 1 $0.00 Please visit us at www.hyattplace.com to review our privacy policy. I accept delivery of The Wall Street Journal M -F (Gold Passport and VIP rooms only). If refused, a refund of $1 will be provided. Signature &.DELTA O PASSENGER RECEIPT 02 EXCESS BAGGAGE 16OCT09 0066 US TICKET DL /WW SLC FTO CCHAEL /KLITZING THIS IS YOUR RECEIPT *NOT VALID FOR *TRANSPORTATION* PSGR TICKET 0062314571612 FOR CONDITIONS OF C DL CVG DL IND PTU2JH /DL CONTRACT SEE ECE 15.00 PASSENGER TICKET AND C 15.00 BAGGAGE CHECK iD _15.00 VIXXXXXXXXXXXX5457 /073660 NOT VALID FOR TRAVEL 1 0 066 2511188756 6 0 006 2511188756 6 USD15.00 1 Payment Receipt Page 1 of 1 O A, DELTA PASSENGER RECEIPT 01 EXCESS BAGGAGE 130CT09 0066 US TICKET DL /WW IND FTO MICHAEL /KLITZING THIS IS YOUR RECEIPT *NOT VALID FOR *TRANSPORTATION* PSGR TICKET 0062314571612 FOR CONDITIONS OF I DL SLC PTU2JH /DL CONTRACT SEE PIECE 15.00 PASSENGER TICKET AND EeC 15.00 BAGGAGE CHECK USD 15.00 CAXXXXXXXXXXXX3313 /231432 NOT VALID FOR TRAVEL 1 USD15.00 0 006 2511150558 0 0 006 2511150558 0 htt /w ww. delta. com /oci/ servlet/ OCIServlet? cmd= printExcessBagsReceipt &hfid= 4198... 10/13/2009 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 Brownsburg, IN 46112 Invoice Invoice Description Date Number (or note attached invoice(s) or bill(s)) PO Amount 10/19/09 Reimb NRPA conference expenses 541.40 Total 541.40 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 541.40 ON ACCOUNT OF APPROPRIATION FOR 101 General Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1125 Reimb 4343002 541.40 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 22 -Oct 2009 Signature 541.40_ Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund