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Home My WebLink About180162 12/08/2009 CITY OF CARMEL, INDIANA VENDOR: 355319 Page 1 of 1 f ONE CIVIC SQUARE MICHAEL KLITZING CARMEL, INDIANA 46032 1550 REDSUNSET DRIVE CHECK AMOUNT: $282.24 BROWNSBURG IN 46112 CHECK NUMBER: 180162 CHECK DATE: 12/8/2009 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCR 1125 4341993 REIMB 147.24 CATERING SERVICE 1125 4355200 REIMB 135.00 SUBSCRIPTIONS Carmel 0 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 11/26/2009 When to Work 101 100-000-4355200 Subscriptions $135.00 service 111 /A7/09 ra /amlo`� 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. Check payable to: City, St, Zip Brownsbur IN 46112 Signature: Approved by: Date: S 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: Thursday,-No To: Michael Klit`zing 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 246 employees.) Your account is now paid tl�rQugh,Dec_26., 20o (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.com Internal Virus Database is out of date. Checked by AVG www.avg.com Version: 8.5.424 Virus Database: 270.14.49/2480 Release Date: 11/04/09 07:37:00 1 Carmel 0 Clay Parks &Recreati Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on receipt Line Budget Description Amount Purpose of Expense Lunch for MC Div. Mgr. candidates 11/16/2009 McAllister's Deli 101 4341993 Catering $147.24 interviewers All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $147.24 Employee Name (print) Michael Klitzing 7 Address 1550 Redsunset Dr. Check payable to: City, St, Zip Brownsbur IN 46112 Signature: Approved by: Date: 3v ,)S Date: Business Services Division, Revised 7 -7 -08 FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request UL 0 P C C 1 2009 BY: 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 11/26/09 Reimb Online employee scheduling service 111/27 12/26/09 135.00 11/30/09 reimb Lunch for MC Div Mgr candidates and interviewers 147.24 Total 282.24 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 20_ Clerk- Treasurer i Voucher No. Warrant No. 355319 Klitzing, Michael Allowed 20 1550 Redsunset Dr Brownsburg, IN 46112 In Sum of 282.24 ON ACCOUNT OF APPROPRIATION FOR 101 General 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 1125 Reimb 4341993 147.24 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 3 -Dec 2009 Signature 282.24 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund