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Home My WebLink About207516 03/26/2012 CITY OF CARMEL, INDIANA VENDOR: 355319 Page 1 of 1 ONE CIVIC SQUARE MICHAEL KLITZING CHECK AMOUNT: $4,349.11 4+� CARMEL, INDIANA 46032 1550 REDSUNSET DRIVE BROWNSBURG IN 46112 CHECK NUMBER: 207516 CHECK DATE: 3/26/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4343000 4,349.11 TRAVEL FEES EXPENSE 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 Air travel for 3 to /from National 3/13/2012 American Express /American Airlines 108 1081 -99- 4343000 Travel Fees Expenses $1,447.77 Afterschool Conf. Air travel for 6 to /from National 3/13/2012 American Airlines 1 08 1081 -99- 4346000 Travel Fees Expenses $2,717.34 Afterschool Conf. Air travel for 6 to /from National 3/13/2012 American Airlines 108 1081 -99- 4346000 Travel Fees Expenses $184.00 Afterschool Conf. All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $4,349.11 Employee Name (print) Michael Klitzing 0 im rr-j II IJ Address 1550 Redsunset Dr. MAR 2 d 2012 Check payable to: City, St, Zip Brownsbur IN 46 112 Signature: Approved by: 0 Y Date: 3I Za II Date: Business Services Division, Revised 7 -7 -08 FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request 3/13/12 TripDetails United States (Change Country) Co MY ACCOUNT CARDS TRAVEL REWARDS BUSINESS Need help? i B o ok A 1 .i,, G;X T d fth P rots i i ,N Travo f .rs (P Pla j R E ,mt �ez I Your trip details Share: Know Refo3 You Print this page and keep for your records. I Read the olo icies j Contact us immediately if any issues arise with your reservation before or during your trip. Note: We sent a confirmation message to the email address you provided (bjohnson @carmelclayparks.com). To ensure that you receive your travel confirmation, please add sery ice @americanex press travel.com' to your "safe sender" list or your address book. This helps to ensure that our email messages reach your inbox and that they I are not confused with unwanted emails. Your American Express Travel Trip ID is: 3207 3457 1939 i Your phone number for this trip: 317- 496 -9386 i This is an e- ticket, so no paper ticket will be mailed to you. What is an e- ticket? Please note: Seat requests are not guaranteed and may be changed by the airline. In addition, flight schedules may be changed by the airline. i i Primary Contact: Ben Johnson Travel Tools: For questions about this itinerary, call 1 -800- 297 -2977 Online flight check -in Lookup flight status i Flight: 3 Round -Trip Tickets All flight times are local to each city. j For your boarding pass, use reference code GVKDNU for online or airport check -in. Sun, Apr 1,2012 Indianapolis (IND) to Dallas /Fort Worth International Airport (DFW) Depart: 07:55pm Indianapolis, IN (IND) to 4A American Airlines Arrive: 09:20pm Dallas /Ft Worth, TX (DFW) Flight 1913 Economy Class (on McDonnell Douglas MD- 80 Jet) Identification /Policy Number:: GVKDNU Adult fare rules j Total Travel Time 2 hrs 25 urns For your boarding pass, use reference code GVKDNU for online or airport check -in. Wed, Apr 4, 2012 Dallas /Fort Worth International Airport (DFW) to Indianapolis (IND) Depart: 07:50am Dallas /Ft Worth, TX (DFW) to !A American Airlines Arrive: 10:50am Indianapolis, IN (IND) Flight 1660 Economy Class (on McDonnell Douglas MD- 80 Jet) Identification /Policy Nurrber:: GVKDNU Adult fare rules Requested Seats: 10F, 10E 10D Total Travel Time: 2 hrs The baggage fees /rules of American Airlines may be accessed by visiting the Airline Fees page. t Passenger Name Frequent Flyer Information Anry Baldauf You can add your frequent flyer number at the airport. Shavonne Holton You can add your frequent flyer number at the airport. Deneyse Solazzo You can add your frequent flyer number at the airport. TSAT,a Infa Action E The TSA has determned that liquids, aerosols and gels, in limited quantities, are safe to bring aboard an aircraft. When packing, please follow these guidelines: All liquids, gels and aerosols must be in 3.4 ounce (100mi) or smaller bottles. https: /go.americanexpress- travel. com checkout /RetrievePurchase.do ?firstView =true 1/3 3/13/12 TripDetails All containers must fit in one quart- sized, clear, plastic, zip -top bag. Each passenger is allow ed only one bag. Each bag must be placed in its ow n screening bin and X -rayed separately. If you are carrying on larger amounts of prescriptions liquid medications, baby formula, and /or diabetic glucose treatments, you must declare these at the security checkpoint. Arrive at the airport early. Enhanced security measures may mean longer lines at security checkpoints. This new security policy applies to all domestic and international flights departing from U.S. airports. We always recommend checking the TSA Web site www.tsa.gov for the most up -to -date information about security procedures. If you are departing from a non -U.S. airport, be sure to check that airports security policies and pack accordingly. r E Pricing 3 Adults: $454.00 per person) $1,362.00 Taxes Fees: $85.77 Total: $1,447.77 i We charged a total of $1,447.77 to your I American Express Travel Fees and airline charges w ill be show n as separate line items on your credit card 3 statements. Your credit card statement may show separate airline charges for each passenger, as listed below Amy Baldauf $475.60, Shavonne Holton $475.60, Deneyse Solazzo $475.60 Travel Checklist Printed itinerary —As you w ill not receive a paper ticket, we suggest you Print this page to take along with you on your trip, Photo ID —Every passenger must have a valid government- issued photo ID (such as a drivers license or f passport). Please note that the name on the photo ID must match the passenger name in the reservation. TSA Secure Flight Information —Any information you provided has been added to your reservation. Special ServiceslMeal Requests Please confirmyour special request or meal request w ith the airline. Term inallgate inform ation —Check w ith the flight status for updated terminal /gate information the day of your travel. Also please note, you can verify the flight status online. Due to increased security measures you should plan to arrive at the airport two hours prior to departure. What to expect at the airport —The airline will issue your boarding pass upon check -in. Some airlines allow you to pre -print your boarding pass with an online check -in feature. Schedule Changes —The airline may change your flight itinerary at any time. If w e are notified of an itinerary change, we will contact you by email and/or phone. If the airline has not provided you w ith an acceptable alternative itinerary, our agents w ill try to reaccornmodate you according to the airline® O ?s policy and availability. Baggage guidelines —Be sure to review your airline's baggage allowance guidelines. Airline rules for checked baggage allowances vary. Many carriers allow passengers two checked bags and one carry -on w hile some only perrnt tw o checked bags. All carry -on baggage w ill be subject to search. Review the Transportation Security Adrr nistration's guidelines for baggage. i Instructions and Policies i General Policies Once the ticket has been issued the name on the ticket cannot be changed. Ticket is non refundable. Ticket changes may incur penalties and /or increased fares. Airline baggage fees may apply and may not be included in the price. i There are times w hen w e are unable to confirm a reservation. In the rare event that this occurs, w e w ill attempt to reach you by phone and email so that w e can reaccommodate you. You must call us back w ithin 48 hours or w e may not be able to honor your original booking price. The total price for your booking may increase after your purchase due to an increase of a government imposed tax or fee. Please review your itinerary immediately. If any issues arise before or during your trip you must call us right away. Why? We work w ith our suppliers to resolve your concerns, so the only opportunity w e have to help you is before your trip ends. If you w ait until you return, it's too late. This price includes a nonrefundable $20.97 service fee, w hich may be charged separately to my credit card. Redeeming Membership Rewards points for travel purchases online is Subject to the following Terms and Conditions. Change Policies Cancellation Policies Domestic Flight Notice E International Flight (Warsaw Convention) Notice Help Online Support: Search or browse our FAQS Please refer to Trip ID 3207 3457 1939 when calling American Express Travel's Customer Service Center. Note: There may be a penalty and /or charges for reservation changes. I https: /go.americanexpress- travel. com checkout /RetrievePurchase.do ?firsiView =true 2/3 3/13/12 TripDetails In the US 1 -800- 297 -2977 Available 24 hours a day, 7 days a week Outside the US 1 -210- 582 -2716 Available 24 hours a day, 7 days a week Additional Amnerican Exot es,. Travel Services E I American FxpressO Travelers Cheques The Safety of Travelers Cheques. Order now Travel Insurance Feel secure knowing you are protected if plans change or the unexpected happens. Order now o Foreign Currency Consider the convenience of having local currency before you arrive. Call now at 1- 877 -AXP -7976 to find a Travel Service Location near you that sells foreign currency. r Complete Your Travel Plans for Dallas /Fort Worth International Airport! Add a Hotel i Book your hotel now and r serv a room that's just your style, in just the right spot find a hotel i Add a Car From compacts to SUV s, w e've got cars w ell- suited for your time behind the w heel. find a car i s Still Need Help? 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All rights reserved. https: /go.americanexpress- travel. com checkout /RetrievePurchase.do ?firstView =true 3/3 3/20/12 American Express US: Manage Your Card Account: Online Statement Transaction Date 03/13/2012 Tue i Transaction Description: AMEX TRAVEL- ONLINE SAN ANTONIO TX 032109 AIRLINE/AIR CARRIER AMERICAN AIRLINES INC From: To Carrier: Class INDIANAPOLIS DALLAS /FORT WORTH AAV 1 INDIANAPOLIS AAV t i t t N/A AAQ i N/A YY Ticket Number 00170444831502 Date of Departure 0401 Passenger Name: BALDAUF/AMY E Document Type: PASSENGER TICKET j Amount 475.60 Doing Business As: AMERICAN AIRLINES INC i Merchant Address: AMERICAN AIRLINES -CCS 7645 E 63RD ST STE 600 TULSA OK 74133 -1275 UNITED STATES Reference Number: 320120740071633683 Category: Travel Airline f https: online. americanexpress .com /myca /estmUus /iist.do? request_ type= authreg_Statement &Face =en... 1 /1 3/20/12 American Express US: Manage Your Card Account: Online Statement Transaction Date: 03/13/2012 Tue t Transaction Description: AMEX TRAVEL- ONLINE SAN ANTONIO TX 032109 AIRLINEIAIR CARRIER AMERICAN AIRLINES INC I From: To Carrier: Class INDIANAPOLIS DALLAS /FORT WORTH AAV j i 3 INDIANAPOLIS AAV E N/A AAQ N/A Y Y Ticket Number 00170444831513 Date of Departure 0401 Passenger Name: HOLTON/SHAVONNE L Document Type: PASSENGER TICKET I Amount 475.60 Doing Business As: A MERICA N A IRL INES INC E Merchant Address: AMERICAN AIRLINES -CCS 7645 E 63RD ST STE 600 TULSA t OK 74133 -1275 UNITED STATES Reference Number: 320120740071633684 E Category Travel Airline https:// online. americanexpress .com /mycalestmUus /list.do? request_ type= authreg_Statement &Face =en... 1 /1 3/20/12 American Express US: Manage Your Card Account: Online Statement Transaction Date: 03/13/2012 Tue Transaction Description: AMEX TRAVEL- ONLINE SAN ANTONIO TX 032109 AIRLINE/AIR CARRIER AMERICAN AIRLINES INC From: To Carrier Class INDIANAPOLIS DALLAS /FORT WORTH AAV 1 INDIANAPOLIS AAV I N/A AAQ i N/A YY E Ticket Number 00170444831524 Date of Departure 0401 Passenger Name: SOLAZZO /DENEYSET Document Type: PASSENGER TICKET Amount 475.60 Doing Business As: AMERICAN AIRLINES INC Merchant Address: AMERICAN AIRLINES -CCS 7645 E 63RD ST STE 600 TULSA OK 74133 -1275 UNITED STATES Reference Number: 320120740071633685 Category: Travel Airline https: online. americanexpress .com /myca /estmt/us /Iist.do? request_ type= authreg_Statement &Face =en... 1 /1 3/20/12 American Express US: Manage Your Card Account: Online Statement Transaction Date: 03/13/2012 Tue Transaction Description: AMEX TRAVEL ONLINE 800 256 -9089 TX 78005251894 800 256 -9089 800-256-9089 i I Amount 20.97 I Doing Business As: AMEX TRAVEL ONLINE Merchant Address: 3150 SABRE DR SOUTHLAKE TX 76092 UNITED STATES Reference Number: 320120740071633682 Category: Travel Airline https: online. americanexpress .com /myca /estmYus /list.do? request_ type= authreg_Statement &Face =en... 1/1 3/20/12 Reservations Book Flight View Reservation Details AmericanAirlinee Get your boarding pass RECORD LOCATOR/AA CONFIRMATION: EZNZXW mill Pr„ +Lf'��IRPMIA 413- any American Airldines ines Selif f at 1 III lScanthis a any A- Service Machine. Am r AmericanConnection members of the oneworld Alliance. Thank you for choosing American Airlines, a scan Eagle and ante If your flight is operated by another carrier, please check in with that carrier per their guidelines. Check -in times will vary depending on your departure or destination city. In order to determine the time you need to check in at the airport, visit our Suggested Arrival Times page at www.aa.com /arri\altimes If you have a U.S. DOMESTIC E- TICKET, check in for your flight using Flight Check -In at AA.com between 1 and 24 hours prior to flight time. Use the E- TICKET confirmation /record locator above to select or change your seat and obtain a boarding pass. On day of departure, you will be required to present a government- issued photo -ID at the airport. As a security measure, if this ticket was purchased using a credit card with billing address in Latin America or the Caribbean (except Puerto Rico and U.S. Virgin Islands), the credit card holder must be present at time of check -in to verify identification and sign a credit card voucher. I For your convenience, the credit card holder can present the credit card and provide this signature prior to departure date at any AA ticketing office in Latin America and the Caribbean. See the ENDORSEMENT line below for key fare rules pertaining to your ticket, if applicable. If you have begun travel, your online receipt record may only indicate portions of your trip which have not been flown. Indianapolis to Dallas/ Fort Worth Total Paid: 6 Adults $2,717.34 USD Sunday April 1, 2012 Wednesday April 4, 2012 Record Locator Reservation Name EZN7 -XW IND /DFW Your record locator is your reservation confirmation number and will be needed to retrieve or reference your reservation. Status: Ticketed Mar 13, 2012 Flight Information https: /www.aa.com/ reservation /printitinerary.do? forward= itineraryReceipt &isReceipt= true& anchorLocation= %2Freservation %2FfindR... 1/4 3/20/12 Reservations Book Flight View Reservation Details Average Fare $431.29 Flight Depart Arrive AMERICAN AIRLINES Indianapolis (IND) Dallas/ Fort Worth (DFW) Average Fare April 1, 2012 07:55 PM April 1, 2012 09:20 PM Adult $2,587.74 1913 6 x $431.29 Travel Time: 2 h 25 m Booking Code V Cabin Class Economy Plane Type: S80 Your Choices"" Options Seat 10D 10E 10F 11E 11F Preferred $184.00 USD 11A Seats Taxes Fees Flight Depart Arrive Adult $229.20 6 x $51.69 AMERICAN AIRLINES Dallas( Fort Worth (DFW) Indianapolis (IND) April 4, 2012 07:50 AM April 4, 2012 10:50 AM 1660 Travel Time: 2 h 0 m Booking Code: 0 Cabin Class Economy Plane Type S80 Flight Subtotal Seat 14A 14B 14D 14E 14F 27F $2,717.34 USD Receipt PASSENGER TICKET NUMBER FREQUENT FLYER NUMBER FARE Tax/Fee/Charge TICKET TOTAL JOHNSON,BENJAMIN 0012305920456 401.20 USD 51.69 452.89 1 BROWN,JENNIFER 0012305920457 401.20 USD 51.69 452.89 HOLDER,JENNIFER 0012305920458 401.20 USD 51.69 452.89 DOWELL,JAMES 0012305920459 401.20 USD 51.69 452.89 1 CANADA,CYNTHIA 0012305920460 401.20 USD 51.69 452.89 BUCKINGHAM,TIFFANY 0012305920461 401.20 USD 51.69 452.89 1 Payment Type: AMERICAN EXPRESS '2005 Total 2717.34 USD https://www.aa.com/reservation/printltinerary.do?forward=itineraryReceipt&isReceipt=true&anchorLocation=`/`2Freservation`/`2FfindR... 2/4 3/20/12 Reservations Book Flight View Reservation Details PASSENGER SEAT NUMBER(S) PRICE Tax /Fee /Charge SEAT TOTAL JOHNSON, BENJAMIN 10D, 14A 30.69 USD 2.31 USD 33.00 USD BROWN, JENNIFER 10E, 14B 30.69 USD 2.31 USD 33.00 USD HOLDER, JENNIFER 1OF, 14D 30.69 USD 2.31 USD 33.00 USD DOWELL, JAMES 11 E, 14E 30.69 USD 2.31 USD 33.00 USD CANADA, CYNTHIA 11 F, 14F 30.69 USD 2.31 USD 33.00 USD BUCKINGHAM, TIFFANY 11A 17.67 USD 1.33 USD 19.00 USD Total 184.00 USD Endorsements /Restrictions NON REF /SVCCHGPLUS FAREDIF /CXL BY FLT TIME OR NOVALUE Note If your ticket involves travel outside the U.S., Canada, U.S. Virgin Islands or Puerto Rico and has been reissued for any reason, the total amount above may not include all taxes. Please check with American Airlines Reservations at 1- 800 -433 -7300 for the correct total. TERMS AND CONDITIONS A summary. of Terms and Conditions applicable to your travel is available on ticket jackets, which are available at any American Airlines ticket office or at www .aa.com /conditionsofcarriage You may have purchased a "Special Fare" and certain restrictions apply. Some fares are non refundable. If the fare allows changes, a charge may be assessed for the change. If you have questions regarding our refund policy, please visit www.aa.com /refunds CHECKING IN On day of departure, you will be required to present a government- issued photo identification at the airport. Check -in times will vary depending on your departure or destination city. If your flight is operated by another carrier, please check in with that carrier per their guidelines. In order to determine the time you need to check in at the airport, visit our Suggested Arrival Times page at www.aa.com /arri\altimes Check in for your flight using Flight Check -In www.aa.com /checkin at AA.com between 1 and 24 hours prior to flight time if you have a U.S. domestic e- ticket. You may also use the Self Service Check -In machine www.aa.com /selfservice at the airport on your day of departure. Use the e- ticket confirmation /record locator above to select or change your seat and obtain a boarding pass. TRAVELING INTERNATIONALLY If you are traveling internationally, please ensure that you have all necessary travel documents for the countries you are visiting. Visit the International Travel section at www.aa.com /intl for more information and helpful links. https: /www.aa.com/ reservation /printltinerary.do? forward= itineraryReceipt &isReceipt= true& anchorLocation= %2Freservation %2FfindR... 3/4 3/20/12 Reservations Book Flight View Reservation Details BAGGAGE INFORMATION To enhance security, FAA requirements mandate that customers are allowed one carry-on bag plus one personal item onboard. To learn more about current carry- on baggage allowances including checked bag policies and applicable charges, please visit www.aa.com /baggageinfo HAZARDOUS ITEMS Many common items can be hazardous when transported by air and are prohibited. Please refer to the Restricted Items page at www.aa.com /restricteditems for more information. SPECIAL ASSISTANCE If you need special assistance due to a disability, or have children or pets traveling, visit the Special Assistance section www.aa.com /assistance before you travel. FLIGHT STATUS Please check your departure /arrival gate information prior to arriving at the airport. This information can be found at www.aa.com /gates RESERVATIONS ASSISTANCE Should you need to change your reservation, please call 1- 800433 -7300 and refer to the above record locator. .AADVANTAGE INFORMATION AAdvantage members may call our toll free number 1- 800 882 -8880 for assistance, or visit www.aa.com Also on AA.com, you can book the most popular AAdvantage travel awards at our Redeem Miles section www.aa.com /redeemmiles AA.COM Visit www.aa.com /emails which allows you to opt -in to receive American Airlines email products, offering the latest news and information, as well as exclusive offers. https: /www.aa.com/ reservation /printltinerary.do? forward= itineraryReceipt &isReceipt= true& anchorLocation= %2Freservation %2FfindR... 4/4 3/20/12 American Express US: Manage Your Card Account: Online Statement Date: Y 03/13/2012 Tue Transaction Description. AA AIRTICKET SALE4DALLAS TX 00123059204 AA.COM AMERICAN AIRLINES E From: To Carrier Class INDIANAPOLIS DALLAS /FORT WORTH AAV INDIANAPOLIS AAV N/A AAQ i N/A YY Ticket Number 0012305920456 Date of Departure 0401 Passenger Name: JOHNSON/BENJAMIN l Document Type: PASSENGER TICKET Amount 452.89 Doing Business As: AMERICAN A IRL INES ETKT Merchant Address: AMERICAN AIRLINES -CCS 7645 E 63RD ST, SUITE 600 I TULSA OK 74133 I UNITED STATES Reference Number. 320120740071633690 Category: Travel Airline https:// online. americanexpress .com /myca /estmt/us /list.do ?request_ type= authreg_Statement &Face =en... 1/1 3/20/12 American Express US: Manage Your Card Account: Online Statement Transaction Date: 03/13/2012 Tue Transaction Description: AA AIRTICKEf SALE41DALLAS TX 00123059204 AA.COM AMERICAN AIRLINES From: To Carrier Class i INDIANAPOLIS DALLAS /FORT WORTH AAV INDIANAPOLIS AAV E N/A AAQ i N/A YY i Ticket Number 0012305920457 Date of Departure 0401 Passenger Name: BROWN/JENNIFER Document Type: PASSENGER TICKED Amount 452.89 Doing Business As: A MERICA N A IRL INES ETKT i Merchant Address: AMERICAN AIRLINES -CCS 7645 E 63RD ST, SUITE 600 TULSA OK i 74133 UNITED STATES i Reference Number: 320120740071633692 I Category: Travel Airline https: online. americanexpress .com /myca /estmUus /list.do? request_ type= authreg_Statement &Face =en... 1/1 3/20/12 American Express US: Manage Your Card Account: Online Statement i Transaction Date: 03/13/2012 Tue Transaction Description: AA AIRTICKET SALE41DALLAS TX l 00123059204 AA. COM AMERICAN AIRLINES From: To Carrier: Class INDIANAPOLIS DALLAS /FORT WORTH AAV {!1 E 4 INDIANAPOLIS AAV i NIA AAQ N/A YY f Ticket Number 0012305920458 Date of Departure 0401 Passenger Name: HOLDER/JENNIFER Document Type: PASSENGER TICKET Amount 452.89 Doing Business As: AMERICAN AIRLINES ETKT Merchant Address: AMERICAN AIRLINES -CCS i 7645 E 63RD ST, SUITE 600 TULSA OK i 74133 j UNITED STATES Reference Number: 320120740071633693 7 Category: Travel Airline https: online. americanexpress .com /myca /estmUus /Iist.do? request_ type= authreg_Statement &Face =en... 1/1 3/20/12 American Express US: Manage Your Card Account: Online Statement Transaction Date: 03/13/2012 Tue i Transaction Description: AA AIRTICKETSALE4DALLAS TX s 00123059204 AA.COM AMERICAN AIRLINES I From: To Carrier: Class INDIANAPOLIS I DALLAS /FORT WORTH AAV j I INDIANAPOLIS AAV N/A AAQ N/A YY Ticket Number 0012305920459 Date of Departure 0401 Passenger Name: DOWELL /JAMES i Document Type: PASSENGER TICKET j Amount 452.89 j I r Doing Business As AMERICAN AIRLINES ETKT i Merchant Address: AMERICAN AIRLINES -CCS i i 7645 E 63RD ST, SUITE 600 TULSA OK i 74133 UNITED STATES Reference Number: 320120740071633691 i i Category: Travel Airline https: online. americanexpress .com /myca /estmVus /list.do? request_ type= authreg_Statement &Face =en... 1/1 3/20/12 American Express US: Manage Your Card Account: Online Statement Transaction Date 03/13/2012 Tue I I Transaction Description: AA AIR TICKET SALE4DALLAS TX 00123059204 AA.COM AMERICAN AIRLINES From: To: Carrier Class i INDIANAPOLIS DALLAS /FORT WORTH AAV INDIANAPOLIS AAV I N/A AAQ 1 N/A YY Ticket Number 0012305920460 Date of Departure 0401 Passenger Name: CANADA /CYNTHIA Document Type: PASSENGER TICKET Amount 452.89 E Doing Business As: A MERICA N A IRL INES ETKT I Merchant Address: AMERICAN AIRLINES -CCS 7645 E 63RD ST, SUITE 600 TULSA OK 74133 F UNITED STATES Reference Number 320120740071633689 Category: Travel Airline https: online. americanexpress .com /myca /estmt/us /list.do? request_ type= authreg_Statement &Face =en... 1 /1 3/20/12 American Express US: Manage Your Card Account: Online Statement Transaction Date: 03/13/2012 Tue Transaction Description: AA AIRTICKET SALE4DALLAS TX E 00123059204 AA.COM AMERICAN AIRLINES From: To Carrier: Class INDIANAPOLIS DALLAS /FORT WORTH AAV INDIANAPOLIS AAV i N/A AAQ NIA YY Ticket Number 0012305920461 Date of Departure 0401 Passenger Name: BUCKINGHAM/TIFFANY Document Type: PASSENGER TICKET Amount 452.89 `Doing Business As: A MERICA N A IRL INES ETKT j Merchant Address: AMERICAN AIRLINES -CCS 7645 E 63RD ST, SUITE 600 TULSA OK 74133 I UNITED STATES Reference Number: 320120740071633688 t Category: Travel Airline https: online. americanexpress. com /myca /estmt/us /list.do ?request type= authreg_Statement &Face =en... 1/1 3/20/12 American Express US: Manage Your Card Account: Online Statement j Transaction Date: 03/13/2012 Tue Transaction Description: AA MISC SALE/ TAX/ FDALLAS TX 00106333067 AA.COM AMERICAN AIRLINES From: To Carrier Class N/A N/A YY N/A YY i N/A YY j 1 i N/A YY i Ticket Number 0010633306761 Date of Departure 0313 Passenger Name: JOHNSON/BENJAMIN Document Type: MISCELLANEOUS TAX(S) /FEE(S) Amount 33.00 i i C Doing Business As: AMERICAN AIRLINES ETKT Merchant Address: AMERICAN AIRLINES -CCS 7645 E 63RD ST, SUITE 600 TULSA OK i F i 74133 UNITED STATES i Reference Number. 320120740071633695 Category: Travel Airline https: online. americanexpress .com /myca /estmt/us /Iist.do? request_ type= authreg_Statement &Face =en... 1/1 3/20/12 American Express US: Manage Your Card Account: Online Statement Transaction Date: 03/13/2012 Tue Transaction Description: AA MISC SALE/ TAX/ FDALLAS TX 00106333067 AA.COM AMERICAN AIRLINES From: To Carrier Class N/A s N/A Y Y N/A Y Y N/A Y Y N/A YY Ticket Number 0010633306762 Date of Departure 0313 Passenger Name: BROWN/JENNIFER Document Type: MISCELLANEOUS TAX(S) /FEE(S) Amount 33.00 Doing Business As: AMERICAN AIRLINES ETKT j Merchant Address: AMERICANAIRLINES -CCS 7645 E 63RD ST, SUITE 600 TULSA OK 74133 UNITED STATES Reference Number: 320120740071633696 Category: Travel Airline I https: online. americanexpress .com /myca /estmt/us /Iist.do? request_ type= authreg_Statement &Face =en... 1 /1 3/20/12 American Express US: Manage Your Card Account: Online Statement Transaction Date: 03/13/2012 Tue Transaction Description: AA MISC SALE/ TAX/ FDALLAS TX 00106333067 AA. COM I AMERICAN AIRLINES From: To Carrier Class N/A t N/A YY N/A Y Y E N/A Y Y ,NIA Y Y Ticket Number 0010633306763 Date of Departure 0313 Passenger Name: HOLDER/JENNIFER Document Type: MISCELLANEOUS TAX(S) /FEE(S) Amount 33.00 Doing Business As: A MERICA N A IRL INES ETKT Merchant Address: AMERICAN AIRLINES -CCS 7645 E 63RD ST, SUITE 600 TULSA OK 74133 UNITED STATES r Reference Number: 320120740071633697 Category: Travel Airline https: online. americanexpress .com /myca /estmt/us /list.do? request_ type= authreg_Statement &Face =en... 1 /1 3/20/12 American Express US: Manage Your Card Account: Online Statement Transaction Date: 03/13/2012 Tue i Transaction Description: AA MISC SALE/ TAX/ FDALLAS TX 00106333067 AA. COM AMERICAN AIRLINES From: To Carrier Class N/A N/A YY N/A YY E N/A YY N/A YY Ticket Number 0010633306764 Date of Departure 0313 I Passenger Name: DOWELL /JAMES i s Document Type: MISCELLANEOUS TAX(S) /FEE(S) Amount 33.00 Doing Business As AMERICAN A IRL INES ETKT Merchant Address: AMERICAN AIRLINES -CCS 7645 E 63RD ST, SUITE 600 TULSA i OK 74133 UNffED STATES Reference Number: 320120740071633686 i Category: Travel Airline https: online. americanexpress .com /myca /estmt/us /list.do? request_ type= authreg_Statement &Face =en... 1/1 3/20/12 American Express US: Manage Your Card Account: Online Statement Transaction Date: 03/13/2012 Tue Transaction Description: AA MISC SALF/ TAX/ FDALLAS TX 00106333067 AA.COM AMERICAN AIRLINES i From: To Carrier Class N/A N/A Y Y N/A Y Y N/A Y Y N/A YY Ticket Number 0010633306765 Date of Departure 0313 Passenger Name: CANADA /CYNTHIA Document Type: MISCELLANEOUS TAX(S) /FEE(S) Amount 33.00 Doing Business As: A MERICA N A IRL INES ETKT Merchant Address: AMERICAN AIRLINES -CCS 7645 E 63RD ST, SUITE 600 TULSA OK 74133 UNITED STATES Reference Number: 320120740071633687 Category: Travel Airline https:// online. americanexpress .com /myca /estmUus /list.do? request_ type= authreg_Statement &Face =en... 1/1 3/20/12 American Express US: Manage Your Card Account: Online Statement Transaction Date: 03/13/2012 Tue f Transaction Description. AA MISC SALE/ TAX/ FDALLAS TX 00106333067 AA. COM AMERICAN AIRLINES From: To Carrier Class N/A N/A YY f N/A YY E N/A YY i N/A YY Ticket Number 0010633306766 Date of Departure 0313 Passenger Name: BUCKINGHAM/TIFFANY Document Type: MISCELLANEOUS TAX(S) /FEE(S) Amount 19.00 Doing Business As: A MERICA N A IRL INES ETKT Merchant Address: AMERICAN AIRLINES -CCS 7645 E 63RD ST, SUITE 600 TULSA OK 74133 UNITED STATES Reference Number: 320120740071633694 t Category: Travel Airline https: online. americanexpress .com /myca /estmt/us /list.do? request_ type= authreg_Statement &Face =en... 1/1 Carrel Clay Parks &Recreation Employee Expense Reimbursement Request Date of Fund Account Account Receipt Vendor listed on r eceipt Line Budget Description Amount Purpose of Expense Air travel for 3 to /from National 3/13/2012 American Express /American Airlines 108 1 081 -99- 434300 Travel Fees Expenses $1,447.77 Afterschool Conf. Air travel for 6 to /from National 3/13/2012 American Airlines 108 1081 -99- 4346000 Travel Fees Expenses $2,717.34 Afterschool Conf. Air travel for 6 to /from National 3/13/2012 American Airlines 108 1081 -99- 4346000 Travel Fees Expenses $184.00 Afterschool Conf. All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $4 ,349.11 Employee Name (print) Michael Klitzing D Q-0 RN II Address 1550 Redsunset Dr. MAR 2 0 20 Check payable to: City, St, Zip Brownsbur IN 46112 BY Signature: Approved by: Date: �2a Z Date: Business Services Division, Revised 7 -7 -08 FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request 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 3/20/12 Reimb Air travel for National Afterschool conference 4,349.11 Online employee scheduling service 2/27- 3/26/12 Total 4,349.11 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 4,349.11 ON ACCOUNT OF APPROPRIATION FOR 108 ESE PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1081 -99 Reimb 4343000 4,349.11 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 -Mar 2012 Signature 4,349.11 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund