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Home My WebLink About208362 04/25/2012 CITY OF CARMEL, INDIANA VENDOR: 355319 Page 1 of 1 ONE CIVIC SQUARE MICHAEL KLITZING CHECK AMOUNT: $3,339.84 CARMEL, INDIANA 46032 1550 REDSUNSET DRIVE ti ;yoa "�o BROWNSBURGIN 46112 CHECK NUMBER: 208362 CHECK DATE: 4/25/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4343000 3,339.84 TRAVEL FEES EXPENSE 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 Lodging for 3 for National 4/4/2012 Gaylord Texan Resort Conv. Ctr. 108 1081 -99 Travel Fees Expenses $885.36 Afterschool Conf. (Brown) Lodging for 2 for National 4/4/2012 Gaylord Texan Resort Conv. Ctr. 108 1081 99 4346000 Travel Fees Expenses $818.16 Afterschool Conf. (Canada) Lodging for 2 for National 4/4/2012 Gaylord Texan Resort Conv. Ctr. 108 1081 99 4346000 Travel Fees Expenses $818.16 Afterschool Conf. (Baldauf) Lodging for 2 for National 4/4/2012 Gaylord Texan Resort Conv. Ctr. 108 1081 -99- 4346000 Travel Fees Expenses $818.16 Afterschool Conf. (Johnson) All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $3,339.84 Employee Name (print) Michael Klitzing p II� Address 1550 Redsunset Dr. APR 1 1 ZU11 Check payable to: City, St, Zip Brownsburg, IN 46112 Off Signature: i Approved by: 1 Date: I/ �7_ Date: Business Services Division, Revised 7 -7 -08 FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request Y 4/11/12 American Express US: Manage Your Card Account: Online Statement Transaction Date: 04/04/2012 Wed Transaction Description: GAY LORD TEXAN FRONT GRAPEVINETX 9812390601 615 316- 6371 Amount 885.36 Doing Business As: GAYLORD TEXAN FRONT DESK Merchant Address: 1501 GAYLORD TRL s GRAPEVINE TX 76051 1945 UNITED STATES Reference Number: 320120960347539093 Category: Travel Lodging i i https: online. americanexpress .com /myca /estmt/us /Iist.do? request_ type= authreg_Statement &Face =en... 1/1 GAYLO T EXAN" RESO CONVENTION CENTER JENNIFER BROWN ROOM AA 2015 1411 E 116TH ST ARRIVAL 4/01/12 DEPARTURE 4/04/12 CARMEL IN 46032 NO. IN PARTY 3 GROUP I.D. C -NAS12 PAGE 1 STATEMENT DATE 4/04/12 RESV NUMBER 409812390601 TOTAL CHARGES.: 885.36 FOLIO NUMBER 410005318555 TOTAL PAYMENTS: .00 BALANCE DUE...: 885.36 DATE DESCRIPTION COMMENTS CHARGES PAYMENTS 4/01/12 TECH FEE TECH FEE 16.24 4/01/12 ROOM CHARGE AA 2015 249.00 TAX 29.88 4/02/12 TECH FEE TECH FEE 16.24 4/02/12 ROOM CHARGE AA 2015 249.00 TAX 29.88 4/03/12 TECH FEE TECH FEE 16.24 4/03/12 ROOM CHARGE AA 2015 249.00 TAX 29.88 TOTALS: 885.36 .00 Thank you for staying with us! BALANCE DUE: 885.36 Please use this bill as your final receipt or advise us if your departure date is changing by calling x1000. Please leave safe unlocked upon final departure. VAN (GoyOog TWO 0 GmpamBma 79 'MM 0 9)s 995'45'9-9001) 0 Ao MY -TT24 i 0fl 0 a�a�a��o�y0oodmoQaOdo¢o® Express C.,Ihieck Out Thank you tOl .taying at Gaylord (eXan' Kesort Convention C)ur record ludic atc that you tivill be dcpartin today. Providing credit \v is cstabli dwd at check -in, we oFtcr a quick and seanticss method of checkout that sloes not require you to visit the Front I )csk het()rc your departure. YOU lllav tit] Ille otlr Ill -1t)t )III i,ic't IIc' L.l)IIt, ()1 1'1~11 OIIl t)I i'I!! IOCltcd in the main lohh\ and dic coltvcntion are,l. III addltlou. we also offer voice mml chcc kout by dialing; cltension 82620. Please take this bill for your records. If you have art autob r «'11t please take your guest room key to exit from any paT 1 "-')'1 Any charges incurred after your departure Nvill be charged to your credit card, It Svc can be of further assistance, please do not he"itatc to Contact the Front I )esk. Touch Wish you a safe jor racy honw. 4/11/12 American Express US: Manage Your Card Account: Online Statement 'Transaction Date: 04/04/2012 Wed P Transaction Description: GAY LORD TEXAN FRONT GRAPEVINETX 9812390752 615- 316 -6371 Amount 818.16 Doing Business As: GAYLORD TEXAN FRONT DESK Merchant Address: 1501 GAYLORD TRL GRA PEV INE l F Tx 76051 -1945 UNITED STATES Reference Number: 320120960347539090 Category: Travel Lodging https: online. americanexpress .com /myca /estmt/us /list.do? request_ type= authreg_Statement &Face =en... 1 /1 GAYLORD TEXAN RESORRTTJ& CONVENTION CENTER CYNTHIA CANADA ROOM AA 4073 1411 E 116TH ST ARRIVAL 4/01/12 DEPARTURE 4/04/12 CARMEL IN 46032 NO. IN PARTY 2 GROUP I.D. C -NAS12 PAGE 1 STATEMENT DATE 4/04/12 RESV NUMBER 409812390752 TOTAL CHARGES.: 818.16 FOLIO NUMBER 410005318560 TOTAL PAYMENTS: .00 BALANCE DUE...: 818.16 DATE DESCRIPTION COMMENTS CHARGES PAYMENTS 4/01/12 TECH FEE TECH FEE 16.24 4/01/12 ROOM CHARGE AA 4073 229.00 TAX 27.48 4/02/12 TECH FEE TECH FEE 16.24 4/02/12 ROOM CHARGE AA 4073 229.00 TAX 27.48 4/03/12 TECH FEE TECH FEE 16.24 4/03/12 ROOM CHARGE AA 4073 229.00 TAX 27.48 TOTALS: 818.16 00 Thank you for staying with us! BALANCE DUE: 818.16 Please use this bill as your final receipt or advise us if your departure date is changing by calling x1000. Please leave safe unlocked upon final departure. U09 @O yflor o 0 flss 20 i fl cmr��y�oolJlboaa�soao® 4/11/12 American Express US: Manage Your Card Account: Online Statement NTransaction Date: 04/04/2012 Wed Transaction Description: GAYLORD TEXAN FRONT GRAPEVINE TX 9812391100 615 316 -6371 Amount 818.16 Doing Business As GAYLORD TEXAN FRONT DESK Merchant Address: 1501 GAYLORD TRL I GRAPEVINE j TX 1 76051 -1945 UNITED STATES Reference Number: 320120960347539092 Category: Travel Lodging https: online. americanexpress .com /myca /estmt/us /list.do? request_ type= authreg_Statement &Face =en... 1 /1 GAYLO TEXAN'" RESORT CONVENTION CENTER 61^ AMY BALDAUF ROOM AA 3035 1411 E 116TH ST ARRIVAL 4/01/12 DEPARTURE 4/04/12 CARMEL IN 46032 NO. IN PARTY 2 GROUP I.D. C -NAS12 PAGE 1 STATEMENT DATE 4/04/12 RESV NUMBER 409812391100 TOTAL CHARGES.: 818.16 FOLIO NUMBER 410005318565 TOTAL PAYMENTS: .00 BALAN DUE... 818.16 DATE DESCRIPTION COMMENTS CHARGES PAYMENTS 4/01/12 TECH FEE TECH FEE 16.24 4/01/12 ROOM CHARGE AA 3035 229.00 TAX 27.48 4/02/12 TECH FEE TECH FEE 16.24 4/02/12 ROOM CHARGE AA 3035 229.00 TAX 27.48 4/03/12 TECH FEE TECH FEE 16.24 4/03/12 ROOM CHARGE AA 3035 229.00 TAX 27.48 TOTALS: 818.16 .00 Thank you for staying with.us! BALANCE DUE: 818.16 Please use this bill as your final receipt or advise us if your departure date is changing by calling x1000. Please leave safe unlocked upon final departure. PAN Sf y000f 1l' do 0 (omp¢m8w M T009 9 0 I)o 0 AR OT-571M i i fl o an��Qo�y�or�llboo¢�do¢oan Express C]Ileck Out Thank you for staying at Gaylordl- .\111) Resort n Convention Ccnt,_i. Our records indicate that. vote will be dcparting today. Providing credit was cstahlishc��l it c heck in, Svc offer a quick and seamless method of checkout that does not require you to visit the From Dc your dcharturc. YOU til.11 lltill /L' oUl ill- 1001ll v i�i� located in the main loblw .ind the convention ill <iddiuOn, we also otter voice mail checkout by dialing extension 82 0. Please take this bill for your records. if you have an atitomobilc, please take your guest room key to exit from any parkij! t Any charges inctirred after your departure will be charged to your credit card. If vvc can be of further assistance, please do not hesitate to Contact the Front 1 >csk. Touch (�D tvish you a Sa�C J0uYY2vy h01noa 4/11/12 American Express US: Manage Your Card Account: Online Statement Transaction Date: 04/04/2012 Wed Transaction Description: GAYLORD TEXAN FRONT GRAPEVINE TX 9812390534 615- 316 -6371 Amount 818.16 Doing Business As: GAYLORD TEXAN FRONT DESK Merchant Address: 1501 GAYLORD TRL GRAPEVINE TX 76051 -1945 UNITED STATES Reference Number: 320120960347539091 i Category: Travel Lodging https: online. americanexpress .com /myca /estmt/us /Iist.do? request_ type= authreg_Statement &Face =en... 1i1 GAYLORD TEXAN RESORT a CO CENTER O/L oTJCl�f�P /GI'I.B /l>//LP BEN JOHNSON ROOM AA 2045 1411 E 116TH ST ARRIVAL 4/01/12 DEPARTURE 4/04/12 CARMEL IN 46032 NO. IN •PARTY 2 GROUP I.D. C -NAS12 PAGE 1 STATEMENT DATE 4/09/12 RESV NUMBER 409812390534 TOTAL CHARGES.: 818.16 FOLIO NUMBER 410005318550 TOTAL PAYMENTS: 818.16 BALANCE DUE...: .00 DATE DESCRIPTION COMMENTS gRARGES DAVMFTSTS TECH FEE 16.24 4/01/12 ROOM CHARGE AA 2045 229.00 TAX 27.48 4/02/12 TECH FEE TECH FEE 16.24 4/02/12 ROOM CHARGE AA 2045 229.00 TAX 27.48 4/03/12 TECH FEE TECH FEE 16.24 4/03/12 ROOM CHARGE AA 2045 229.00 TAX 27.48 4/04/12 FD AMERICAN EXPRESS 0615 *2005 818.16 TOTALS: 818.16 818.16 Thank you for staying with us? BALANCE DUE: .00 Thank you for staying at the Gaylord Texan Resort Convention Center on Lake Grapevine. We look forward to servinp- you main! For future reservations, please call 817 778 -2000. 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. Terms 355319 Klitzing, Michael Date Due 1550 Redsunset Dr Brownsburg, IN 46112 Invoice Invoice Description or note attached invoice(s) or bill(s)) PO Amount Date Number 3,339.84 414112 Reimb Lodgin for NAA Conference Online employee scheduling service 3127 4/26/12 Total 3,339.84 I 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 3,339.84 ON ACCOUNT OF APPROPRIATION FOR 108 ESE Fund PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1081 -99 Reimb 4343000 3,339.84 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 19 -Apr 2012 Signature 3,339.84 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund