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Home My WebLink About209796 06/18/2012 CITY OF CARMEL, INDIANA VENDOR: 355319 Page 1 of 1 ONE CIVIC SQUARE MICHAEL KLITZING CARMEL, INDIANA 46032 1550 REDSUNSET DRIVE CHECK AMOUNT: $408.89 BROWNSBURG IN 46112 CHECK NUMBER: 209796 CHECK DATE: 6/18/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1081 4346000 REIMB 1.89 CLASSIFIED ADVERTISIN 1094 4358300 REIMB 250.00 OTHER FEES LICENSES 1125 4355200 REIMB 157.00 SUBSCRIPTIONS 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 Online employee scheduling 5/26/2012 When to Work 101 100 000 4355200 Subscriptions $157.00 service (5/27/12 6/26/12) 5/2/2012 Facebook.com 108 1081 -99- 4346000 Classified Advertisements $1.89 ESE Facilitatorjob advertisement All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $158.89 Employee Name (print) Michael Klitzing JUN 2012 Address 1550 Redsunset Dr. 05 Check payable to: City, St, Zip Brownsbur IN 46112 Signature: Approved by: Date: f Date: Business Services Division, Revised 7 -7 -08 FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request V Michael Klitzing From: AutoForward @mail5.WhenToWork.com on behalf of WhenToWork.com [billing @mail5.WhenToWork.com] Sent: Saturday, May 26, 2012 3:06 AM To: Michael Klitzing 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 $157 for a recurring monthly subscription on your WhenToWork Carmel Clay Parks Recreation account 21996201 for a total of up to 350 employees. (Your account is currently at 388 employees.) Your account is now paid through Jun 26, 2012. (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: /WhenToWork.com 1 6/1/12 Transaction #9007939770925 "I e Dr i% c- M enlo P I t YItc� Transaction #9007939770925 Description Facebook Ads Payment Account 244124922270616 Transaction Date 05/02/2012 2:23am Total Payment $1.89 Method Status Payment Completed Daily Total For advertising services provided from04/25/2012 12:00amto04/26/2012 12:00am Ad ID Ad Name Details Amount 6003353031330 Work with Kids! 2 clicks $1.89 Daily Total $1.89 https://www.facebook.com/ads/manage/billing_transaction.php?act=244124 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 Digital waivers; monthly unlimited 5/23/2012 SmartWaiver 109 1094 4358300 Other Fees Licenses $250.00 service plan All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $250.00 Employee Name (print) Michael Klitzing Address 1550 Redsunset Dr. �L Check payable to: City, St, Zip Brownsburg, IN 46112 MAY Signature: Approved by: Date: JL�� L. Date: Business Services Division, Revised 7 -7 -08 FILE: Shared\Administrative \Forms \Staff Forms \Employee Exp Reimb Request Michael Klitzing From: mark= smartwaiver.com @chargify.com on behalf of mark @smartwaiver.com Sent: Wednesday, May 23, 2012 11:13 AM To: Michael Klitzing Subject: Receipt for your purchase of Unlimited Waiver Service Plan (1 location) Dear Michael You were just charged $250.00 for Unlimited Waiver Service Plan (1 location). Cheers, Christina Brummond christinapsmartwaiver.com 800 277 -0285 x701 1 littps: online. americanexpress. comf hliyca /estnit/us /print_doc.litmI Transaction Date: 05/23/2012 Wed 1. 1-.11, Transaction Description: SmartWaiver 541 516 -0174 541 516 -0174 Amount 250.00 Doing Business As: SMARTWAIVER Merchant Address: 2964 NW TERRA MEADOW DR BEND OR 97701 UNITED STATES Reference Number: 320121460479820526 Category: Other Miscellaneous �f 6/15/2012 12:23 PM 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 6/4/12 Reimb ESE Facilitator job ads on Facebook 1.89 5/26/12 Reimb Online employee scheduling 5/24 6/26/12 157.00 5123112 Reimb Digital waivers service plan 250.00 Total 408.89 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 M i Voucher No. Warrant No. 355319 Klitzing, Michael Allowed 20 1550 Redsunset Dr Brownsburg, IN 46112 In Sum of 408.89 ON ACCOUNT OF APPROPRIATION FOR 101 General 108 ESE 109 Monon Center PO# or INVOICE NO. ACCT #/TITLE AMOUNT Board Members Dept 1081 -99 Reimb 4346000 1.89 1 hereby certify that the attached invoice(s), or 1125 Reimb 4355200 157.00 bill(s) is (are) true and correct and that the 1094 Reimb 4358300 250.00 materials or services itemized thereon for which charge is made were ordered and received except 14 -Jun 2012 Signature 408.89 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund