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HomeMy WebLinkAbout210921 07/17/2012 CITY OF CARMEL, INDIANA VENDOR: 355319 Page 1 of 1 ONE CIVIC SQUARE MICHAEL KLITZING CARMEL, INDIANA 46032 1550 REDSUNSET DRIVE CHECK AMOUNT: $883.19 BROWNSBURG IN 46112 CHECK NUMBER: 210921 CHECK DATE: 7/17/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1094 4358300 REIMB 250 . 00 OTHER FEES & LICENSES 1125 4343000 REIMB 476 . 19 TRAVEL FEES & EXPENSE 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 29_12 Air travel to/from Orange County, $ 32868 American Express Travel/American Airlines 1125-1-00 4343000 Travel Fees & Expenses $476.19 CA for NRPA Congress All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $476.19 Employee Name (print) Michael Klitzing JUL 0 5�01Z Address 1550 Redsunset Dr. ' Check �"- payable to: City, St, Zip Brownsburg, IN 46112 Signature: Approved by: Date: 7/3/2012 Date: Business Services Division,Revised 7-7-08 FILE: Shared\Administrative\Forms\Staff Forms\Employee Exp Reimb Request TripEletails https:Hgo.americanexpress-travel.com/mystuff/MyStuffRetrieveTrip... United States(Change Country) Contact Us t MY ACCOUNT CARDS TRAVEL REWARDS BUSINESS Need help? fi Book A Trip I Book Travel With Points I View Travel Offers I Explore Planning Resources Your trip details Share: ' I Know Before You Go ■ Print_this-page-and keep for your records. ■ Read the policies. ■ 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(mklitzing @carmedclayparks.cortj. To ensure that you receive your travel confirmation,please add"service@americanexpress-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 are not confused with unwanted emails. Your American Express Travel Trip ID is: Need to change or cancel Your 6218 1207 5858 trip? We will display all rules and fees before Your phone number for this trip:317-450-1250 you decide. This is an e-ticket,so no paperticket will be mailed to you What is an e-ticket? Please note:Seat requests are notguaranteed and may be changed by the airline.Please note: Your seat numbers will be assigned at check-in and printed on your boarding pass You may return to Booked Trips at a later time and check for any updates to your seating assignments. In addition,flight schedules may be changed by the airline. i Itinerary Primary Contact:MICHAEL W KLITZING Travel Tools: For questions about this itinerary,call 1-800-297-2977 Online flght_chec_k-in I Lookup fight status Flight:1 Round-Trip Ticket Change/Cancel Flight All flight times are local to each city. For your boardng pass,use reference code IYUYXU for online or airport check-in. Sun,Oct 14,2012 Indianapolis(IND)to Santa Ana John Wayne Airport(SNA) Depart:05:10pm Indianapolis,IN(IND)to American Airlines Arrive:06:30pm Dallas/Ft Worth,TX(DFW) Flight 1391 Economy Class (on McDonnel Douglas _ MD-80 Jet) IdentificatiorVPolicy Number:: IYUYXU Adult fare rules Requested Seats:228 1 Stop—change planes in Dallas/Ft Worth,TX(DFW) Connection Time:50 mins Depart:07:20pm Dallas/Ft Worth,TX(DFW)to A'.4 American Airlines j Arrive:08:25pm Orange County,CA(SNA) Flight 349 Economy Class (on Boeing 737-800) Identification/Policy Number:: IYUYXU Adult fare rules Requessd Seats:13A Total Travel Time:6 hrs 15 mins For your boardng pass,use reference code IYUYXU for online or airport check-in. Fri,Oct 19,2012 Santa Ana Joln Wayne Airport(SNA)to Indianapolis(IND) Depart:06:45am Orange County,CA(SNA)to A'4 American Airlines Arrive:11:55am Dallas/Ft Worth,TX(DFW) Flight 1140 Economy Class (on Boeing 737-800) Identification/Policy Number:: IYUYXU Adult fare rules Requested Seats:13C 1 Stop—change planes in Dallas/Ft Worth,TX(DF" Connection Time:1 hr 5 mins Depart:01:00pm Dallas/Ft Worth,TX(DFW)to to American Airlines Arrive:04:00pm Indianapolis,IN(IND) Flight 540 Economy Class ! (on McDonnel Douglas MD-80 Jet) Identification/Policy Number: IYUYXU Adult fare-rules Requested Seats:19A Total Travel Time:6 hrs 15 mins There are baggage fees/rules for American Airlines that apply to this itinerary and may be accessed by visiting the Airline Fees page.For international itineraries with a U.S.origin or destination involving multiple airlines,a 1 of 3 6/29/2012 5:41 PM TripDetails https:H-o.americanexpi-ess-travel.com/mystuff/MyStuffRetrieveTrip... foreign airline must file its baggage rules with the U.S.Department of Transportation for such rules(and any fees)to apply on your flights to,from or within the U.S. Passenger Name Frequent Flyer Information Ticket Number MICHAEL W KLITZING You can add your frequent 1yer number atthe airport. 0017CY72772259 TSA Travel Information The TSA has determined that liquids,aerosols and gels,in limited quartities,are safe to bring aboard an aircraft When packing,please follow these guidelines: - ■ All liquids,gels and aerosols must be in 3.4 ounce III 00ml)or smaller bottles. ■ All containers must fit in one quart-sized,clear,plastic,zip-top bag. ■ Each passenger is allowed only one bag. ■ Each bag must be placed in its own 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 j airport's security policies and pack accordingly. i Pricing 1 Adult: $426.00 Taxes+Airline/American Express Im_posed Fees; $50.19 Total: $476.19 I We charged a Vat of$476.19 lo your i i ■ American Express Travel Fees and airline charges will be shown as separate the items on your credit card j statements. Travel Checklist ■ Printed itinerary—As you will not receive a paper ticket,we suggest you print this page to take along with you on your trip. .f ■ Photo ID—Every passenger must have a valid government-issued photo ID (such as a drivers license or i passport).Please note that the name on the photo ID must match the passenger name in the reservation. ! • TSA Secure Flight Informafon—Any information you provided has been added to your reservation. I ■ Special Services/Meal Requests—Please confirm your special request or meal request with the airline. ■ Terminallgate information—Check with the flight status for updated terminal/gate information the day of your travel.Also please nole,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-n.Some airlines allow you to pre-prat your boarding pass with an online check-n feature. • Schedule Changes—The airline may change your flight itinerary at any time.If we are notfied of an itinerary change,we will contact you by email and/or phone.If the airline has not provided you with an acceptable alternative itinerary,our agentswill try to reaccommodate you according to the airline,0?s policy and availability. ■ Baggage guidelines—Be sure to review your airline's baggage alowance gudelines.Airline rules for checked baggage allowances vary.Many carriers allow passengers two checked bags and one carry-on I while some only permit two checked bags.All carry-on baggage wit be subject to search.Review the i Transportatcn Security Adrnoistiation's guidelines for baggage. Instructions and Policies i General Policies • Once theticket has beenissuedthe name on the ticket cannd 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. ■ There are times when we are unable to confirm a reservation.In the rare event that this occurs,we will attempt to reach you by phone and emal so that we can reacmmmodate you.You must call us back within 48 hours or we maynot be able to honor your original booking price. ■ Prices displayed are subject to change before fnal payment andpost-purchase increases of government- imposed taxes or fees may apply. ■ Please review your itinerary immediately.If any issues arise before or during your trip you mustcall us right away Why?We work with our suppliers to resole your concerns,so the only opportunity we have to help you is before your trip ends If you wait until you return,it's too late. • This price includes a nonrefundable$6.99 service fee,which 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 ■ Your ticket is non-refundable. ■ If you change your reservation,airlines may charge a fee to use your ticketas credit for a new reservation. This fee varies by airline,market,and specific fare rules,and may be$150 ormore for domestic tickets and$200 or more for international tickets.In addition,we charge a US$30 per ticket reissue fee for 2 of 3 6/29/2012 5:41 PM Michael Klitzing From: mark=smartwaiver.com @chargify.com on behalf of mark @smartwaiver.com Sent: Saturday, June 23, 2012 11:22 AM To: Michael Klitzing Subject: Receipt for your purchase of Unlimited Waiver Service Plan (1 location) Dear Michael You were just charged $250.00 for Unlimited Waiver Service Plan (1 location) . Cheers, Christina Brummond christinapsmartwaiver.com 800-277-0285 x701 1 littps://online.aniericanexpress.com/niyca/estmt/us/print_doc.htmI Transaction Date: 06/23/2012 Sat ...... ._.. .................._.—....__I. ........................................ ... ............ ..._.. __.. .. ....... ._....... ._..... _..._. _.. ... ..................... Transaction Description: SmartWaiver 541-516-0174 ............................._._................... ....... 541-516-0174 Amount$: 250.00 Doing Business As: SMARTWAIVER Merchant Address: 2964 NW TERRA MEADOW DR BEND OR 97701 UNITED STATES Reference Number: 320121770377374646 Category: Other-Miscellaneous of 1 6/28/2012 10:17 AM Michael Klitzing From: AutoForward@mai15.WhenToWork.com on behalf of WhenToWork.com [billing @mail5.WhenToWork.com] Sent: Tuesday, June 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 398 employees. ) Your account is now paid through Jul 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 billinR(@When2Work.com and the staff at: https://WhenToWork.com 1 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 Digital waivers;monthly unlimited 6/23/2012 SmartWaiver 109 1094-4358300 Other Fees& Licenses $250.00 service plan Online employee scheduling 6/26/2012 When to Work 101 100-000-4355200 Subscriptions $157.00 service(6/27/12-7/26/12) All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $407.00 Employee Name (print) Michael Klitzing � EX VEID Address 1550 Redsunset Dr. 7JUN 2 9 2012 Check payable to: City, St, Zip Brownsburg, IN 46112 Signature: - / Approved by: Date: ` > 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 6/29/12 Reimb Air travel to CA for NRPA Congress $ 476.19 6/26/12 Reimb Online employee scheduling 6/27 -7/26/12 $ 157.00 6/23112 Reimb Digital waivers service plan $ 250.00 Total $ 883.19 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$ $ 883.19 ON ACCOUNT OF APPROPRIATION FOR 101 -General/ 109 - Monon Center PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members Dept# 1125 Reimb 4343000 $ 476.19 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 12-Jul 2012 Signature $ 883.19 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund