HomeMy WebLinkAbout212662 09/12/2012 ��. CITY OF CARMEL, INDIANA VENDOR: 355319 Page 1 of 1
ONE CIVIC SQUARE MICHAEL KLITZING
CARMEL, INDIANA 46032 1550 REDSUNSET DRIVE CHECK AMOUNT: $430.00
.? BROWNSBURG IN 46112 CHECK NUMBER: 212662
CHECK DATE: 9/12/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4358300 REIMB 250 . 00 OTHER FEES & LICENSES
1125 4355200 REIMB 180 . 00 SUBSCRIPTIONS
Carmel
Barks&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
8/21/2012 When to Work 101 100-000-4355200 Subscriptions $180.00 service(8/22/12-9/21/12)
Digital waivers;monthly unlimited
8/23/2012 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: $430.00 ,
Eno
Employee Name (print) Michael Klitzing LSEP 0 4 2012
Address 1550 Redsunset Dr.
Check
payable to: City, St, Zip Brownsburg, IN 46112
Signature: Approved by:
Date: ��i,//7 Date:
Business Services Division,Revised 7-7-08
FILE: Shared\Administrative\Forms\Staff Forms\Employee Exp Reimb Request
Michael Klitzing
From: AutoForward @mail5.WhenToWork.com on behalf of WhenToWork.com
[billing @mail5.WhenToWork.com]
Sent: Tuesday, August 21, 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 $180 for a recurring monthly subscription on your WhenToWork
Carmel Clay Parks & Recreation account # 21996201 for a total of up to 400 employees.
(Your account is currently at 378 employees. )
Your account is now paid through Sep 21, 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
i
Michael Klitzing
From: mark=smartwaiver.com @chargify.com on behalf of mark @smartwaiver.com
Sent: Thursday, August 23, 2012 11:24 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
christina(@smartwaiver.com
800-277-0285 x701
1
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
8/23/12 Reimb Digital waivers service plan $ 250.00
-- -8/21/_12- _. r Reimb Online em to ee schedulin 8122 -9/21/12 $ 180.00
Total $ 430.00
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$
$ 430.00
ON ACCOUNT OF APPROPRIATION FOR
101 -General Fund/ 109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1091 Reimb 4358300 $ 250.00 1 hereby certify that the attached invoice(s), or
1125 Reimb 4355200 $ 180.00 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
6-Sep 2012
Signature
$ 430.00 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund