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HomeMy WebLinkAbout213537 10/09/2012 CITY OF CARMEL, INDIANA VENDOR: 355319 Page 1 of 1 ONE CIVIC SQUARE MICHAEL KLITZING CARMEL, INDIANA 46032 1550 REDSUNSET DRIVE CHECK AMOUNT: $2,035.57 BROWNSBURG IN 46112 CHECK NUMBER: 213537 CHECK DATE: 10/9/2012 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1091 4343000 1, 605 . 57 TRAVEL FEES & EXPENSE 1091 4358300 250 . 00 OTHER FEES & LICENSES 1125 4355200 180 . 00 SUBSCRIPTIONS C:{ - ;-T,D Carmel Parrs&Recreation I SEP 2 4 2012 Employee Expense Reimbursement Request . Date of Fund Account Account Receipt Vendor listed on receipt # Line# Budget Description Amount Purpose of Expense Online employee scheduling 9/21/2012 When to Work 101 100-000-4355200 Subscriptions $180.00 service(9/22/12-10/21/12) Digital waivers;monthly unlimited 9/23/2012 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 Employee Name (print) Michael Klitzing Address 1550 Redsunset Dr. Check payable to: City, St, Zip Brownsburg, IN 46112 Signature: j, Approved by: U Date: 1 J�Z — 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.comj Sent: Friday, September 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 354 employees. ) Your account is now paid through Oct 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 billing(@When2Work.com and the staff at: https://WhenToWork.com Michael Klitzing From: mark=smartwaiver.com @chargify.com on behalf of mark @smartwaiver.com Sent: Sunday, September 23, 2012 11:25 AM To: Michael Klitzing Subject: Receipt for your purchase of Unlimited Waiver Service Plan (1 location) Dear Michael You were just charged $250.00 for Unlimited Waiver Service Plan (1 location) . Cheers, Christina Brummond christina@smartwa-•ver.cem 800-277-0285 x701 1 https://online.americanexpress.com/myca/estmt/us/print_doc.html Transaction Date: 09/23/2012 Sun Transaction Description: SmartWaiver 541-516-0174 85180892267541-516-0174 541-516-0174 Amount$: 250.00 ! Doing Business As: SMARTWAIVER Merchant Address: 2964 NW TERRA MEADOW DR BEND OR 97701 UNITED STATES Reference Number: 320122670032816417 Category: Business Services-Other Services 1 of 1 9/24/2012 9:51 AM 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 9/26/2012 American Express/American Airlined 1091 4343000 Travel Fees & Expenses $1,605.57 Flights to Anaheim/NRPA for Susan Beaurain,Lindsay Labas& Eric Mehl All receipts should be attached in the same order as listed above. No sales tax will be reimbursed. TOTAL: $1,605.57 Employee Name (print) Michael Klitzing `� Address 1550 Redsunset Dr. SEP 2 7 2012 Check payable to: City, St, Zip Brownsburg, IN 46112 B '�-- Signature: Approved by: Date: 4:::: 7/3/2012 Date: Business Services Division, Revised 7-7-08 FILE: Shared\Administrative\Forms\Staff Forms\Employee Exp Reimb Request American Express Travel: Confirmation https://www.amextravel.com/carts/1426136/confirmation United States(Change Country) Coi MY ACCOUNT CARDS TRAVEL REWARDS BUSINESS Need help? $;ASf2r S'e Book Now I Find A Travel Specialist I Travel Offers My Travel I Customer Support AMERICAN EXPRESS TRAVEL, Trip ID: 1153-9773 Need Help?Call Us: 1-800-297-2977 Flight Details AAA American Airlines 1129 Departure Flight G 8h 25m 1 Stop Flight Information Economy Boeing Douglas Super MD-80 759 Miles Sat,Oct 13 5:05pm Indianapolis,IN(IND) 6:20pm Dallas,TX(DFW) Your Seats:-- Flight Information Economy Boeing 737 1208 Miles AAA American Airlines 1747 Sat,Oct 13 9:30pm Dallas,TX(DFW) 10:30pm Orange County,CA(SNA) Your Seats:-- 4A American Airlines 1128 Return Flight 0 5h 30m 1 Stop Flight Information Economy Boeing 737 1208 Miles Fri,Oct 19 9:55am Orange County,CA(SNA) 2:45pm Dallas,TX(DFW) Your Seats:-- Flight Information Economy Boeing Douglas Super MD-80 759 Miles I of 5 9/26/2012 5:42 PM American Express Travel: Confirmation https://www.amextravel.com/carts/1426136/confirmation AV A American Airlines 0880 Fri,Oct 19 3:25pm Dallas,TX(DFW) 6:25pm Indianapolis,IN(IND) Your Seats:-- Additional airline baggage fees may apply. Ticket&Traveler Information RECORD LOCATORS American Airlines Locator Code: KJVOXX American Airlines Locator Code:KJVOXX American Airlines Locator Code: KJVOXX American Airlines Locator Code:KJVOXX TAAV ELERS Passenger 1: SUSAN MARIE BEAURAIN Ticket Number: Pending Requests: • -- Loyalty Program: • -- Passenger 2:LINDSAY H LABAS Ticket Number: Pending Requests: • -- Loyalty Program: • -- Passenger 3:ERIC ROBERT MEHL Ticket Number: Pending Requests: • -- Loyalty Program: • -- CONTACT INFORMATION Main Contact: • Susan Marie Beaurain • xxxxx0 • s*******n @carmelclayparks.com Flight Alerts Contact: • xxxxx 2 of 5 9/26/2012 5:42 PM American Express Travel: Confirmation https://www.amextravel.com/carts/1426136/confirmation Cost&Billing Information Cost Information 3 Adults 451.16$ Taxes&Airline/ American Express Imposed Fees 252.09$ Total Cost 1,605.57$ Credit Card Information • Cardholder: MICHAEL W KLITZING • Card Type: AMEX • Card Number: XXXX-XXXX-XXX' Billing Information • MICHAEL W KLITZING • 1550 REDSUNSET DR s • xxxxxO.._. • s*******nacarmelclayparks.com .y� 1 Cardmember Travel Benefits • Baggage Insurance Plan As a Cardmember,you will be protected from luggage loss,theft,or damage when you use your eligible Card to pay for your airplane,train,ship,helicopter,or bus travel. • Global Assist®Hotline As a Cardmember,you can call our Global Assist©hotline 24/7 if you need medical, legal,financial, or emergency help when you're more than 100 miles away from home. Complete Your Travel Plans BOOK A HOTEL BOOK A CAR Book a Hotel Where are you going? �- Search by city or landmark Search by address 1. 2. 3. When are you going? 1. Check-in Date* 2. Check-out Date* 3 of 5 9/26/2012 5:42 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 9121112 Reimb Digital waivers service plan $ 250.00 9/21/12 Reimb Online employee scheduling 9/22 - 10/21/12 $ 180.00 9/26/12 Reimb—-- Flights for NRPA — — _$_ _ , 1,605.57 Total $ 2,035.57 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$ $ 2,035.57 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 i hereby certify that the attached invoice(s),or 1125 Reimb 4355200 $ 180.00 bill(s) is (are)true and correct and that the 1091 Reimb 4343000 $ 1,605.57 materials or services itemized thereon for which charge is made were ordered and received except 4-Oct 2012 • ��%(n�(.cal �1 Signature $ 2,035.57 Accounts Payable Coordinator Cost distribution ledger classification if Title claim paid motor vehicle highway fund