HomeMy WebLinkAbout214719 11/20/2012 CITY OF CARMEL, INDIANA VENDOR: 355319 Page 1 of 1
0 ONE CIVIC SQUARE MICHAEL KLITZING CHECK AMOUNT: $506.63
CARMEL, INDIANA 46032 1550 REDSUNSET DRIVE
BROWNSBURG IN 46112 CHECK NUMBER: 214719
CHECK DATE: 11/20/2012
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1091 4343000 REIMB 76 . 63 TRAVEL FEES & EXPENSE
1091 4355200 REIMB 180 . 00 SUBSCRIPTIONS
1094 4358300 REIMB 250 . 00 OTHER FEES & LICENSES
Carmel ay
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
10/23/2012 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.
Check
payable to: City, St, Zip Brownsburg, IN 46112
Signature: Approved by:
Date: (o/Z3��-� Date:
Business Services Division, Revised 7-7-08 =BY:—
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: Tuesday, October 23, 2012 11:26 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
Carmel a
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
10/21/2012 When to Work 101 1125-1-4355200 Subscriptions $180.00 service(10/22/12-11/21/12)
Checed bag fee(NRPA conference
10/14/2012 American Airlines 101 1125-1-4343000 Travel Fees & Expenses $25.00 ✓ travel)
10/14/2012 McDonalds DFW Airport 101 1125-1-4343000 Travel Fees & Expenses $6.38 v Dinner(NRPA conference tra\el)
Cab ride from John Wayne Int'I
10/14/2012 California Yellow Cab 101 1125-1-4343000 Travel Fees& Expenses $45.25-,/ Airport to Double Tree suites
All receipts should be attached in the same order as listed above.
No sales tax will be reimbursed. TOTAL: $256.63
Employee Name (print) Michael Klitzing
Address 1550 Redsunset Dr.
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
Michael Klitzing
From: AutoForward @mai]5.WhenToWork.com on behalf of WhenToWork-corn
[billing @mail5.WhenToWork.com)
Sent: Sunday, October 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 350 employees. )
Your account is now paid through Nov 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
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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
10/21/12 Reimb Online employee scheduling 10/22 - 11/21/12 $ 180.00
10/14/12 Reimb_ Travel Expenses for NRPA $ 76.63
10/23/12 Reimb Digital waiver service plan $ 250.00
Total $ 506.63
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$
$ 506.63
ON ACCOUNT OF APPROPRIATION FOR
109 Monon Center
PO#or INVOICE NO. ACCT#/TITLE AMOUNT Board Members
Dept#
1091 Reimb 4355200 $ 180.00 1 hereby certify that the attached invoice(s), or
1091 Reimb 4343000 $ 76.63 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
15-Nov 2012
L�
Signature
$ 506.63 Accounts Payable Coordinator
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund