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HomeMy WebLinkAbout259927 06/24/16 y ��p" CITY OF CARMEL, INDIANA VENDOR: 120950 j; ® i. ONE CIVIC SQUARE DOUGLAS HANEY CHECK AMOUNT: $"""""823.37' CARMEL, INDIANA 46032 C/O DEPT OF LAW CHECK NUMBER: 259927 9�"fygN'c�'` CIO DEPT OF LAW CHECK DATE: 06/24/16 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1180 4343002 062116 362.21 EXTERNAL TRAINING TRA 1180 4343004 062116 461.16 TRAVEL PER DIEMS VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201 (Rev.1995) DOUGLAS HANEY ALLOWED 20 ACCOUNTS PAYABLE VOUCHER C/O DEPT OF LAW IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service C/O DEPT OF LAW rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $461.16 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Department of Law Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 0 43-430.04 $461.16 1 hereby certify that the attached invoice(s),or 6/21/16 0 $461.16 1180 101 1180 101 bill(s)is(are)true and correct and that the materials or services itemized thereon for which charge is made were ordered and received except Tuesday, June 21,2016 Co�po���ion (20 L)os•e,l I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 20 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer GENERAL FORM NO.101(1966) ;;LAINII 11 To b t)��CLS C, t�G n v I ON ACCOUNT OF APPROPRIATION No. 434-3004 FOR Mileage :EDOMETER AUTO MILEAGE LADING + NATURE OF BUSINESS MULES @a �q 0 FINISH TRAVELED PER MILE -50,1112- e ru 3� 5a 5a TOTALS 85 -1 (� nined by fixed mileage or official highway map. account is just and correct,that the amount claimed is legally due, after allowing all just credits, VOUCHER NO. WARRANT NO. Prescribed by State Board of Accounts City Form No.201(Rev.1995) DOUGLAS HANEY ALLOWED 20 ACCOUNTS PAYABLE VOUCHER C/O DEPT OF LAW IN SUM OF$ CITY OF CARMEL An invoice or bill to be properly itemized must show:kind of service,where performed,dates service C/O DEPT OF LAW rendered,by whom,rates per day,number of hours,rate per hour,number of units,price per unit,etc. $362.21 Payee ON ACCOUNT OF APPROPRIATION FOR Purchase Order# Department of Law Terms Date Due PO# ACCT# DATE INVOICE# DESCRIPTION DEPT# INVOICE# Fund# AMOUNT Board Members DEPT# FUND# (or note attached invoice(s)or bill(s)) AMOUNT 0 43-430.02 $362.21 1 hereby certify that the attached invoice(s),or 6/21/16 0 $362.21 1180 e2l k 101 1180 101 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 Tuesday,June 21,2016 Cn�p�c�-han CovnS� l I hereby certify that the attached invoice(s),or bill(s),is(are)true and correct and I have audited same in accordance with IC 5-11-10-1.6 120 Cost distribution ledger classification if claim paid motor vehicle highway fund. Clerk-Treasurer 4`Sr of CITY OF CARMEL Expense Report (required for all travel expenses) EMPLOYEE NAME`. Douglas C. Haney DEPARTURE DATE: 06/12/16. .12:00 PM DEPARTMENT: Law Department RETURN DATE: 02/23/68 TIME: 11:00 PM REASON FOR TRAVEL: Pierce.Manufacturing DESTINATION CITY: Appleton, WI EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL.REIMBURSEMENT TRAVEL PER DIEM Transportation . Gas/Tolls/ Meals Date Lodging Mise. -Total Air-fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem $0:00 6/12/16 $102.47 $102.47 , - . 6/13/16 102.47 •. 6/13/16 $97.24 $97.24 6/12/16 $32.50 $32:50 6/13/16 $65.00 $65.00 6/14/16 $65.00 $65.00 $0.00 . $0.00 . $0.00 $0.00 $0.00 $0.00 • $0.00 • $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0.00 Total . $0.00, $0.00 $0.001. $199.71 $0.00 $0.00 ' $0.00 ° .. $9.4,Q011 $162.50 $0.00 DIRECTOR'S STATEM • I hereby affirm that all expenses listed conform to the City's travel policy and are•within my.department's'appropriated_budget. Director Si nature . 1 gIPV40_� Date: �c��Z City of Carmel Form#ER06 Revision Date 6/21/2016 Page 1 lton, Name and Address Hotel Address -G 1�►jtw HANEY,DOUGLAS 1015 LOMBARDI AVENUE Hilton Garden Inn Green Bay GREEN BAY,WI 54304 Room 3111/K1 Arrival Date 06/12/16 Reservations Departure Date 06/13/16 www.hiltongardeninn.com or 1-877-STAY-HGI Adult/Child 1/0 Confirmation# Room Rate $89.10 Rate Plan L-AA 06/13/16 PAGE 1 HHonors# Airline: DATE REFERENCE DESCRIPTION AMOUNT 06/12/16 1796374 Diet Coke �$2.44" 06/12/16 1796374 STATE SALES TAX-MISC 06/12/16 1796375 Ice Cream $ 0- 06/12/16 1796375 STATE SALES TAX-MISC —Jpae 06/12/16 1796450 GUEST ROOM $89.10 06/12/16 1796450 STATE SALES TAX $4.46 06/12/16 1796450 ROOM TAX $8.91 06/13/16 1796595 ************2000 ($106.72) *`BALANCE" $0.00 LE The on-line eFolio is a courtesy informational service,subject to Privacy Policy and Site Usage:actual folio kept in hotel records. uw.,.. r� • C O N R A D tiOMEWOOD Cllil() B ®Garde„ cN�w surrEs HOME© Hiiwn Hilton WSTOORF Ina yj Grand Vacations HILTON asroRin ......,. HHONORS i Name and Address Hotel Address HANEY,DOUGLAS 2840 RAMADA WAY - GREEN BAY,WI 54304 e HAMPTON INN GREEN BAY Room 135//EXGL Reservations Arrival Date 06/13/16 www.hamptoninn.com or Departure Date 06/14/16 1-800-HAMPTON Adult/Child 1/0 Confirmation# Room Rate $84.55 Rate Plan S-AAA 06/14/16 PAGE 1 HHonors# Airline: DATE REFERENCE DESCRIPTION AMOUNT 06/13/16 1195698 GUEST ROOM $84.55 06/13/16 1195698 STATE TAX $4.23 06/13/16 1195698 CITY TAX $8.46 06/14/16 1195867 ************2000 ($97.24) **BALANCE** $0.00 The on-line eFolio is a courtesy informational service,subject to Privegy Policy and Site Usage,actual folio kept in hotel records. tlYl '�J llillun J WALDORF CONRAD UltlO - ®G°Tden (f(°mPter� H Cw1i- HOME© Hilton Hilton ......••.....• r_.� DOIraLET1 EC Inn Grand Vacations HILTON ASIORIA' HHONORS