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HomeMy WebLinkAbout182159 02/03/2010 r VENDOR: 120950 CITY OF C ARMEL INDIANA Page 1 of 1 b ONE CIVIC SQUARE DOUGLAS HANEY y `4 CARMEL, INDIANA 46032 CIO DEPT OF LAW CHECK AMOUNT: 51,183.34 CIO DEPT OF LAW CHECK NUMBER: 182159 CHECK DATE: 213/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1180 4343002 1,183.34 EXTERNAL TRAINING TRA CITY OF CARMEL Expense Report (required for all travel expenses) "NDIAN? EMPLOYEE NAME: Douglas C. Haney DEPARTURE DATE: 01/21/10 TIME: 8:00 a.m. DEPARTMENT: Law Department RETURN DATE: 01/24/10 TIME: 11:10 a.m. REASON FOR TRAVEL: ALI -ABA Seminar DESTINATION CITY: Washington, D.C. EXPENSES ARE FOR (check all that apply): TRAVEL ADVANCE TRAVEL REIMBURSEMENT TRAVEL PER DIEM Transportation Gas/Tolls/ Meals Date Lodging Misc. Total Parkin Air -fare Car Rental Other Parking Breakfast Lunch Dinner Snacks Per Diem $0.00 January 21 24, 2010 $348.30 $8.40 $72.00 $494.64 $260.00 $1,183.34 $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 $348.30 $0.00 $8.40 $72.00 $494.64 $0.00 $0.00 $0.00 $0.00 $260.00 $0.00 0083'34 DIRECTOR'S STATEMENT: I hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated budget. Director Signature: Date: 02/ 1 D City of Carmel Form ERO6 Revision Date 2/2/2010 Page 1 �y 2015 Massachusetts Ave. NW Washington, DC 20036 HlltOn Phone (202) 265 -1600 Fax (202) 328 -7526 Name Address Washington Embassy Row Reservations www. hilton.com or 1 800 HILTONS HANEY, DOUGLAS Room 819/K1B Arrival Date 1/21/2010 5:24:OOPM Departure Date 1/24/2010 CARMEL, IN 460339101 US Adult/Child 1/0 Room Rate 144.00 RATE PLAN L -AA HH# 864254159 DIAMOND AL: NW #061240012 BONUS AL: CAR: CONFIRMATION NUMBER 3354463189 1/24/2010 PAGE 1 DATE REFERENCE DESCRIPTION AMOUNT 1/21/2010 1526627 GUEST ROOM $144.00 1/21/2010 1526627 ROOM TAXES $20.88 1/22/2010 1527250 GUEST ROOM $144.00 1/22/2010 1527250 ROOM TAXES $20.88 1/23/2010 1527854 GUEST ROOM $144.00 1/23/2010 1527854 ROOM TAXES $20.88 WILL BE SETTLED TO $494.64 EFFECTIVE BALANCE OF $0.00 .F EXPOSE' REPORT SUMMARY 10 00 00 OO7 u'12 00 OOAM 010 1200 OOAM S TOTAL'' ROOM TAX $164 :88 $16 f "$164 88 DAILY TOTAL $164.88 $164.88 $164.88 :.$494.64 fi Hilton HHono stays are posted within 72 hours of checkout, To check your earnings for this or any other stay at more than 3,000 Hilton Family hotels worldwide, please visit HiltonHHonors.com. Thank you for choosing Hilton! Book your next stay at hilton. com and take advantage of our internet -only Advance Purchase Rates and limited -time special offers! DATE OF CHARGE FOLIO NO. /CHECK NO. Zip -Out Check-Out 272088 A Good Morning We hope you enjoyed your stay. With Zip -Out Check -Out® AUTHORIZATION INITIAL there is no need to stop at the Front Desk to check out. Please review this statement. It is a record of your charges as of late last PURCHASES SERVICES evening. o For any charges after your account was prepared, you may: TAXES pay at the time of purchase. charge purchases to your account, then stop by the Front Desk for an TIPS MISC. updated statement. or request an updated statement be mailed to you within two business days Simply call the Front Desk from your room and tell us when you are ready to TOTAL AMOUNT depart. Your account will be automatically checked out and you may use this 0.00 statement as your receipt. Feel free to leave your key(s) in the room. Please call the Front Desk if you wish to extend your stay or if you have any questions about your account. STATE OF INDIANA SS: COUNTY OF HAMILTON AFFIDAVIT I, Douglas C. Haney, Carmel City Attorney, being first duly sworn upon my oath, state that 1 while attending the American Law Institute- American Bar Association Employment Law Seminar in Washington, D.C. on behalf of the City, held January 21 -24, 2010, I expended a total of Eight Dollars and Forty Cents ($8.40) of my own money in subway /metro -rail fares and that I need to be reimbursed for this expense. Dated this day of February, 2010. iv._ -aney Subscribed and sworn to before me, the undersigned Notary Public, this j,, 0day of February, 2010. y../A A. Elaine Bass, NOTARY PUBLIC Resident of Johnson County, Indiana My Commission Expires: October 23, 2016 [eb:msword.1sharetHaff davitAafradivit- subway.doc2 /2/ I0] Invoice No. 742273 4025 Chestnut Street INVOICE Philadelphia, PA 19104 -3099 Telephone: (800) 253 -6397 Sold Douglas C. Haney Ship Douglas C. Haney To: City of Carmel, Indiana To: City of Carmel, Indiana 1 Civic Sq 1 Civic Sq Carmel, IN 46032 -2584 Carmel, IN 46032 -2584 Account No. Purchase Order No. Order Date Order Number Terms Invoice Date 181343 21185 11/03/2009 505317 Net 30 days 11/03/2009 Qt y Item Code Description Unit Price Extended Shipped Price Employment and Labor Relations Law 01/21/2010 01/23/2010 1 CR037 /FULL Full Registration 574.50 574.50 Line Item Total Freight Handling Other Tax Subtotal Amount Received Amount Due 574.50 574.50 574.50 ALI -ABA Live Course Employment and Labor Relations Law for the Corporate Coun... Page 1 of 3 ALI -ABA Employment and Labor Relations Law for the Corporate Counsel and the General Practitioner 32nd Annual Course of Study Thursday- Saturday January 21 -23, 2010 Hilton Washington Embassy Row Register: Live Course 1 Live Video Webcast 1 Live Video Webcast Segments 1 Group Rates Order: Printed Coursebook 1 MP3 CD -ROM 1 DVD Sign up here to be notified when the online version of this course is posted Live Course Registration To register, simply choose one of the methods below: Attend this course by yourself Group Discounts Are Available! Tuition for this course is $1,149.00. Significant discounts are available when two or more Tuition for the live course includes I registrants attend an ALI -ABA course from the same admission to all sessions, a set of electronic firm. course materials before the course, hard copy course materials at the course and i To register online online access to the archived program after the course. In addition, refreshment breaks Select the number of attendees for this group: are provided daily. 2 Registrants for $1,724.00 Add to Cart f Add Registrations to Your Cart Phone: 800-CLE-NEWS (800-253-6397) f The names of additional registrants from your firm (Reference Course Code: CR037) will be requested when you check out. FAX: 215 -243 -1664 (Reference Course Code: CR037) Recent law school graduates (within the past two years) and retired senior lawyers (65 and over) are eligible for a 50% tuition discount and should include a note explaining their eligibility. Discounts may not be combined. Full -time employees of the federal, state, and local governments and government agencies are eligible to take Employment and Labor Relations Law for the Corporate Counsel and the http: /www.ali- aba.org/ index .cfm ?fuseaction= courses.course &course code CR037 &cont... 10/15/2009 ALI -ABA Live Course Employment and Labor Relations Law for the Corporate Conn... Page 2 of 3 General Practitioner for only $574.50! (a 50% savings) Special Price: $574.50 Add to cart Registrations will be accepted at the door if space is available, but please call in advance to avoid disappointment. All course accounts must be settled by the first session of the course to ensure admittance to the classroom. Scholarships are available for judges, judicial law clerks, law professors, law students, attorneys 65 or older, law librarians, attorneys licensed less than five years, attorneys who work for nonprofit organizations, legal services organizations, or government agencies, unemployed attorneys, attorneys in private practice who seek to learn skills that will assist them in pro bono activities or are in need. DO NOT REGISTER FOR THIS COURSE. Complete the online application to apply for assistance. Services for Persons with Disabilities: If special arrangements are required for an individual with a disability to attend this program, please inform ALI -ABA of any special needs at least two weeks in advance. Accommodations A limited block of rooms has been reserved at the Hilton Washington Embassy Row. Room rate: $229 per night single occupancy, $249 per night double occupancy. These rooms will be held as a block, unless exhausted, until December 21, at which time they will be released to the general public. Registrants must make their own hotel reservations and indicate that they are attending the ALI -ABA Course of Study to qualify for rooms in the block. Room reservations may be made by calling or writing to the Hilton Washington Embassy Row, 2015 Massachusetts Avenue, N.W., Washington, DC 20036; phone 202 -265- 1600; FAX 202- 328 -7526. Confirmations will be sent by the hotel. Please read the cancellation policy carefully. Discounted Airfares For ALI -ABA discounted airfares, please call UNITED at (800) 521 -4041, re: File #565oa. Restrictions may apply. For Additional Information For further information e -mail a customer service representative at custservna ali- aba.org or contact customer service by phone (215) 243 -1600 or (toll free, U.S. and Canada only) (800) CLE -NEWS (253- 6397). FREE access to the archived version of this program online with your registration for the live course or webcast. Why Attend? What You Will Learn Who Should Attend? http: /www.ali- aba.org/ index .efm ?fuseaction= courses.course &course code= CR037 &cont... 10/15/2009 INDIANA RETAIL TAX EXEMPT PAGE City o Carmel CERTIFICATE NO. 00311 201 55 002 0 JL PURCHASE ORDER NUMBER 1 €y- FEDERAL EXCISE TAX EXEMPT Ot. 35-60000972 r t ,7 ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, NP CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLIPS, SHIPPING LABELS AND ANY CORRESPONDENCE. FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1997 PURCHASE ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO. DESCRIPTION th/i0 VENbOR 4 /6.1 11l!.. d. r SHIP J TO CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT OUANTITY UNIT OF MEASURE I DESCRIPTION UNIT PRICE EXTENSION l 5 y r „-4 40., 4„,,,./ 4_,,, 0 /0 e% r A ,P 4 e 6,,,,.. ky'.- 1 „..'k. 04- c 1 ,7 pA li..... a' y t: y .z. mi A y 4 .%,*9 Send invoice To: PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT A" /f b 47gd 430 A., PAYMENT t 1 t A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE PO. l f,{,} %•r f F�' f �.v 1„.C.i NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND (1� VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS APPROPRIATION SUFFICIENT TO PAY FOR THE ABOVE ORDER. SHIP REPAID. C.O.D. SHIPMENTS CANNOT BE ACCEPTED. PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY SHIPPING LABELS. v THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE r. t .t iJ d /l.a 6` AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO. CLERK- TREASURER DOCUMENT CONTROL NO. 216 A P COPY SIGN AND RETURN TO CLERK'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF f� 83.3V L 4 (J v OU TN OF/ APPROPRIATION r FOR Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT -a I hereby certify that the attached invoice(s), or �f bill(s) is (are) true and correct and that the g materials or services itemized thereon for which charge is made were ordered and received except_ 20/0 afore i Title I Cost distribution ledger classification if claim paid motor vehicle highway fund