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
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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