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HomeMy WebLinkAbout184775 04/27/2010 CITY OF CARMEL, INDIANA VENDOR: 120950 Page 1 of 1 ONE CIVIC SQUARE DOUGLAS HANEY CARMEL, INDIANA 46032 CIO DEPT OF LAW CHECK AMOUNT: $1,607.12 Cro DEPT OF LAW CHECK NUMBER: 164775 CHECK DATE: 4127/2010 DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION 1180 4343002 1,515.62 EXTERNAL TRAINING TRA 1180 4343004 91.50 TRAVEL PER DIEMS i 5 I PRESCRIBED BY STATE BOARD OF ACCOUNTS GENERAL FORM NO. 101 (1988) MILEAGE; CLAIM TO C (GOVERNMENTAL UNIT) J �/CiC! ON ACCOUNT OF APPROPRIATION NO. �Q y FOR 11,Q�(... (OFFICE, BOARD, DEPART T OR INSTITUTION) DATE FROM TO SPEEDOMETER AUTO MILEAGE /p READING POINT POINT START FINISH NATURE OF BUSINESS TRAVELED .5 x PER MILE J r� o //Cietzx' 2_5 3 3 CLw C l0 9 v D /00 3�f o 2r 0 0 3y o I 5 I AUTO LICENSE NO. TOTALS SPEEDOMETER READING columns are to be used only when distance between points cannot be determined by fixed mileage or official highway map. Pursuant to the provisions and penalties of Chapter 155, Acts 1953, 1 hereby certify that the foregoing account is just and correct, that the amount claimed is legally due, after allowing all just credits and that no part of the same has been paid. Date 4 0/a Claim No. Warrant No. I have examined the within claim and hereby IN FAVOR OF certify as follows: That it is in proper form. That it is duly authenticated as required by law That it is based upon statutory authority. That it is apparently f correct incorrect. U !/30 Disbursing Officer On Account of Appropriation No A for o tr a l p- y G- CD O H r n fD Allowed 19 n a a fD ON m in the sum of x w a rt N fD O Q- a M M a p p m (Board or Commission) 0 a 0 P a FILED O N a G (Official Title) to O O M .0 W M CD tj m A.E. ROYCE CO., INC- MUNCIE, IN 01M iL a d Crc.t Pt_EriSE P NT NT OR TYPE. Payment must accompany registration. rliotel Reseevations A block of moms has been held at the following tr T Y tyi y�-yJa hotel These rooms will beheld as a block iJnless exhausted un#rl`Wednesday I Section. 1 983 February 24 2010 at which trrne they will be released tosthe general Y pubhc 0 To qualify for the early bird registration, registrations mu Please be sure to mentcon the Gvrl Rights Lrtrgatrpn room block to receroe I be received by February 22, 20 10. the room rate. below ti w $89.5 Early._Brrd Registration Hyatt Regency Washington on Capitol Hill 400 New�Jersey Avenue, f JW I $995 Regular Registration 1Nashrngton DC 20001 I X $795 Government Registration (-?02)_737 or (800) 233 1234 t Publications Room rate" $229 single /doufjle: I $75 39J? Edition Annuai Review of Crin ?rear Procedure Disclaimer Speakers?are subject to' change: I twill be published tune ZO i Oj Services for People with Special Needs or Dietary Resfrict,ons 1 (202) 662 .9890 1 Name: Mr. Ms. Douglas C. Hane Call Email address: dhaney @carmel.in.gov Scholarships: Georgetown law CLE makes every effort tpossible to I (please prier dearly) prwrde equal education .,opportunTbes to all. We pr`ovrde a.limrted number of 1 scholarships on a case b' =case basis. Apply online at www.law.georgetown,edu/cle 1 Firm/OrPanization: City of Carmel, Tnd ana or submrt written request no laterthan 5:00 pm.on`,Friday,, Harch 4, 2010 to:. i Address: One Civic Square Schola rgeto town Law CLE orrirnttee Geo wn I City: Carmel State:IN Zip:46032 600 New Jersey Avenue, NW Phone: i 571 -2472 Washington, DC 20001 1 Fax: (3177 571 -2484 or fax to (202) 662-9691 1 1 CLE credit? Yes No What state(s)? Indiana Cancellations /stain Checks /Substitutions Please fax your cancel lation notice to (202) 662 -9891 or email to cle DIaw.gerogetown.edu by 5:00 Feel f ee to copy this rot n and pass it along to your ossociotes. pin on Monday, March 22, 2010 for a refund (less $75 administrative fee). Rain checks for a future program will be granted for cancellations received after I Your priority code is: March 22 and prior to the start of the program. Substitutions are accepted at I Help us expedite your registration. Enter the characters appearing on the anytime prior to the program. I top of the mailing label. Please enter this code even if the label is addresse Course Materials As part of Georgetown Law's efforts to go green, all 1 to someone else. Thank you! I course materials will be provided to you electronically by email prior to the i I program. Please note you will not receive a hard copy book or CD -ROM in- i 1 a cannot attend, but send me: cluding the materials, Additionally, thee will not be a printer available onsite for I J Digital Course Materials $149 printing. We encourage you to download the course materials and pre -print J CD Course Materials (text only) $199 any materials you would like to reference during the program. Please consider i =1 Hard Copy Course Materials $199 the environment before printing your materials. 1 :,1 Audio CD $399 Money -Back Guarantee We are confident that you will leave this I iD Audio CD CD Course Materials $499 conference with more than enough ideas and insights to make our investment I g g Y I For CD -ROM and course moteriais, individuals or arms with o DC address shou, pay off. However, if you feel you have not received your money's worth by the 1 odd 6.0% soles tax VA 5.0%, NY 7.0% MD 6.0 and PA 6.0% ,or 7.0% it fion end of the program, simply contact a member of our registration team at the I philadelphro or Allegheny County). conference or call (202) 662 -9890 and we will process a 100% refund for your 1 registration fee! W 51:1 e CLE Credits Accreditation has been or will be requested for this program from states with mandatory I 1. ONLINE www.law.georgetown.edu /cle Continuing Legal Education I 2. MAIL with check payable to Georgetown Law CLE to address below. requirements for 10.0 CLE 1 credits based on a 60- minute Ch n O 'rt, ft Check en hour) and 12.0 CLE creditst (based on a 50- minute or purchase order may be attached to this form 2 1730 hour). Georgetown University x4L r' 1 3. FAX to 202 -662 -9891 (credit card /PO registrations only) Law Center is an accredited 1 CLE provider in most MCLE I J VISA G MC U AMEX states. Georgetown Law CLE is a State Bar of California ''7 1 Card approved MCLE provider. Some states require nominal 1 _Expiration Date: accreditation fees. You will be asked to submit payment t 1 Signature: at the ro ram's conclusion. p g I 4. PI -iQNE to 202- 662 -9840 (credit card registrations only) 1 I Georgetown University Law Center. Continuing Legal Education t 600 New Jersey Avenue, NW: Washington, DC 2000 1 -2075 Rp lYi CITY OF CARMEL Expense Report (required for all travel expenses) EMPLOYEE NAME: Douglas C. Haney DEPARTURE DATE: 03/24/10 TIME: 11:15 a.m. DEPARTMENT: Law Department RETURN DATE: 03/27/10 TIME: 10:20 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 Parkin Lodging Misc. Total Air -fare Car Rental Other g Breakfast Lunch Dinner Snacks Per Diem $0.00 March 24 27, 2010 $504.10 $14.76 $64.00 $705.32 .00 $1,548.12 $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 Totall $504.101 $0.00 $14.70 $64.00 $705.32 $0.001 $0.001 $0.00 $0.00 $260.00 $0.00 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: City of Carmel Form ER06 Revision Date 4/8/2010 Page 1 STATE OF INDIANA SS: COUNTY OF HAMILTON AFFIDAVIT I, Douglas C. Haney, Carmel City Attorney, being first duly sworn upon my oath, state that while on City business March 24 27, 2010, attending the ALI -ABA Section 1983 Seminar in Washington, D.C., I expended Fourteen Dollars and Seventy Cents ($14.70) of my own monies for subway transportation for which I need to be reimbursed. f Dated this r day of April, 2010. aney Subscribed and sworn to before me, the undersigned Notary Public, this day of April, 2010. A. Elaine Bass, NOTARY P B IC Resident of Marion County, Indiana My Commission Expires: October 23, 2016 feb:m word .zr�shuedlatrdavitslaffadivit subway semin -d-4 /8110] 2015 Massachusetts Ave. NW h Washington, DC 20036 H lt®n Phone (202) 265 -1600 Fax (202) 328 -7526 W86}Li on Ernhass Y R oth Reservations Name Address www.hilton.com or 1 800 HILTONS HANEY, DOUGLAS Room 809/01 B Arrival Date 3/24/2010 4:15:00PM Departure Date 3/27/2010 CARMEL, IN 460339101 US Adult/Child 1/0 Room Rate 220.00 RATE PLAN L -AA HH# 864254159 DIAMOND AL: DL #6061240013 BONUS AL: CAR: CONFIRMATION NUMBER: 3377006351 3/27/2010 PAGE 1 DATE REFERENCE DESCRIPTION AMOUNT 3/24/2010 1558958 GUEST ROOM $220.00 3/24/2010 1558958 ROOM TAXES $31.90 3/25/2010 1559640 GUEST ROOM $198.00 3/25/2010 1559640 ROOM TAXES $28.71 3/26/2010 1560297 GUEST ROOM $198.00 3126/2010 1560297 ROOM TAXES $28.71 WILL BE SETTLED TO $705.32 EFFECTIVE BALANCE OF $0.00 EXPENSE REPORT SUMMARY 1' 00 00 0T 12�0O.00AM 010° 12 00 OOAM STAY T.OTAL'` ROOM TAX $251.90 $226.71 DAILY TC TAL $251.90 $226.71 $226.71 „$705.32 Hilton HHono s' stays are posted within 72 hours of checkout. To check you earnings for this or any other sta at more than 3,000 Hilton Family hotels worldwide, please visit iltonHHonors.com. Thank you fo choosing Hilton! Book your next stay at hilton.com and take adv ntage of our internet -only. dvance Purchase Rates and limited -time special offers! DATE OF CHARGE FOLIO NOJCHECK NO. X7 Z i p -Out Ch ec k Out 286561 A JL Good Morning! We hope you enjoyed your stay. With Zip -Out Check -Out® AUTHORIZATION IN9TIAL 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. 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 updated statement. TIPS MISC. 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 arc ready to depart. Your account will be automatically checked out and you may use this TOTAL An7ouNT 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. C' INDIANA RETAIL TAX EXEMPT PAGE o I' Carmel PURCHASE ORDER NUMBER CERTIFICATE NO. 003120155 002 0 �..11�� �i FEDERAL EXCISE TAX EXEMPT j 35- 60000972 r2 r ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, AIP 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 VENDOR r v+ SHIP TO CONFIRMATION BLANKET CONTRACT PAYMENTTERMS FREIGHT QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION J 1 Iv J� Jl ,y b� j L p �r°"i "e -fir ;y� Send Invoice To: PLEASE INVOICE IN DUPLICATE DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT PAYMENT a d J 1 Ot) t t C 1 l ,j fJ f .r� A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O. jI "L� t' NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED. SHIPPING INSTRUCTIONS I HEREBY CERTIFY THAT THERE IS AN UNOBLIGATED BALANCE IN THIS.APPROPRIATIONSUFFICIENT 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. LABELS. THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO- r 2 1 7 40 CLERK- TREASURER DOCUMENT CONTROL NO A.P.V. COPY SIGN AND RETURN TO CLERIC'S OFFICE VOUCHER NO. WARRANT NO. ALLOWED 20 IN THE SUM OF I ON ACCOUNT OF APPROPRIATION FOR O Board Members PO# or INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or 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 b 20 Title Cost distribution ledger classification if claim paid motor vehicle highway fund