HomeMy WebLinkAbout191226 10/27/2010 "F CITY OF CARMEL, INDIANA VENDOR: 120950 Page 1 of 1
ONE CIVIC SQUARE DOUGLAS HANEY CHECK AMOUNT: $1,863.94
CARMEL, INDIANA 46032 C/O DEPT OF LAW
C 0 DEPT of LAW CHECK NUMBER: 191226
CHECK DATE: 1 012 712 01 0
DEPARTMENT ACCOUNT PO NUMBER INVOICE NUMBER AMOUNT DESCRIPTION
1180 4343002 1,863.94 EXTERNAL TRAINING TRA
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CITY OF CARMEL Expense Report (required for all travel'expenses)
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EMPLOYEE NAME: Douglas C. Haney DEPARTURE DATE: 09/26/10 TIME: 4:30 p.m.
DEPARTMENT: Law Department RETURN DATE: 09/29/10 TIME: 7:15 p.m.
REASON FOR TRAVEL: PLI Seminar DESTINATION CITY: New York City, New York
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
Sept. 26
29, 2010 $215.10 $72.00 $72.00 $1,277.34 1 $260.00 $1,896.44
$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
41 L 0.00
Total $215.10 $0.001 $72.00 $72.001 $1,277.341 $0.00 $0.00 $0.001 $0.001 0 $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. (g
Director Signature: Date:
City of Carmel Form ER06 Revision Date 10/8/2010 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 I while
on City business attending a PLI seminar in New York City on Section 1983 law from September 26 29,
2010, 1 expended $72.00 of my own money for parking at the Indianapolis .International Airport and for
which. I need to be reimbursed.
Dated this �,j day of October, 2010.
Dou
Subscribed and sworn to before me, the undersigned Notary Public, this of October,
2010.
Cc�rlc�J• NOTARY PUBLIC
Resident of County, Indiana
My Commission Expires:
a
[eb:rtisuord:z:\shivcdamdx citsdFudivil- parkifl. dce: I Q5 /I9J
1335 Avenue of the Americas New York, NY 10019
Phone (212) 586 -7000 Fax (212) 261 -5946
H ilton
Reservations
Name Address New York www.hilton.com or 1 800 HILTONS
HANEY, DOUGLAS Room 3326/D2D
13828 SMOKEY RIDGE DR Arrival Date 9/26/2010 4:40:OOPM
Departure Date 9/29/2010 12:01:OOPM I
CARMEL, IN 46033 -9101 Adult/Child
US Room Rate 368.00
RATE PLAN L -LS c Z
HH#
AL: DL #061240012
BONUS AL: CAR:
CONFIRMATION NUMBER: 3388069135
9129/2010 PAGE 1
DAT D ESCRIPT I ON ID REF, NO CHARGES CRED ITS BALANCE
9/26/2010 GUEST ROOM SROSA 16767340 $368.00
9/26/2010 STATE ROOM TAX 8.875% SROSA 16767340 $32.66 TheHilWnF uigy
9126/2010 ROOM OCCUPANCY TAX SROSA 16767340 $21.62
5.875%
9/26/2010 $2.00 CITY TAX SROSA 16767340 $2.00
9/26/2010 JAVITS CTR FEE SROSA 16767340 $1.50 Hilton
9/27/2010 GUEST ROOM SROSA 16773691 $368.00
9/27/2010 STATE ROOM TAX 8.875% SROSA 16773691 $32.66
9/27/2010 ROOM OCCUPANCY TAX SROSA 16773691 $21.62
5.875% coNRAa
9/27/2010 $2.00 CITY TAX SROSA 16773691 $2.00
9/27/2010 JAVITS CTR FEE SROSA 167,73691 $1.50
9/28/2010 GUEST ROOM SROSA 16776927, $368.00
912812010 STATE ROOM TAX 8.875 $RgSA 16778927 $32.66 `I
I_ DOU A LETR[e
AX
8/28/2010 ROOM OCCUPANCY T; SROSA 'z16778927
$2I 62
5.875% u, t
912812010 $2.00 CITY TAX SROSA 16778927 $100
9/28/2010 JAVITS CTR FEE SROSA 16778927 ,$1.50
912912010 TSANGA 16781347 $1,277.34 ••T•
BALANCE $0.00
Hilton
Hilton HHonors(R) sta are posted within 72 ho rs of checkout. To heck
Hilton
your earnings for this o any other stay at more t an 3, 000 Hilton Fa ily
hotels worldwide, plea a visit HiltonH li onors. cor 7.
Grand Vacations Club'
ACCOUNT N0, DATE OF CHARGE FOLIO NO.ICHECK NO.
/26/2010 2673436 A 211119
fChTuoon
suRFs
CARD MEMBER NAME AUTHORIZATION INITIAL
HANE DOUGLAS 469823
ESTABLISHMENT NO. &LOCATION ESTARLISHMENTAGREE STpTRANSMO `TG CARD HOLDER FOR PAYMENT PURCHASES SERVICES
U
TAXES
Official Sponsor
TIPS MISC.
TOTAL AMOUNT
MERCHANDISE AND/OR SERVICES PURCHASED ON THIS CARD SHALL NOT HE RESOLD OR RETURNED FOR A CASH REFUND. PAYNIENT DUE UPON RECEIPT
L
INVOICE Order/ Invoice Number Order Date
O 0 810 Sc%'enth Avenue 1 V l l� 1476032 06/15/2010
P L 1 New fork, 10019
er 873092
NftACTIju:G L�'•V IN $TRUTF.
fel (800 260.4754 Customer Numb
HAS.: (81111) 321-11093
PAYMENT INFORMATION' Total Amount Due
I Enclosed is my check payable to Practising Law Institute $1,595.00
Please charge my payment to my Amex Visa Mastercard Diners Club
*1'lcu.cc rvrifc the nnruuur
rrf our prrvnrcnr !u•rc
Credit Card No.: Expiration Date:
Cardholder Name: Cardholder Signature.
SOLD TOE Douglas Haney SHIP TO: Douglas Haney
City of Carmel City of Carmel
1 Civic Sq 1 Civic Sq
Carmel,IN Carmel,IN
USA 46032.7569 USA 46032 -25x4
Has your address changed? if so, please check here 0 and Fitt out your new address on the back of this stub.
Ple iseiferach al perforaiiov, roiafn the bonorri poilion for your records, and return the top portion witir your paymeni in the envciope provided
Order Date Order! Invoice Number Customer Number Customer PQ Number
PAYMENT DUE ON RECEIPT
06/15/2010 1476032 873092
Ordered By Douglas Haney Registration Number 286695 Page 1 of I
Ref No. ITEM'NOdENTITY SUB TYPEIDESCRIPTION OTY UNIT PRICE DISCOUNT TOTAL
1538541 23406- Program -Empl Inst 2010 NY 1 $1,595.00 $0.00 511.595.00
Within 30 days of receipt, if, for any reason, you are not satisfied with your
merchandise, please call our Customer Service department at (800) 260 -4754 Total Discount Sub Total $1,595.D0
and you will be sent a pre -paid return label, Please see the reverse side of this $0.00 Coupon $0.00
invoice regarding the return of any item in this order.
Sales Tax 5D 00
AFTER 30 DAYS, SEMINARS AND PRODUCTS ARE DEEMED TO BE ACCEPTED AS IS
Shipping 50.00
AND ARE NOT REFUNDABLE.
Paid $0.00
e o Total Due
PL i $1,595.00
NRACIISING I AW IN51!'IVrF.
810 Seventh Avenue o New York, NY 10019
Tel.: (800) 260 -4754 Fax: (800) 321 -0093 Visit our website at vvww.pli.edu
-o INDIANA RETAIL TAX EXEMPT PAGE
of Carmel CERTIFICATE NO. 003120155 002 0 PURCHASE ORDER NUMBER
0 f F 4n FEDERAL EXCISE TAX EXEMPT �3
P�� r� A NT CA 35- 60000472
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES,
CARMEL, INDIANA 46032 -2584 VOUCHER, DELIVERY MEMO, PACKING SLI
SHIPPING LABELS AND ANY CORRESPONDEN
ROVED BY STATE BOA OF ACC OUNTS FOR CITY OF CARMEL 1997
CHAS ORDER DATE DATE REQUIRED REQUISITION NO. VENDOR NO, DESCRIPTION
7
ENDOR SHIP
9J0 U TO
I AIX /001
1F1RMAIION BLANKET CONTRAO� PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
ri •Gd
I t �1 3 I
V, 5
40
Send Invoice To:
PLEASE INVOICE IN DUPLICATE
DE PARTMENT ACCOUNT PROJECT PROJECTACCOUNT AMOUNT
PAYMENT A ll ..5/5 OCR
A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.D.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
f VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS 4 .�ij I HEREBY CERTIFY THAT THERE IS AN UN08LIGATED BALANCE IN
THIS APPROPRIATION SUFFICtENTTD PAY FOR THE ABOVE ORDER.
C. .D. S PAID. HIPMENTS CANNOT BE ACCEPTED.
PURCHASE ORDER NUMBER MUST APPEAR ON ALL ORDERED BY
SNIPPING LABELS. 1
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK- TREASURER
VOUCHER NO. WARRANT NO.
ALLOWED 20
Douglas C. Haney
IN SUM OF
13828 Smokey Ridge Drive
Carmel, IN 46033
6.44
ON ACCOUNT OF APPROPRIATION FOR
Carmel Law Department
PO# Dept. INVOICE NO. ACCT /TITLE AMOUNT Board Members
1180 I I 43- 570.02 $J,8e6-4-4 I hereby certify that the attached invoice(s), or
Q f 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
Monday, October 25, 2010
hector, Law Department
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund
Prescribed by State Board of Accounts City Form No. 201 (Rev, 1995)
ACCOUNTS PAYABLE VOUCHER
CITY OF CARMEL
An invoice or 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.
Terms
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
10/25/10 $1,896.44
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