HomeMy WebLinkAbout197015 05/04/2011 „yf CITY OF CARMEL, INDIANA VENDOR: 120950 Page 1 of 1
J ONE CIVIC SQUARE DOUGLAS HANEY CHECK AMOUNT: $1,898.30
CARMEL, INDIANA 46032 CIO DEPT OF LAW
C!0 DEPT OF LAW CHECK NUMBER: 197015
CHECK DATE: 514!2011
DEP ARTMEN T A PO NUMBER INVOI NUMBER AMOUNT DESCRIPTI
1180 4343002 1,898.30 EXTERNAL TRAINING TRA
STATE OF INDIANA
SS:
COUNTY OF HAMILTON
AFFIDAVIT
1, Douglas C. Haney, Carmel City Attorney, being first duly sworn upon my oath, state that on
April 9, 2011, 1 attended the International Municipal Lawyers Association Board of Directors Meeting as
part of my participation in IMLA's 2011 Mid -Year Seminar in Washington, D.C. A copy of the Seminar
agenda showing this meeting is attached hereto.
Dated this o t y of April, 2011.
Douglas C. Hane
Subscribed and sworn to before me, the undersigned Notary Public, this day of April, 2011.
c
A. Elaine Bass, NOTARY VbBLIC
Resident of Marion County, Indiana
My-C it mij on Expires:
October 21, Q
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SATURDAY, APRIL 9, 2011
Board of Directors Meeting
9:00 a.m. 12:00 Noon
Diplomat Ballroom
West End
Telecommunications Section Workshop: Recent Developments
SUNDAY, APRIL 10, 2011 in Local Regulation and Authority over Teleconi n and
Cable Operators
Registration and Exhibitors 8:45 a.m. 10:15 a.m.
8:00 a.m. 2:00 p.m, Congressional A B Rooms
{Closed 2:00 p.m. 4:00 p.m.) West End
4:00 p.m. 6:00 p.m. Moderator: David Wiltse
Palladian Foyer City Attorney
West End Des Plaines, Illinois
IMLA Section and Department Workshops Is Cable Franchising Still Relevant?
These small forums provide a unique opportunity for Matthew K. Schettenhelm
attendees to network, ask questions, share experiences Miller Van Eaton, P.L.L.C.
and hear comprehensive presentations from experts Washington, DC
from around the country. Workshop participants also
review recent case law and the implications for local The FC0 New Effort to Regulate Local Rights of Way
government lawyers in each practice area. Joseph Van Eaton
Miller Van Eaton, P.L.L.C.
Personnel Section Workshop Washington, DC
8:45 a.m. 10:15 a.m.
Cabinet Room Taxation and Fee Issues: Over the Top TV and Other
West End Threats to Local Government Franchise Fees,
Chair: Marlene Pontrelli Federal Deficit Politics, and Internet Sales Taxes
Vice Chair: Daniel D. Crean Gerard Lavery Lederer
Miller Van Eaton, P.L.L.C.
NASA v. Nelson: Dealing with Employee Privacy, Washington, DC
including Social Networking Privacy
Marlene Pontrelli Coffee Break
Mariscal Weeks McIntyre Friedlander, PA 10:15 a.m. 10:30 a.m.
Phoenix, Arizona Congressional Room Foyer
and
Daniel D. Crean Special Meeting on the Census and Federal Dollars
Executive Director 10:30 a.m. 11:30 a.m.
New Hampshire Municipal Association Cabinet Room
Pembroke, New Hampshire West End
and
Christopher Mohr Conducting Special Census
Meyer, Klipper Mohr, PLLC (Pursuant to 13 U.S. C.A. 4 196)
Washington, DC Bradford Cunningham
Municipal Attorney
Lexington, South Carolina
6 IMLA Mid -Year 2U1
OF C4%4,
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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: 04/08/11 6:25 p.m.
DEPARTMENT: Law Department RETURN DATE: 04/13/11 TIME: 2:59 PM
REASON FOR TRAVEL: (MLA's Mid -Year Seminar DESTINATION CITY: Washington, DC
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
April 8
April 13, V
2011 $320.10 $29.60 $90.00 $1,191.10 .00 $1,990.80
$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
$0.00
$0.00
$0.00
$0.00
00
Total $320.10 $0.00 $29.60 $90.00 $1,191.10 $0.00 $0.00 $0.001 $0.001 $360.00 $0.00
TOR' STATEMENT: 1 hereby affirm that all expenses listed conform to the City's travel policy and are within my department's appropriated bud et.
DIRECTOR'S S
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�Internationai Municipal Lawyers Association
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Z rra w w l rLfo rVVLL,t Each registrant must complete a separate form. This form may be duplicated.
Name Douglas C. Haney Badge Name Douglas Haney
Title Carmel City Attorney Organization City of Carmel, Indiana
Address One Civic Square
City Carmel State Indiana Zip Code 46032 Country UsA
Phone 317 -571 -2472 Fax 317 -571 -2484
p Email (REQUIRED) dhaney@carmel.in.gov
CLE Credits (Specify State(s)): Indiana Bar No: 11207 -49
Registration Fees include: Admission to all sessions, "event materials IMLA social functions, luncheons and all coffee breaks. Guest Fees
include: Attendance at all social events. Prices are based on attendee staying in Conference Hotel.
Cancellation I Refund Substitution Policy: Cancellations must be received in writing by March 1, 2011 to qualify for a refund. All cancellations
are subject to a $50.00 administrative fee per event. After March 1, 2011 those not attending the event(s) will receive the materials in full
consideration for registration fees paid. All refunds will be remitted 90 days after the event. Substitutions are accepted in lieu of cancellations.
Send all cancellations and substitutions in writing to the IMLA Events Department.
N
REGISTRATION FEE INFORMATION REGISTRATION PAYMENT INFORMATION
'I Two Registrations for the price of OneM
X Bill Me Check Enclosed Visa Master Card
i/ $1 ,000 First Registrant Make all checks payable to IMLA; U.S. currency only.
H
$950 Second Registrant Amount i. COO F (90
Name on Card
$900 Three or more Registrants
Card No.
$200 Spouse /Guest Registrant CVV Code Exp.Date
Payments must be received by April 01, 2011. Signature
International Municipal Lawyers Association Phone: 202.466.5424 Email: info @imla.org Fax: 202.785.0152
801 New Hampshire Ave. NW Washington, DC 20037
OU B L E T R E E Phone (202) 785 -2000 Fax (202) 785 -9485
Reservations
Name Address GUEST SUITES" www,doubletrec.com
WASHINGTON. DC
HANEY, DOUGLAS Room 902 /NK1 K
13828 SMOKEY RIDGE DR Arrival Date 4/8/2011 8:58:OOPM
Departure Date 4/13/2011
CARMEL, IN 46031
US Adult/Child 2/0
Room Rate $208.05
RATE PLAN S -AAA
HH# 864254159 GOLD
AL DL #6061240013
BONUS AL CAR
Confirmation: 80241688
4/13/2011 PAGE 1
DATE REFERENCE DESCRIPTION AMOUNT
4/8/2011 1540508 GUEST ROOM $208.05
4/8/2011 1540508 SUITE TAX $30.17
4/9/2011 1540792 GUEST ROOM $208.05
4/9/2011 1540792 SUITE TAX $30.17
4/10/2011 1541092 GUEST ROOM $208.05
4/10/2011 1541092 SUITE TAX $30.17
4/11/2011 1541394 GUEST ROOM $208.05
4/11/2011 1541394 SUITE TAX $30 "17
4/12/2011 1541697 GUEST ROOM $208.05
4/1212011 1541697 SUITE TAX $30.17
WILL BE SETTLED TO $1,191.10
EFFECTIVE BALANCE OF $0.00
You have ear ied approximately 19002 HHonors points and approxi A Uf I A
Lines for this tay. To check your earnings for this stay or any other say a an o more an 3,0 f!
Thank you fo choosing Doubletree! Come back soon to enjoy our warm choco ate chip cookies and
relaxed hospi ality. For your next trip visit us at doubletree.com for our best avE ilable rates!
PATE OF CHARGE FOLIO NO. /CHECK NO.
EXPRESS CHECKOUT
Good Morning We hope you enjoyed your stay. With Express Check -Out AUTtIORIZATION rnAL
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
evening. PURCHASES SERVICES
For any charges after your account was prepared, you may:
pay at the time of purchase. TAXES
charge purchases to your account, then stop by the Front Desk for an
updated statement.
or request an updated statement be mailed to you within two business days. TIPS MISC.
Simply call the Front Desk from your room and tell us when you are ready to
depart. Your account will be automatically checked out and you may use this
statement as your receipt. Feel free to leave your key(s) in the room. TOTAL AMOUNT
0.00
Please call the Front Desk if you wish to extend your stay or if you have any
questions shout 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 I while
attending the International Municipal Lawyers Association's 2011 Mid -Year Seminar in Washington,
D.C. on behalf of the City, Apri l S 1.3, 2011, I expended a total of Twenty -Nine Dollars and Sixty Cents
($29.60) of my own money in subway /metro -rail fares and that 1 need to be reimbursed for this expense.
Dated this t of April, 2011.
Douglas C. Haney
Subscribed and sworn to before me, the undersigned Notary Public, this k' day of April, 2011.
A. Elaine Bass, NOTARY PUBLIC
Resident of Marion County, Indiana
NI
My Conimission/Expires:
October 23;j2016
eb} rsuord: z: kharcdl affidavi ts`aftadirit- subway.doc:4! ?0'I f]
Haney, Douglas C
From: DeltaElectronicTicketReceipt delta.com
Sent: Wednesday, March 30, 2011 11:54 AM
To: Haney, Douglas C
Subject: DOUGLAS C INDIANAPOLIS 08APR11
D LTA
D
Your Receipt and Itinerar (Scan this barcode at a Delta Self- Service Kiosk to access your
p ry reservation.)
DOUGLAS C HANEY
13828 SMOKEY RIDGE DR
CARMEL IN 46033
Thank you for choosing Delta. We encourage you to review this information before your trip. If you need to contact Delta
or check on your flight information, go to delta.com call 800 221 -1212 or call the number on the back of your SkyMiles®
card.
Now, managing your travel plans just got easier. You can exchange, reissue and refund electronic tickets at delta.com
Take control and make changes to your itineraries at delta.com /itineraries
Speed through the airport. Check -in online for Check -iri
your flight.
Flight Information Z(�D
t
DELTA CONFIRMATION GFw592
TICKET 00623460391024
Bkng Meals/ Seat
Day Date Flight Status Class City Time Other Cabin
l 1
Fri 08APR DELTA 6075* OK T LV INDIANAPOLIS 625P 4B
AR WASHINGTON- 8022 COACH r�
REAGAN
*Operated by CHAUTAUQUA AIRLINES
Wed 13APR DELTA 1745 OK T LV WASHINGTON— 1105A 6A
REAGAN COACH
AR DETROIT 12392
W 1 APR DE 7
e�. 3 LTA 9!i •K T LV DETROIT 14 t 10C
AR INDIANAPOLIS 259P COACH f�
Check your flight information online at delta.com or call the Delta Flightline at 800- 325 -1999. I Key to Terms
Arrival date different than depa 10
I date
See Seats on delta.com
Baggage and check -in requirements vary by airport and airline, so please check with the operating carrier on your Multi meals
ticket. I *S$ Multiple seats
Please review Delta's check -in Reguirements and baggage guidelines for details. AR Arrives
I B Breakfast
You must be checked in and at the gate at least 15 minutes before your scheduled departure time for travel inside C Bagels /Beverages
the United States. I D Dinner
You must be checked in and at the gate at least 45 minutes before your scheduled departure time for international I F Food available for purchase
travel. L Lunch
For tips on flying safely with laptops, cell phones, and other battery- powered devices, please visit I LV Departs
1
http: /SafeTravel.dot.gov I M Movie
R Refreshments Complimentary
Do you have comments about our service? Please email us to share them with us. S Snack
T Cold meal
V Snacks for Sale
I
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l
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Passenger Information
DOUGLAS C HANEY
SkyMiles Number: *013
Silver Medallion®
Billing Details
Receipt Information
Fare Details: IND DL WAS133.95TA07AOSG DL X /DTT DL IND133.95TA07AOSG USD267.9
OEND ZP INDDCADTW XF IND4.5DCA4.5DTW4.5
Fare: 267.90 USD Form of Payment CA *0311
Tax: 52.20 TX
Total: 320.10 USD
NON -REF /$CHANGE FEE
Note: When using certain vouchers to purchase tickets, remaining credits may not be refunded. Additional charges and /or
credits may apply and are displayed in the sections below.
The Medallion status listed reflects a customer's status at the time of ticketing, which may differ from the actual status at
the time of flight departure.
This ticket is non refundable unless issued at a fully refundable fare. Any change to your itinerary may require payment of
a change fee and increased fare. Failure to appear for any flight without notice to Delta will result in cancellation of your
remaining reservation.
Detailed Tax Information
Total Tax: 52.20 USD
XF 13.50 ZP 11.10 AY 7.50 US 20.10
Ticketing Details
Scan this barcode at a Delta Self- Service Kiosk to access your reservation.
P] TICKET 4: 00623460391024
Issue Date: 03/30/11 Expiration: 03/30/12
Place of Ticket Issue: LAXWEB
Issuing Agent Id: DL /WW
2
Prescribed by State Board of Accounts ACCOUNTS PAYABLE VOUCHER City Form No. 201 (Rev. 1995)
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.
Douglas C. Haney Payee
Purchase Order No.
13828 Smokey Ridge Drive
Terms
Carmel, Indiana 46033
Date Due
Invoice Invoice Description Amount
Date Number (or note attached invoice(s) or bill(s))
4 -20 -11 Reimburse Douglas C. Haney for monies he personally $799.71
expend to attend the IMLA Mid-Year Seminar
Apr. in Washington, X, per ine atiac e
----E)�enlse Report, Affidavit and recempts
Total $799:71
I hereby certify that the attached invoice(s), or bill(s), is (are) true and correct and I have audited same in accordagce
with IC 5- 11- 10 -1.6.
20
Clerk- Treasurer
VOUCHER NO. WARRANT NO.
ALLOWED 20
Douglas C. Haney IN SUM OF
13828 Smokey Ridge Drive
Carmel, Indiana 46033
$799.71
ON ACCOUNT OF APPROPRIATION FOR
Department of Law 1180
430 -43002 External Training Travel
Board Members
D E INVOICE NO. ACCT #/TITLE AMOUNT I hereby certify that the attached invoice(s), or
1180 799.71 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
20
nat re
Cost distribution ledger classification if Title
claim paid motor vehicle highway fund
PAGE
/r INDIANA RETAIL TAX EXEMPT C I J I' 1 CERTIFICATE NO. 003120155 002 0
PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35- 50000372
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
CARMEL INDIANA 46032 -2554 VOUCHER, DELIVERY MEMO, PACKING SLIPS,
SHIPPING LABELS AND ANY CORRESPONDENCE.
FORM APPROVED BY STATE BOARD OF ACCOUNTS FOR CITY OF CARMEL 1
'URCHASE ORDER DATE DATE REQUIRED- REQUISITION NO. VENDOR NO, DESCRIPTION
VENDOR
.t, SHIP
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CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
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PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT A A M O UNT
Q%Glf �I mo PAYMENT l f
'J A/P VOUCHER CANNOT BE APPROVED FOR PAYMENT UNLESS THE P.O.
NUMBER IS MADE A PART OF THE VOUCHER AND EVERY INVOICE AND
VOUCHER HAS THE PROPER SWORN AFFIDAVIT ATTACHED.
SHIPPING INSTRUCTIONS I HEREBY CERTIF THAT THERE IS AN UNOBLIGATED BALANCE IN
SHIP REPAID.
THIS APPROPRIATION SU N.T
FFIGIE_T.0•PAY -F0R T E ABOVE ORDER.
C.O.D. SHIPMENTS CANNOT BE ACCEPTED. ORDERED BY {'r
PURCHASE ORDER NUMBER MUST APPEAR ON ALL
SHIPPING LBELS. f/<
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO.
CLERK TREASURER
DOCUMENT CONTROL NO. 2 7 1 3 9 A.P.V. COPY SIGN AND RETURN TO CLERK'S OFFICE
VOUCHER NO. WARRANT NO.
ALLOWED 20
IN THE SUM OF
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ON ACCOUNT F APPROPRIATION FOR
D 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
sl materials or services itemized thereon for
which charge is made were ordered and
0 received except-
2 D_I-L
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Title
Cost distribution ledger classification if
i claim paid motor vehicle highway fund