HomeMy WebLinkAbout164743 10/16/2008 CITY OF CARMEL, INDIANA VENDOR: 120950 Page 1 of 1
ONE CIVIC SQUARE DOUGLAS HANEY
CARMEL, INDIANA 46032., C/O DEPT OF LAW
CHECK AMOUNT: $2,233.30
C/O DEPT OF LAW
CHECK NUMBER: 164743
1
CHECK DATE: 10/16/2008
DEPA ACCOUNT PO NUMBER I NVOICE NU MBER AMOUN DESCRIPTION
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Passenger Receipt
Depart Arrive Date Cabin Fare Code E- Ticket a: 0122168173575
4ndianapoliy,,IN Detroit, MI 12AUG08 Coach K14E3QNX Issue Date: 23JULOS
Detroit IMI• Boston, MA 12AUG08 Coach K14E3QNX Narne /Place of Issue: NWA.COM US E- TI(. -'ET
Boston, MA Detroit. MI 1JAUG08 Coach LE7ZNR AR NA. PLS
Detroit, Mf Indianapolis, IN 17 AUG08 Coach LEI ZNR /ST PAUL P.irq
Endorsements /Restrictions:
NON REFUNDABLE /PENALTY FOR CHANGE
HANEY /DOUGLAS.: Trar)sportation subject to terms of carriage
Total Fate This Ticket: USD 454':00 printed !aside ticket jacket
FARE 383.26 .Form of Payment:
US TAX 28.74 Card ii
DOM SEGMENT FEE 14.00 E Ticket >T: 0122168173575
OTHER. TAX 28.00 Confirr7ration 7SMU2F Te
TOTAL USD 454.00
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ENTRY TIME.=
08/12/08
EXIT T"ViEng
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COMPUTED 96=00
PAID 1; 96= Oco
TRANSACTION 8064
KIND OF PAYMENT
AUTH= CODE 01.792Z
THANK YOU
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CITY OF CARMEL Expense Report (required for all travel expenses)
\NDIANp
EMPLOYEE NAME: Douglas C. Haney DEPARTURE DATE: 08/12/08 TIME: /0 AM
DEPARTMENT: Law Department RETURN DATE: 08/17/08 TIME: WaIO
REASON FOR TRAVEL: ALI -ABA Seminar DESTINATION CITY: Boston, MA
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
Aug. 12,
2008 thru
Aug. 17,
2008 $454.00 $17.00 $96.00 $1,276.30 1 .00 1 $2,293.30
$0.00
$0.00
$0.00
I $0.00
$0.00
$0.00
t I $0.00
$0.00
a $0.00
v
$0.00
I $0.00
$0.00
$0.00
$0.00
0.00
Total $454.00 $0.00 $17.001 $96.00 $1,276.30 $0.001 $0.00 $0.00 $0.001 $450.00 $0.00 i
v
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 l evision Date 9/2/2008 Page 1
One Hotel Drive Boston, MA 02128
Hilton Phone (617) 568-670 Res ons (617) 568 -6800
Name Address Boston Logan Airport www.hilton.com or 1 800 IIILTONS
HANEY, DOUGLAS Room 739/K1
49 HAWTHORNE DR Arrival Date 8/12/2008 4:45:OOPM
Departure Date 8/17/2008
CARMEL, IN 46033 -1906 Adult/Child 2/0
US Room Rate 227.00
RATE PLAN L -AA
HH# 864254159 GOLD
AL NW #061240012
BONUS AL CAR
Confirmation Number: 3322590510
8/17/2008 PAGE 1
DATE DESCRI PTION ID REF. NO CHARGES CREDITS BALANCE
8/12/2008 GUEST ROOM VRIVER 5048130 $227.00
8/12/2008 STATE OCCUPANCY TAX VRIVER 5048130 $12.94
8/12/2008 CITY OCCUPANCY TAX VRIVER 5048130 $9.08
8/12/2008 CONVENTION CENTER OCC VRIVER 5048130 $6.24
TAX
8/13/2008 `ROOM SERVICE LINTR 5049376
8/13/2008 GUEST ROOM VRIVER 5050394 $227.00
8/13/2008 STATE OCCUPANCY TAX VRIVER 5050394 $12.94
8/13/2008 CITY OCCUPANCY TAX VRIVER 5050394 $9.08
8113/2008 CONVENTION CENTER OCC VRIVER 5050394 $6.24
TAX
8/14/2008 GUEST ROOM HSANTO 5052560 $227.00
8/14/2008 STATE OCCUPANCY TAX HSANTO 5052560 $12.94
8/14/2008 CITY OCCUPANCY TAX HSANTO 5052560 $9.08
8114/2008 CONVENTION CENTER OCC HSANTO 5052560 $6.24
TAX
8/15/2008 GUEST ROOM HSANTO 5054755 $227.00
8/15/2008 STATE OCCUPANCY TAX HSANTO 5054755 $12.94
8/15/2008 CITY OCCUPANCY TAX HSANTO 5054755 $9.08
8/15/2008 CONVENTION CENTER OCC HSANTO 5054755 $6.24
TAX
8/16/2008 GUEST ROOM HSANTO 5056847 $227.00
8/16/2008 STATE OCCUPANCY TAX HSANTO 5056847 $12.94
8/16/2008 CITY OCCUPANCY TAX HSANTO 5056847 $9.08
8/16/2008 CONVENTION CENTER OCC HSANTO 5056847 $6.24
TAX
DATE OF CHARGE FOLIO N0. /CHECK NO.
Zip -Out Check -Out
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.
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 I T
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.
One Flotel Drive Boston, MA 02128
Phone (617) 568 -6700 Fax (617) 568 -6800
Hilton Reservations
Name Address Boston Logan Airport www.hilton.com or 1 800 HILTONS
HANEY, DOUGLAS Room 739/K1
49 HAWTHORNE DR Arrival Date 8/12/2008 4:45:OOPM
Departure Date 8/17/2008
CARMEL, IN 46033 -1906 Adult/Child 2/0
US Room Rate 227.00
RATE PLAN L -AA
HH# 864254159 GOLD
AL NW #061240012
BONUS AL CAR
Confirmation Number 3322590510
8/17/2008 PAGE 2
DATE DESCRIPTION ID REF. NO CHARGES CREDITS BALANCE
WILL BE SETTLED TO $1,315.38
EFFECTIVE BALANCE OF
Hilton HHonors(R) stays p ost to your account withir 72 hours of checko it.
To check your earnings to this stay or a y other st y at any of more thE n
3,000 Hilton Family hotels worldwide vis t HiltonHH
Thank you for choosing H ton! Please vi sit us at hil on. com to view our
best available Net Direct r tes, plan a s ecial vacat on getaway or se/e t a
convenient location for yo ir next business trip.
0
DATE OF CHARGE FOLIO NO. /CHECK N0, 7%7
A
Zip -Out Check -Out JL
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.
For any charges after your account was prepared, you may:
TAXES 0
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
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 I while
attending the American Law Institute- American Bar Association Land Use Institute Seminar in Boston,
Massachusetts, held August 13 -16, 2008, 1 expended a total of Two Dollars (52.00) of my own money for
tips to the shuttle van driver and that I need to be reimbursed for this expense.
Dated this day of September, 2008.
1
ouglas C. ey
Subscribed and sworn to before me, the undersigned Notary Public, this Zjday of September,
2008.
a 0
A. Elaine Bass, NOTARY U LIC
Resident of Johnson County, Indiana
My Commission Expires:
October 23, 2008
eh— word: z: \sharedU ffidavirs\affadivihsubway. doc:9/2 /08]
O N;! N �Epll
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a
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with payment to ALI -ABA: REGISTRAR, ALI -ABA, 4025 243 -1664. (Please do NOT duplicate previously Register or order on the web at www.ali aba.org
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*attach names and addresses of additional registrants.
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36 T otal 0 Check enclosed (payable to ALI -ABA) I Please charge to my credit card: O AMEX O DISCOVER O MasterCard O VISA
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Go T.CdJLA o /A. /17 1 g C old expn•etielI date J
NAME PL SE PRINT
Cit of CnrmPl Indiana
FIRM
One Civic Square Department of Taw
STREET ADDRESS SUITE /FLOOR NUMBER
Carmel Indiana 46032
CITY STATE zIP-1-4
317- 571 -2472
PHONE (INCLUDE AREA CODE) SIGNATURE
dho.ne carmel in. gov
E -MAIL ADDRESS (REQUIRED FOR WEBCASTS AND ONLINE SUBSCRIPTIONS) CHANGE OF ADDRESS? GO TO WWW.ALI-ABA.ORG /ADDRESS/
MANDATORY CLE AND CPE CREDIT a block, unless exhausted, until July 23, at which time they will be released 37219 -2417. Web site: www.nasba.org.
ALI -ABA is an accredited MCLE provider in AR, AZ, CA, CO, IL, ME, MO, MS, to the general public. Registrants must make their own hotel reservations and For more information regarding ALI -ABA's
MT, ND, NM, N\�-NY, OK, PA, RI, SC, VT, WI, WV, and WY. We apply for ac- indicate that they are attending the ALI -ABA Course of Study to qualify for administrative policies, such as complaint
creditation on a course -by- course basis in virtually all other MCLE jurisdic- rooms in the block. and refund, please call Customer Service
tions, including AL, DE, FL, GA, IA, ID, IN, KS, KY, LA, MN, NC, NH, OH, OR, Room reservations may be made by calling or writing to the Fairmont Copley at (800) CLE-NEWS. CPE credit hours
TN, TX, UT, VA, and WA. For this course, ALI -ABA will apply for 19 credits, Plaza, 138 St. James Avenue, Boston, MA 02116; phone 617 -267 -5300; FAX for this course: 22.5 in Real Estate (live
including 2 ethics credits, in 60- minute states; and for 22.8 credits, includ- 617 -247 -6681; Web Site: www.fairmont.com. Confirmations will be sent by SPONSORS program).
ing 2.4 ethics credits, in 50- minute states. In NY, this course is appropriate the hotel. Please read the cancellation policy carefully. Learning Objective: Acquisition ofknowl-
for both newly admitted and experienced attorneys. For specific information NASBA ACCREDITATION edge and skills to improve proficiency as a practitioner
on CLE, CPE, or other professional accreditation, please e -mail the MCLE Suggested Prerequisite: Practice experience with land use planning,
Team at TeamMCLE @alt- aba.or o to htt /www.ali- aba.or /mole, or call ALI -ABA is registered with the National Association of State Boards of Ac- 99 or a
9 P 9
g 9 p 9 countancy (NASBA) as a sponsor of continuing professional education on graduate planning education and substantial experience with land use plan-
1- 800 -CLE -NEWS. the National Registry of CPE Sponsors. State boards of accountancy have ning
HOTEL ACCOMMODATIONS final authority on the acceptance of individual courses for CPE credit. Com- Level of Instruction: Intermediate
A limited block of rooms has been reserved at the Fairmont Copley Plaza. Room plaints regarding registered sponsors may be addressed to the National
rate: $229 per night, single or double occupancy. These rooms will be held as Registry of CPE Sponsors, 150 Fourth.Avenue North, Suite 700, Nashville, IN
W W W.A LI- ABA.ORG /CP011
for more information about: registration cancellation breaks and refreshments requirements for persons with disabilities
tuition assistance discounted airfares
INDIANA RETAIL TAX EXEMPT PAGE
Cit C rMe l CERTIFICATE NO. 003120155 002 0 CS.� 1L PURCHASE ORDER NUMBER
FEDERAL EXCISE TAX EXEMPT
35- 60000972 t)
ONE CIVIC SQUARE THIS NUMBER MUST APPEAR ON INVOICES, A/P
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 TOIP
CONFIRMATION BLANKET CONTRACT PAYMENT TERMS FREIGHT
QUANTITY UNIT OF MEASURE DESCRIPTION UNIT PRICE EXTENSION
6�,�W-
fit-
1 h
4 e6
Y Y
=b $sa
Send Invoice To: 11 i
PLEASE INVOICE IN DUPLICATE
DEPARTMENT ACCOUNT PROJECT PROJECT ACCOUNT AMOUNT
,GfCI 1 /f.30 /y["c, PAYMENT
I- yam ��,y� 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 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. -mac•••
PURCHASE ORDER NUMBER MUSTAPPEAR ON ALL ORDERED BY
SHIPPING LABELS.
THIS ORDER ISSUED IN COMPLIANCE WITH CHAPTER 99, ACTS 1945 TITLE 1 j.u'- �'�'l�
AND ACTS AMENDATORY THEREOF AND SUPPLEMENT THERETO
1 CLERK- TREASURER
DOCUMENT CONTROL NO. A•P. COPY SIGN AND RETURN TO CLERK OFFICE
VOUCHER NQ.. WARRANT NO..
/J ALLOWED 20
IN THE SUM OF
ON ACCOUNT OFPROPRIATION FOR
Board Members
P o f INVOICE NO. ACCT /TIT! E AMOUNT I hereby certify that the attached invoice(s), or
god bills) is (are) true and correct and that the
materials or services itemized thereon for
which charge is made were ordered and
receivedexcept
2 0D
i ature
Title
Cost distribution ledger classification if
claim paid motor vehicle highway fund